Disclaimers
CareSource is an HMO plan with a Medicare contract. Enrollment in CareSource Advantage Zero Premium™ (HMO), CareSource Advantage® (HMO), and CareSource Advantage Plus™ (HMO) depends on contract renewal.
This information is not a complete description of benefits. Contact the plan for more information.
Limitations, copayments, and restrictions may apply.
Benefits, formulary, pharmacy network, provider network, premiums and/or copayments/coinsurance may change on January 1 of each year.
You must continue to pay your Medicare Part B Premium.
For accommodation of persons with special needs at sales meetings call, from 8 a.m. to 8 p.m. seven days a week from October 1 to February 14, and Monday through Friday the rest of the year:
Indiana: 1-800-418-0172 (TTY: 1-800-743-3333 or 711)
Kentucky: 1-800-833-3239 (TTY: 1-800-648-6056 or 711)
Ohio: 1-844-607-2827 (TTY: 1-800-750-0750 or 711)
Medicare beneficiaries may also enroll in CareSource Advantage Zero Premium™ (HMO), CareSource Advantage® (HMO), and CareSource Advantage Plus™ (HMO) through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Updated 10/01/2016
Y0119_MA-M-0366
CMS Approved 04/10/2017
Y0119_OHMA-M-0001
CMS Approved 09/30/2016