These medical policies apply to the CareSource plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are...

...D-SNP) $240 Healthy Benefits+ Monthly Allowance LIS Cost Sharing for all Part D covered drugs* CareSource Dual Advantage Plus(TM) (HMO D-SNP) $196 Healthy Benefits+ Monthly Allowance $0 Copay for Tier...

...OH 45401-1947 You can also do business with us online any time day or night. Visit our Provider Portal to check claims, prior authorization status, member eligibility, coordination of benefits...

...a service. You get a surprise bill from a provider. These types of service include quality and standards of care, benefits, or denial of benefits. To file a grievance, you...

...Be Happy! We hope you are happy with your CareSource benefits and services. If you are dissatisfied with a provider, disagree with a decision we have made, or are you...

...benefits of getting your flu shot. How does the flu shot work? A flu shot works by telling your body to create antibodies. These antibodies are developed about two weeks...

...member benefits, and more to make it easier for you to do business with us. Note: To access, you may need to download Adobe Acrobat Reader. VIEW THE CARESOURCE PASSE...

...for a prescription that should have been covered under your CareSource plan Coverage Determination Request Form online or hard copy If you believe you are entitled to payment or benefits...

...on the Provider Portal. Pharmacy benefits are also shut off after 30 days of nonpayment. If the member brings themselves current within the 90 days, pharmacy benefits will be reinstated...

...your benefits to work for you! View the EOC for a full explanation of your benefits. Summary of Benefits The Summary of Benefits includes your covered benefits and any limitations....