Benefits & Services Benefits & Services See what is covered and how to make the most of your benefits. Benefits & Services Plan Documents Plan Documents Get your key member...

...plan, please select your plan from the drop down list above. Explanations of when and why you may need to use a form are also provided below. Look for instructions...

...partner policies. Policies may vary by plan and/or state. Click the links to access policies for your member’s plan. The policies presented on these pages may not be inclusive of...

...available in the fall. If that’s not possible, at least plan to get it before the end of October. Note: The COVID-19 vaccine does not protect you from the flu....

...and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM) activities including prior authorization, concurrent review, discharge planning and other activities....

...2026 Nevada Marketplace $0 Chronic Care Plans Brochure 2026 Ohio Marketplace ICHRA Brochure 2026 Ohio Marketplace Reference Guide 2026 Ohio Marketplace $0 Chronic Care Plans Brochure 2026 Ohio Marketplace Off-Exchange...

...The CareSource Marketplace Drug Formulary shows the drugs covered by your plan. Here are some more important facts about CareSource prescription drug coverage: You have to go to a pharmacy...

...to help keep yourself and your family safe. Make a family plan. Choose a friend or a family member who lives out of town to contact during an emergency. Family...

...Demo. Utilization Management – View our utilization management activities including prior authorization, concurrent review, discharge planning and other activities. Tobacco and Vaping Cessation Tool Kit – Access our tools and...

...policies apply to our Ohio Medicaid plan. These medical policies apply to our Georgia Medicaid plans. These medical policies apply to our Indiana Medicaid plans. These medical polices apply to...