...coverage. You will find: Details about your Benefits and Services. Plan Documents, such as your member handbook and evidence of coverage online for quick access. Information about our Care Management...

...your Evidence of Coverage (EOC) on the Plan Documents page for full information on in-network and out-of-network copayments, as well as applicable conditions and limitations. When You Are Outside of...

...care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill...

...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....

...except under non-routine circumstances when you cannot reasonably use an in-network pharmacy. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary....

...IRS 1095B Information IRS 1095B Form Letter from Georgia Department of Community Health More Information Frequently Asked Questions about the 1095B Tax Form Member Services: 1-855-202-0729 (TTY: 1-800-255-0056 or 711),...

...determined based upon a review of the actual services provided to a beneficiary and will be determined when the claim is received for processing. Providers and their office staff are...

...phone number. Plan Costs Learn more about your plan’s costs by reviewing your Schedule of Benefits. Heart Health is Important Learn more about heart conditions and diseases and how to...

...Vision web site at https://superiorvision.com/eye-care-professionals/join/. CareSource will continue to administer medical optometry. All medical services that fall within the optometrist scope of practice will be reimbursed at 100% of the...

...and Coverage or Schedule of Benefits shown on the plan Documents page. Cost Example: Maximum Out of Pocket (MOOP) Your Maximum Out-of-Pocket amount is also shown on your Schedule of...