Orlando Harmon
CareSource is a health insurance company that offers Medicaid plans in Georgia, Indiana, Michigan, and
| Characteristics | Values |
|---|---|
| Availability | Georgia, Indiana, Michigan, Ohio |
| Benefits | Vision and dental care, large provider network, rides to appointments, reward programs, 24-hour medical advice line, telehealth services, mental health and substance use services, transportation services |
| Enrollment | Open enrollment or under certain special circumstances |
| Pharmacy benefits | Provided by Gainwell |
| Medicare-Medicaid Plan | MyCare Ohio |
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What You'll Learn
- CareSource's Medicaid plans are available in Georgia, Indiana, Michigan, and Ohio
- CareSource offers a Medicare-Medicaid plan called MyCare Ohio
- Members get access to a large provider network, vision and dental services, and reward programs
- Pharmacy benefits for Ohio Medicaid members are provided by Gainwell
- CareSource offers more than just health insurance, with a focus on health and well-being
CareSource's Medicaid plans are available in Georgia, Indiana, Michigan, and Ohio
CareSource is a health insurance provider that offers Medicaid plans in Georgia, Indiana, Michigan, and Ohio. As a Medicaid plan member, you get access to a large provider network, eye and dental services, reward programs, rides to and from doctor's appointments, and more.
In Ohio, CareSource is the number one plan of choice for Medicaid. CareSource Medicaid members in Ohio get access to a large provider network, eye and dental services, reward programs like Kids First and Babies First®, rides to and from doctor’s appointments, and more. Plus, they never charge a copay for any medical or behavioral health service! For these reasons, more Ohioans choose CareSource for their Medicaid plan than all other plans combined.
In Georgia, CareSource serves Medicaid and PeachCare for Kids members enrolled in the Georgia Families program. CareSource Medicaid members in Georgia get access to a large provider network, eye and dental services, reward programs, rides to and from doctor’s appointments, and more, just like in Ohio.
CareSource also offers Medicaid plans in Indiana and Michigan. While I cannot find specific information on the benefits of these plans, they are likely to be similar to those offered in Georgia and Ohio.
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CareSource offers a Medicare-Medicaid plan called MyCare Ohio
CareSource is a popular choice for Medicaid in Ohio, Indiana, Michigan, and Georgia. It offers a range of benefits, including access to a large provider network, eye and dental services, reward programs, and transportation services.
CareSource also offers a Medicare-Medicaid plan called MyCare Ohio, which is available in 29 counties in Ohio. This plan combines the benefits of Medicare and Medicaid into one coordinated program, providing simplified healthcare planning and day-to-day management. MyCare Ohio offers a full range of coordinated care benefits, including long-term care services and behavioral health.
With MyCare Ohio, patients have access to a single point of contact and one plan, reducing paperwork and phone calls. The plan includes no copays or premiums, transportation services, a 24-hour medical advice line, and a large network of providers. Additionally, members receive a debit card with a $100 quarterly allowance for over-the-counter items and a $500 annual Flex Allowance for dental, vision, and hearing services.
MyCare Ohio also provides access to care and disease management programs at no cost, helping individuals learn about their health and manage specific conditions. Members can earn rewards through the My CareSource Rewards program and receive meal benefits of two meals per day for 14 days after an inpatient or skilled nursing stay.
Overall, CareSource's MyCare Ohio plan offers streamlined healthcare management, enhanced benefits, and comprehensive support for individuals with Medicare and Medicaid coverage in Ohio.
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Members get access to a large provider network, vision and dental services, and reward programs
CareSource is the top choice for Medicaid in Ohio, offering more than just quality healthcare. Members get access to a large network of providers, including independent, national retail, and regional retail providers, with extended evening and weekend hours. This means that members can easily find a doctor that suits their needs and schedule. In addition, members can take advantage of telehealth services if they are unable to see their provider in person.
Vision care is also included in CareSource Medicaid plans. Members can access eye care services through EyeMed's Insight network, which offers flexible and convenient options for evaluating and addressing vision needs. Dental care is another important benefit, with services provided by DentaQuest, allowing members to maintain their oral health.
CareSource understands that health and well-being go beyond just physical health. That's why they offer reward programs like Kids First and Babies First, as well as lifestyle programs that encourage members and their families to take part in yearly wellness visits and preventive care. Members also have access to a personal life coach through CareSource Life Services, who can help them navigate life's challenges and address needs beyond physical health, including the home, workplace, and community.
Additionally, CareSource provides free rides to healthcare appointments, pharmacies, and even food distribution sites, ensuring that members can access the care and resources they need without transportation as a barrier. With all these benefits and more, CareSource is committed to improving the health and well-being of its members and their families.
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Pharmacy benefits for Ohio Medicaid members are provided by Gainwell
CareSource is a Medicaid plan available in Georgia, Indiana, Michigan, and Ohio. It is the number one plan of choice for Medicaid in Ohio. CareSource Medicaid members get access to a large provider network, eye and dental services, reward programs like Kids First and Babies First®, rides to and from doctor’s appointments, and more. Plus, they never charge a copay for any medical or behavioral health service.
As for pharmacy benefits, Gainwell Technologies is the Single Pharmacy Benefit Manager (SPBM) for the Ohio Department of Medicaid (ODM) pharmacy program. All CareSource members receive pharmacy benefits through the SPBM. Gainwell covers all Medicaid-covered, medically necessary prescription and over-the-counter (OTC) medications, certain vaccines, and select durable medical equipment. They use a preferred drug list (PDL), which is a list of drugs they prefer providers to prescribe.
Gainwell has a Customer Support Center that can be contacted by phone at 833-491-0344, 24 hours a day, seven days a week, except for Thanksgiving Day and Christmas. They also offer a web portal with tools like member eligibility, viewing prior authorization status, and quick access to the SPBM help desk.
For prior authorization decisions, CareSource provides notice to the provider and member as quickly as the member's health condition requires. Prior authorization requests for medications covered under outpatient Medical Benefit for Medicaid can be submitted through the CareSource Provider Portal or by fax at 888-399-0271.
In summary, CareSource is a popular Medicaid plan in Ohio that offers a range of benefits, including pharmacy services through Gainwell Technologies. Gainwell covers Medicaid-covered prescriptions and provides a range of support options for members.
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CareSource offers more than just health insurance, with a focus on health and well-being
CareSource is a health insurance company that offers more than just health insurance. Founded in 1989, CareSource is committed to improving the health and well-being of its members and transforming healthcare by providing innovative programs. The company offers a range of health insurance plans, including Medicaid, Medicare, and Health Insurance Marketplace products, in multiple states across the US.
One of the key ways in which CareSource goes beyond traditional health insurance is by providing access to a large network of providers, including eye and dental services, as well as telehealth services for those who cannot get to their provider quickly enough. Additionally, CareSource offers free rides to healthcare appointments and food distribution sites, demonstrating their understanding that transportation can be a significant barrier to accessing healthcare and nutritious food.
CareSource also prioritizes mental health and substance use services as a core part of its benefits, recognizing their importance in overall wellness. The company offers programs like OhioRISE, which focuses on behavioral health issues, and PASSE in Arkansas, which helps Medicaid members with complex mental health, developmental, or intellectual health concerns. CareSource's MyHealth for Adults program offers wellness tools and tracking for exercise goals, while the myStrength app helps with stress management, mood enhancement, sleep improvement, and relationship building.
Furthermore, CareSource offers reward programs like Kids First and Babies First, as well as extra support for pregnant women and new moms. The company also assists members with social pressures and food insecurity through its MyResources program. By addressing social determinants of health, CareSource takes a holistic approach to supporting its members' well-being.
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Frequently asked questions
CareSource is a health insurance plan that offers Medicaid and Medicare plans.
CareSource Medicaid plans are available in Georgia, Indiana, Michigan, and Ohio.
CareSource Medicaid members get access to a large provider network, eye and dental services, reward programs, rides to and from doctor's appointments, and more.
If you are eligible for Medicaid and live in one of the service areas, you can enroll by calling the Medicaid Consumer Hotline or visiting the website.
Yes, you can switch plans during open enrollment or under certain special circumstances. Open enrollment periods may vary by state or region.
