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Prescription Drug Coverage
https://www.caresource.com/plans/dsnp/pharmacy/drug-coverage/...cost for many of your prescriptions. Up to 102-day supply prescriptions for many drugs by mail or at retail pharmacies that you already use. You may have copayments for your...
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CareSource Military & Veterans
https://www.caresource.com/about-us/caresource-military-and-veterans/...readiness and retention of military families. Delivering Operational Excellence for Providers We consistently outperform industry benchmarks in key operational areas, ensuring fast, accurate claims payments and unparalleled service. Explore Military...
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Bronze Plans
https://www.caresource.com/plans/marketplace/plan-documents/bronze-plans/...annual deductible, copayments, and coinsurance you must pay when you receive covered services. Access the EOC below that corresponds to your plan: Select your state to view documents 2025 2025...
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Additional Services
https://www.caresource.com/benefits-services__trashed/additional-services/...and speak with Member Services Connect with Teladoc®, your telehealth provider Connect with MYidealDOCTOR™, your telehealth services partner Make premium payments And more! The CareSource mobile app is available for...
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...entitled to, any conditions or limits related to covered services, the health care services that are not covered by the plan, and the annual deductible, copayments, and coinsurance you must...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...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. Help Us Improve Our Provider Network CareSource...
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How to Apply
https://www.caresource.com/about-us/caresource-foundation/how-to-apply/...payments. To facilitate payments faster, applicants should include their ACH information in the online grant system. The Foundation staff will not ask for ACH information over email nor any other...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...for more 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...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...of health care services Claims, payments, handling or reimbursement for health care services Matters involving the contractual relationship between the member and the plan These types of grievances do not...
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