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How to Get Help with Drug Costs
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/...we will update our system so that you can pay the correct copayment when you get your next prescription at the pharmacy. If you overpay on your copayment, we will...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...Formulary Search Tool. Members may be required to pay cost-share, for prescription drugs. Cost-share amounts vary based on plan, medication, and whether a copay or coinsurance applies. Coinsurance may apply...
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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/CareSource maintains medical, payment and administrative policies for our health partners. These policies are regularly reviewed, updated, withdrawn or added; and therefore, subject to change. The policies presented on these...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...Occupational Therapy, and Speech-Language Pathology P Policy Development Process Program Integrity Provider Prepayment Review R Readmission Retrospective Authorization Review S Sentinel Events and Provider Preventable Conditions T Three-Day Window Payment...
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Non-Participating Provider Appeals & Disputes
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals-disputes/...Liability (WOL) statement is required. If you do not submit a signed WOL, the appeal will be dismissed. Disputes CareSource pays non-contracted providers as Medicare would have paid for the...
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Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...Testing Serum Biomarker Panel Testing in Systemic Lupus Erythematosus and Rheumatoid Arthritis Site of Care for Drug Administration T Three Day Window Payment Three-Day Window Payment Three-Day Window Payment Trading...
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QEP Flu Shot - MyCare
https://www.caresource.com/providers/qepflushot-myc/...MyCare patients in your practice! Here’s how you can start earning these payments: STEP 1: LEARN ABOUT THE QUALITY ENHANCER PROGRAM To start earning flu shot payments, we recommend you...
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Welcome
https://www.caresource.com/plans/marketplace/welcome/...plans have costs. Besides paying a monthly premium, you will generally have copays, coinsurance and an annual deductible. Learn more about the other costs you’ll have to pay with your...
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Bronze Plans
https://www.caresource.com/plans/marketplace/plan-documents/bronze-plans/...Vision Exam Bronze $9600 ($45 PCP Copay) Bronze $9600 ($45 PCP Copay) - Vision Exam Off-Exchange Plans Bronze Plan SBCs for Plan Year 2026 Bronze $0 Ded / $2500 Rx...
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Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...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...
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