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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...to specialty medications, depending on the plan. Some plans have an enhanced formulary that gives members access to more drugs for $0. You can find more information by viewing our...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...you enter on the “Provider(s)” tab applies to the individual pharmacist. While filling out information on the “Provider(s)” tab and you are asked to provide “Specialty”, be sure to select...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...a lot of money. Shop Around Shop around for specialty care. Many of us cut coupons, shop for deals, and wait for sales. Using those skills on your health care...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...care. We do not discriminate against any providers. We may choose a provider because of a need for that specialty in a particular area. If you have trouble locating an...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...the input from a medical director of like specialty and then reviewed/approved by the Market Provider Advisory Committee and the Enterprise Provider Advisory Committee. To ensure consistent application of the...
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Marketplace
https://www.caresource.com/plans/marketplace/...Health and well-being services Including our 24-hour nurse advice line, wellness advocates, incentive programs, specialty care teams, and other innovative support like our MyHealth and myStrengthSM tools. Hearing Benefits All...
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FAQs
https://www.caresource.com/members/education/faqs/...plan will help you reach your goals. It also links your medical health, developmental disability, and specialty health services. Can a care coordinator help pay my utility bills? A care...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...
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Pharmacy
https://www.caresource.com/benefits-services__trashed/pharmacy/...$45 $30 Tier 3 (Preferred Brand) $45 $135 $90 Tier 4 (Non-Preferred Brand) $100 $300 $200 Tier 5 (Specialty) 30% of the cost Not Covered Not Covered Tier 6 (Select...
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Fitness Benefits
https://www.caresource.com/benefits-services__trashed/fitness/...The Silver&Fit program is provided by American Specialty Health Fitness, Inc., (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a registered trademark of ASH and used...
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Specialty