CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...

...Complete Medicare coverage – hospital (Part A), doctor (Part B), and prescription drug (Part D) – including extras like hearing, dental, vision and fitness benefits. Learn More Marketplace Marketplace Individual...

...communities and individuals who rely upon government programs such as Medicaid, Medicare and Marketplace to access vital health care services. Prior to joining CareSource, Ed has held various Legal and...

...do not create, manage or administer any HSA; you have complete control over your HSA. Which Health Plans are HSA Eligible? Starting with plan year 2026, Marketplace Bronze and Catastrophic...

...CareSource’s mission to transform health care for millions of people across Medicaid, the Health Insurance Marketplace, and Medicare. With more than two decades of experience in government health care programs,...

...99% claims paid within 13 days from receipt in 2024 How to Join Our Network Need Assistance? Call CareSource Provider Services at 1-833-230-2176 (D-SNP), 1-855-202-1058 (Medicaid) or 1-833-230-2101 (Marketplace). Current...

...November 13th Marketplace: August 19th, November 18th Vanderburgh County: August 21st, November 20th If you would like to join a MAC meeting, let us know! Email us at INMemberCouncil@caresource.com. Do...

These Musculo and Cardiac Surgical Procedure policies apply to our Wisconsin Marketplace plans. The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may...

...PCP will tell you when you need these types of care. You can download the Marketplace Prior Authorization List here: 2025 Prior Authorization List To learn more about prescription drugs...

...achieve better health outcomes for those served by Medicaid and the Health Insurance Marketplace. With over a decade of experience in health care management and finance, Sarah’s strategic planning and...