...Medical equipment Having medical supplies like breathing equipment and others, delivered to your home. Quantity limits and prior authorizations are waived. This includes: medical supplies such as diabetic supplies, incontinence...

...know. In order for CareSource to talk to your authorized representative, you and your authorized representative must complete the HIPAA Authorization Form and send it to us via fax or...

...care provider (PCP) to order for you. Some drugs require prior authorization or are not covered by Medicare. Some drugs may also have quantity limits, and some drugs may require...

...formulary If prior authorization, quantity limits and/or step therapy restrictions are added for a drug If a drug is moved to a higher cost-sharing tier If the FDA deems a...

...benefits on a certain drug, you can request a coverage determination. If your prescription requires approval (prior authorization) prior to being filled, you will get a written notice explaining how...

...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...

...limitations. This may include requiring a prior authorization, step therapy, or quantity limit. The prior authorization requirements for your medicines may change. Questions? Call Member Services. The comprehensive formulary, pharmacy...

...key services — such as Primary Care and some Prescription Drugs — prior to having to satisfy your deductible. If you don’t expect to have many doctor appointments or need...

Common Ground Healthcare is now CareSource! We have a new name, but our commitment is the same. We make health insurance simple to use and easy to understand. Open Enrollment...

...any coverage limitations like prior authorization or step therapy restrictions. CareSource helps you pay for covered prescription drugs and prescription medical supplies at the pharmacy. You may have a deductible...