...Advantage® Zero Premium (HMO) CareSource Advantage® (HMO)   Covered/ Not Covered Copay/ Coinsurance Covered/ Not Covered Copay / Coinsurance Preventive Dental Covered $0 Copay Covered $0 Copay, $1,000 annual limit...

...Low-Cost Primary Care Services The Georgia Association for Primary Health Care helps people with no insurance or not enough insurance to get primary care. This will help Planning for Healthy...

...copay Durable Medical Equipment (DME) 20% coinsurance 20% coinsurance Home Health Care $0 coinsurance $0 coinsurance Ambulance Services $225 copay $225 copay Urgent Care $45 copay $35 copay Emergency Care...

...to our Georgia plans on the Health Insurance Marketplace. Pharmacy policies offer guidance on determination of coverage of pharmaceutical products. The coverage criteria are consistent with FDA-approved prescribing information, treatment...

...below to verify coverage, as well as check the costs of drugs and some supplies for CareSource insurance plans. If you are a member, your plan name is on your...

...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 any time....

...insurance-related activities related to its operation. Activities may include: Submitting claims to other insurance companies Conducting or arranging for medical review for certain medical problems you may be experiencing Legal...

...can also make a complaint, file an appeal or tell us if you have other insurance besides CareSource. Member Claim Form: Use this form to request a reimbursement if you...

...possible. Be enrolled and pay any required premiums. Pay an annual deductible, copayments and coinsurance. Pay the cost of limited and excluded services. Choose network providers and network pharmacies. Show...

...CMS 1500 Health Insurance Claim form (coming soon) to expedite your claim payment. You can access instructions (coming soon) to complete the form and a list of valid service codes....