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Plan Documents
https://www.caresource.com/plans/tricare-prime-demo/plan-documents/We want you to easily find the documents you need. The list below also tells you when and why you may need to use one of these documents. Beneficiary Handbook...
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Utilization Management/Service Determination
https://www.caresource.com/plans/caresource-passe/benefits/utilization-management/...best for your needs. Learn more about Utilization Management/Service Determination in your member handbook. You can also call Member Services to get a printed copy of the member handbook sent...
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Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/...can make health care choices for you if you are not able. You can learn more about Advance Directives in your member handbook. Plan Ahead It will help you, your...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...also listed in your Member Handbook. You have the right to: Receive information about CareSource, our services, our network providers and member rights and responsibilities. Be treated with respect and...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...services including dental and vision, please see your member handbook. Over-the-Counter (OTC) Items You can get many OTC drugs at no cost to you. You will need a prescription from...
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Benefits & Services
https://www.caresource.com/plans/georgia-pathways-to-coverage/benefits-services/...Member Handbook. Services Not Covered CareSource will not pay for the following services that are not covered by Medicaid: Abortions except in the case of a reported rape, incest or...
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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/Coverage Determinations (Decisions) A decision we make about the payment for a Part D drug or an exception to our formulary. If you believe you are entitled to payment or...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/This page explains the CareSource Indiana Quality Management and Improvement program. This section includes medical and technical terms. If you need help understanding this section, please call Member Services at...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...coverage if you do not take action. Visit this page to learn more about your plan. You can find more about covered benefits and services by reviewing your Member Handbook/Evidence...
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Information Sharing - My CareSource
https://www.caresource.com/members/my-caresource-account/information-sharing/...treats you for a specific condition. To learn more about information sharing, please see the Privacy Information section in your member handbook or call Member Services. Go To Sharing Settings...
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