We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...

Member Services We can help you: Get interpreters in the language you speak. Get printed copies of your plan materials sent to you at no charge. Learn more about your...

...you would like to file a grievance or an appeal or ask for an external review, visit the links on the left side of this page. You will find steps...

Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

CareSource PASSE™ may update this page with information about how to work with our plan. Have a question not addressed on this page? Contact Provider Services at 1-833-230-2100. You can...

These reimbursement policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. Reimbursement policies are designed to assist you when submitting claims to us. They are routinely...

...– Drug Waste - Archived on 01/01/2024 L Lactation Education Left Ventricular Assist Device (LVAD) Supplies Long Acting Reversible Contraceptives (LARCs) Low Vision M Mammography Services Modifier 25 Modifier 25...

...on the left side (bottom) of the page to find a pharmacy near you. Covered Prescriptions CareSource uses a Prescription Drug Formulary (or just Formulary). Your Formulary is a list...

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...

...monthly bill is based on: What you would have paid for any prescriptions you get Plus, your previous month’s balance Divided by the number of months left in the year....