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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...Services $225 copay $225 copay Urgent Care $45 copay $35 copay Emergency Care $90 copay $90 copay Lab Services and Other Tests (In-Network) Laboratory Tests $35 copay $0 Diagnostic Tests...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/Marketplace plans have two types of costs: premium and the cost for care. Premium is the monthly payment you make to keep your coverage and all the benefits and services...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...to Fix: Correct DOS with date after ICD-10 was available. Error Number: 766 Error Description: Services were performed during a Health Insurance Exchange (HIX) premium payment grace period. Error Number:...
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Dental, Vision & Hearing
https://www.caresource.com/benefits-services__trashed/dental-vision-hearing/...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...
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Healthy Heart
https://www.caresource.com/plans/marketplace/healthy-heart/...our other plans, if you qualify for Advance Premium Tax Credits (APTC), they can help lower your premiums. Every simple and affordable CareSource Marketplace plan offers coverage for pre-existing conditions...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...their premium payment. CareSource will continue to process medical claims and pay providers during this grace period. After 30 days of nonpayment, the member’s eligibility will be flagged as delinquent...
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/...want the plan described in my renewal letter. You can use our secure, private enrollment portal to update your application and renew your plan. Even if you haven’t used it...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/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...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...services on your plan. You can also find your Schedule of Benefits in your My CareSource® (MyCareSource.com) account under Documents. My CareSource My CareSource has your private HAP CareSource information...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...can use pay stubs to do this. Pay Stubs must be less than 90 days from the renewal deadline. For more information about P4HB® renewals, visit the P4HB website or...
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