Coverage Determinations (Decisions) A decision we make about the payment for a Part D drug or an exception to our formulary. If you believe you are entitled to payment or...

Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools, but you can always call Member Services with...

...Monday through Friday. Easy Refills. You can order refills by phone or online. It’s always a good idea to order your refills at least two weeks before your medicine runs...

...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:...

...partial approval to cover a service. CareSource denies payment of a service. Internal Appeal of Adverse Benefit Determination You must submit an internal appeal to us within 60 calendar days...

...permission to speak with a caregiver about a member’s medical, payment or protected health information. You may need to talk to us about: Health coverage and benefits Medical information Payment...

Open Enrollment for 2027 Starts November 1 | Ends December 15 Renew Your Plan or Pick a New Plan Do you want to renew your current CareSource plan? Yes, I...

...Members may pay a small part of their prescription costs. This is called a copayment or copay. Learn more about pharmacy copays.Learn more about pharmacy copays. Georgia Pathways to Coverage...

...it online or on your mobile device at no cost to you. myStrength offers online learning, empowering self-help tools, wellness resources and inspirational quotes and articles. You can visit myStrength...

...status. CareSource accepts claims in a variety of formats, including online and paper claims. Submit Claims Online Providers have the option to submit claims through our secure, online Provider Portal*....