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Member Overview
https://www.caresource.com/members/Need Personal Assistance? If you have any problems reading or understanding this information, please call Member Services. This is a free service. We can read the information out loud for...
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About Us: The CareSource Difference
https://www.caresource.com/about-us/...programs and offers a variety of health insurance plans including: Medicaid Dual Need Special Plans Marketplace TRICARE Prime® Demo by CareSource Military & Veterans™ Founded in 1989, CareSource administers one...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...( English | Spanish | Haitian Creole) Maternal Child Program Overview Brochure More Than Health Insurance - Benefits Flier NEMT Rides for Food Flier NICU Member Transportation Flier Prevent Accidental...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...providers in the HAP CareSource network. Network or in-network provider refers to the providers who accept HAP CareSource insurance and see patients who are covered through HAP CareSource. When you...
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Additional Services
https://www.caresource.com/plans/mycare/benefits-services/additional-services/...insurance easier to understand and use. More benefits for YOU! Combined Medicare and Medicaid plan with extra benefits and coordination for simplified planning. Medicaid-only plan providing standard coverage with no...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...Carolina Co.® Marketplace plans on the Health Insurance Marketplace. Administrative policies offer guidance on determination of medical necessity, investigation and experimental services. The policies below are in PDF format. If...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...North Carolina Co.® plans on the Health Insurance Marketplace. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...member eligibility. These reimbursement policies apply to our CareSource North Carolina Co.® Marketplace plans on the Health Insurance Marketplace. Reimbursement policies are designed to assist you when submitting claims to...
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Rights & Responsibilities
https://www.caresource.com/plans/mycare/plan-documents/rights-responsibilities/...member of your family has other health insurance coverage. Provide the information that CareSource MyCare Ohio and your health care providers need in order to provide care for you. Understand...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...for more information. Limitations, copayments, and restrictions may apply. Benefits and/or copayments/coinsurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at...
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