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Marketplace
https://www.caresource.com/plans/marketplace/WE GOT YOU. CareSource Marketplace plans are simple and reliable with coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. Every plan also includes...
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FAQs
https://www.caresource.com/providers/education/faqs/...other coverage information? You can obtain the other coverage information that CareSource has on file by reviewing the member’s eligibility information on our Provider Portal. Call 1-855-202-1058 and follow the...
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FAQs
https://www.caresource.com/members/education/faqs/...or another Medicaid Plan. HIP requires you to make a minimal monthly contribution to your coverage based on the amount of your income. For more information about the Healthy Indiana...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...Evidence of Coverage on our Plan Documents page. We have more detailed information on these pages: Medicare Advantage Part C Medical Plan Rights Medicare Advantage Part D Prescription Drug Plan...
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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...you can appeal our decision. Who Can Ask for a Coverage Determination? You Your appointed representative Your provider Express Scripts® makes our coverage decisions. How to Ask for a Coverage...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...Losing Your CareSource Health Care Coverage. Our mission is to help you stay healthy. You or your child may need to take action to keep your coverage. CareSource cannot renew...
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Healthy Heart
https://www.caresource.com/plans/marketplace/healthy-heart/...medications and avoid potential drug interactions. Emergency Care Coverage: When you need it, you have peace of mind knowing you have comprehensive coverage for emergency services related to heart conditions,...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...coverage for a specific member. Benefit determinations are based on the specific facts of each member’s case. If a service or supply is not eligible for coverage, a member and...
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Forms
https://www.caresource.com/members/tools-resources/forms/...can request a coverage determination by completing this form. Coverage Redetermination Request Form online or hard copy If you are unsatisfied with the outcome of a coverage determination request, you...
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...of Coverage – Vision and Fitness Plan Rider 2025 CareSource Evidence of Coverage 2025 CareSource Evidence of Coverage – Vision And Fitness Plan Rider 2025 CareSource Evidence of Coverage 2025...
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