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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...the EOC below that corresponds to your plan: 2026 2026 CareSource Evidence of Coverage 2026 CareSource Evidence of Coverage – Vision and Fitness Plan Rider 2025 2025 CareSource Evidence of...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...You do not need one to see your PCP or most specialists. Your doctor will tell you when you need these types of care. Your Evidence of Coverage includes a...
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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/...of your Evidence of Coverage. Who Can Ask for an Appeal? You Your appointed representative Your provider You have 60 days from the date on your organization decision to file...
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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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Silver Plans
https://www.caresource.com/plans/marketplace/plan-documents/silver-plans/...of Coverage 2025 CareSource Evidence of Coverage – Vision And Fitness Plan Rider 2025 CareSource Evidence of Coverage 2025 CareSource Evidence of Coverage – Vision And Fitness Plan Rider SUMMARY...
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Bronze Plans
https://www.caresource.com/plans/marketplace/plan-documents/bronze-plans/...CareSource Evidence of Coverage 2025 CareSource Evidence of Coverage – Vision and Fitness Plan Rider 2025 CareSource Evidence of Coverage 2025 CareSource Evidence of Coverage – Vision And Fitness Plan...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...Section 9 your Evidence of Coverage for timeframes for CareSource’s review of appeals and expedited appeals. Internal Appeal of Adverse Benefit Determination A decision we make about your coverage or...
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Prescription Drug Coverage
https://www.caresource.com/plans/dsnp/pharmacy/drug-coverage/...of Coverage on the Plan Documents page for specific details. The plans uses a Comprehensive Formulary (a list of covered drugs approved by Medicare). Here are some more important facts...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...may request authorization by one of the following mechanisms: Online submission Form for office use English | Spanish Written request via fax: 1-877-251-5896 for oral medications and injectable/specialty medications Toll-free...
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evidence of coverage