Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...

Member Services We can help you: Get interpreters in the language you speak. Get printed copies of your plan materials sent to you at no charge. Learn more about your...

...by a Federal, state or local government entity. Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities. Note: Part A and...

...of the Ombudsman: is free of charge. is a neutral, independent advocate for CareSource members. helps coordinate services with local community/advocacy organizations. (This includes both covered and non-covered services.) provides...

...Asking to pay a lower cost-sharing amount for a covered non-preferred drug. You may ask us whether a drug is covered for you and whether you satisfy any applicable coverage...

...copays, non-covered or excluded care and services. Billed Amount This is the amount that your provider charges for the services they provide. This may not always be the amount you...

...pharmacies know that CareSource pays for your medicines. You must use in-network pharmacies to access the prescription drug benefit, except under non-routine circumstances when you cannot reasonably use an in-network...

...with you to help coordinate your health and non-health care needs. Care managers can help you and your family with your pregnancy. They can help coordinate your health and non-health...

...work with you one-on-one to help coordinate your health and non-health care needs. They may call you: If your doctor asks us to. If you ask for a phone call....

...citizen A documented noncitizen who has been admitted for permanent residence A noncitizen legally admitted migrant farm worker In addition: Children must be under the age of 26. Those who...