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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...a physician’s medical judgment about individual patients. CareSource of North Carolina Co. defaults to all applicable state and federal guidelines regarding criteria for authorization of covered services. CareSource of North...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...of this page to ask us to send it to you. Use the links on the left side of this page to learn more about how to file a grievance...
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Find A Doctor
https://www.caresource.com/members/tools-resources/find-a-doctor/...Eastern Wisconsin counties. Search ETF Network The EFT network is for State of WI employees with health plans through Group Health Cooperative of Eau Claire. The Envision Network Featuring: Aurora...
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/...to one of the largest and most recognized networks for vision care in the country. EyeMed is our exclusive network of providers for annual vision exams and glasses or contacts...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...Monday through Friday, 8 a.m. – 5 p.m. CT Telehealth is the direct delivery of health care using audio and/or video. Instead of coming into the office for your appointment,...
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Rights & Responsibilities
https://www.caresource.com/plan-documents/rights-responsibilities/...network. If CareSource MyCare Ohio is unable to provide a necessary and covered service in our network, we will cover these services out of network for as long as we...
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Rights & Responsibilities
https://www.caresource.com/plans/mycare-snp/plan-documents/rights-responsibilities/...network. If CareSource MyCare Ohio is unable to provide a necessary and covered service in our network, we will cover these services out of network for as long as we...
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Why Choosing a PCP is Important
https://www.caresource.com/members/tools-resources/why-choosing-a-pcp-is-important/...you may need (flu, COVID, tetanus, measles, etc.). Talk about diet, nutrition and physical activity. Talk about preventive screenings needed for your age, risk factors and family history. Talk about...
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Mail Order Drugs
https://www.caresource.com/members/tools-resources/find-my-prescriptions/mail-order-drugs/...Scripts® to offer these services to you. There is no charge for shipping if you use regular delivery. Below are some of the benefits of having your prescriptions delivered! Why...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...to a network of participating fitness centers, including select LA Fitness®, Snap FitnessTM, Anytime Fitness®, Planet Fitness® – and more! To get more information about the Active&Fit program, visit www.ActiveandFit.com....
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