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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...(3) consecutive months following your missed premium payment. During this time, we shall: Continue to pay for covered services during the first month of the grace period. Hold processing covered...
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Silver Plans
https://www.caresource.com/plans/marketplace/plan-documents/silver-plans/...CareSource members’ rights, responsibilities and obligations. It also tells you how the plan works, the covered services you are entitled to, any conditions and limits related to covered services, the...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...of post-stabilization services when these services are provided in any emergency department or for services in an observation setting by a participating provider. To request prior authorization for observation services...
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FAQs
https://www.caresource.com/members/education/faqs/...printed items in some other languages. Let us know. We can help. Covered Services What kind of services are offered through CareSource Life Services® program? One of the services offered...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...Family Services Contact Us If you are not finding the information you need or have more questions, please call us. Our Provider Services staff is happy to assist you. CONTACT...
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...entitled to, any conditions or limits related to covered services, the health care services that are not covered by the plan, and the annual deductible, copayments, and coinsurance you must...
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FAQs
https://www.caresource.com/providers/education/faqs/...is important to verify member eligibility before providing services. Patients must be eligible CareSource® members at the time of service in order for services to be covered. CareSource offers several...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/To have your health care services covered by your CareSource plan, you must get them from a network provider. The only exceptions are: In cases of emergency; If you need...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...a physician’s medical judgment about individual patients. CareSource of North Carolina Co. defaults to all applicable state and federal guidelines regarding criteria for authorization of covered services. CareSource of North...
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Contact Us
https://www.caresource.com/members/contact-us/...please call us. Our Member Services staff will be happy to answer your questions. You can also contact your Care Manager with questions. Member Services: 1-833-230-2099 (TTY: 711), 7 a.m....
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