HEALTH CARE WITH HEART FAMILY OF PLANS ®
WE CARE ABOUT YOU AND YOUR HEALTH. We’d love to have you join our family of plans. WHO WE ARE CareSource is a leading non-profit health insurance company with over 30 years of experience. Our mission is to make a lasting difference in our members' lives by improving their health and well-being.
OUR PLANS CareSource offers Ohio Medicaid, Marketplace and Medicare Advantage health plans. We provide health care to almost 2 million members* and offer benefits that provide a lifetime of care.
MEDICAID CareSource provides Medicaid health care coverage for eligible Ohioans with low income, pregnant women, infants and children, older adults and individuals with disabilities. Our Medicaid plan covers all medically necessary Medicaid-covered services plus extra benefits like: Telehealth allows you to talk to a doctor 24/7/365 using your phone or computer Access to a large provider network Transportation to and from doctor’s appointments, pharmacies and County Department of Job and Family Services (CDJFS) appointments Vision and dental care, including checkups, teeth cleanings and a large selection of eyeglasses Reward Programs including Babies First® , Kids First and Women First Behavioral health resources that support the health of mind, body and spirit Prescription drugs, including all medically-necessary Medicaid-covered medications OH-MMED-2407
FREE over-the-counter medications with a prescription CareSource24® A team of nurses who can answer health questions 24/7/365 CareSource JobConnect™ provides personal coaching, help finding a job and meeting educational goals Disease management programs to help manage asthma, diabetes and hypertension Local Care Managers to coordinate your health care needs and help connect you to community resources CareSource Medicaid coverage is available in all 88 counties in Ohio. To learn more about the Medicaid benefits CareSource offers: CALL: 1-800-488-0134 (TTY: 711) VISIT: CareSource.com/OhioMedicaid ODM Approved: 12/05/2019 MEDICAID
MARKETPLACE If you don’t qualify for Medicare or Medicaid, CareSource offers affordable ACA-compliant health insurance coverage with access to potential savings from the government to help reduce your overall costs. Our Marketplace plans offer coverage for you and or your family for all essential health benefits, individuals with pre-existing conditions, and no annual or lifetime coverage limits for most benefits. SOME OF OUR BENEFITS AND SERVICES INCLUDE: Low monthly premiums Prescription drug coverage Free preventive and wellness services Coverage for pre-existing conditions Maternity and newborn care Pediatric services, including dental and vision for kids Mental health and substance use disorder services ADV-Plan Brochure(OH-CSALLPRODUCTS)-1090
n y gh 24/7/365 care with MYidealDoctor™ telehealth service Optional adult Dental, Vision and Fitness plans available To learn more about the Marketplace benefits CareSource offers, if you might qualify for government savings, and find out if a CareSource Marketplace plan is available in your county: CALL: 1-800-479-9502 (TTY: 711) VISIT: CareSource.com/Marketplace CareSource is a Qualified Health Plan offered through the Health Insurance Marketplace. OH-EXCM-1090 ODI Approved: 12/19/2019 MARKETPLACE
MEDICARE ADVANTAGE CareSource offers Medicare Advantage plans (Part C) that provide all of the Original Medicare benefits for doctors and hospital coverage (Parts A and B) combined with prescription drug coverage (Part D) – plus additional benefits not covered by Medicare! CareSource Advantage® (HMO) CareSource Advantage® Zero Premium (HMO) We're here to help you find the plan that suits your health needs and your budget. $0 Premium plan available $0 Copay for preventive services such as yearly wellness visits, mammograms, vaccines, dental exams and more Rx Copays as low as $0 Hearing coverage including hearing aids $0 copay for glasses or contacts No extra cost Silver&Fit® program includes gym membership or home fitness kits
CareSource Medicare Advantage with Prescription Drug plans are available in Adams, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Delaware, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Hamilton, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Lake, Logan, Lorain, Lucas, Madison, Mahoning, Medina, Mercer, Montgomery, Morrow, Ottawa, Perry, Pickaway, Portage, Preble, Putnam, Shelby, Summit, Trumbull, Union, Vinton, Warren and Wood counties. To learn more about the Medicare Advantage plans and benefits CareSource offers: CALL: 1-844-607-2830 (TTY: 711) 8 a.m. – 8 p.m. seven days a week from Oct. 1 – Mar. 31 and Monday through Friday the rest of the year. VISIT: CareSource.com/Medicare MEDICARE ADVANTAGE
CARESOURCE DUAL ADVANTAGE™ (HMO SNP) CareSource offers a Medicare Advantage plan just for those who qualify for Medicare Parts A & B and full Medicaid benefits (QMB, QMB+ and Full Benefit Dual Eligible). It’s called CareSource Dual Advantage. CareSource Dual Advantage covers all Original Medicare-covered services like doctor, hospital, emergency and preventive services, but also includes great extras – all at no cost to you! $100 quarterly over-the-counter (OTC) pharmacy allowance Preventive dental care + $1,500 allowance for comprehensive dental care including inlays, outlays and crowns 60 one-way trips to medical appointments 2 meals per day for 2 weeks after a hospital stay $250 allowance for glasses or contacts Routine hearing test and one hearing aid per ear per year ($1000 max per ear) Fitness benefit with access for you and a caregiver to local participating fitness centers or YMCAs OR your choice of home fitness kits
CareSource Dual Advantage is available in Adams, Butler, Champaign, Clark, Clermont, Clinton, Coshocton, Crawford, Cuyahoga, Delaware, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Hamilton, Hardin, Harrison, Highland, Hocking, Holmes, Lake, Logan, Lorain, Lucas, Madison, Medina, Montgomery, Morrow, Ottawa, Perry, Pickaway, Portage, Preble, Shelby, Summit, Vinton, Warren and Wood counties. To learn more about the Medicare Advantage plans and benefits CareSource offers: CALL: 1-844-803-6207 (TTY: 711) 8 a.m. – 8 p.m. seven days a week from Oct. 1 – Mar. 31 and Monday through Friday the rest of the year. VISIT: CareSource.com/DSNP Y0119_OHMA-M-0469_M: Accepted CARESOURCE DUAL ADVANTAGE
of CARE A Lifetime
Exclusions and limitations apply. Covered services and benefits may change and vary by product and plan. Only eligible individuals may qualify for enrollment in certain plans, products and programs. CareSource’s provider network may change and varies by product and plan. * Based on members enrolled in all CareSource product lines across all service areas as of December 19, 2019. CareSource complies with applicable state and federal civil rights laws and does not discriminate on the basis of age, gender, gender identity, color, race, disability, national origin, marital status, sexual preference, religious affiliation, health status or public assistance status. Medicaid ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-488-0134 (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-488-0134 (TTY: 711). 注意：如果您使用繁體中文，您可以免費獲得語 言援助服務 。請致電 1-800-488-0134 (TTY: 711). Marketplace Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, llame al 1-800-479-9502. (TTY: 711) 如果您或者您在帮助的人对 CareSource 存有疑 问，您有权 免费获得以您的语言提供的帮助和信 息。 如果您需要与一 位翻译交谈，请致电 1-800-479-9502. (TTY: 711) Medicare Advantage CareSource is an HMO with a Medicare contract. Enrollment in CareSoure depends on contract renewal. Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑 问，您有权 免费获得以您的语言提供的帮助和信 息。 如果您需要与一 位翻译交谈，请拨打您的会 员 ID 卡上的会员服务电话号码。 © 2020 CareSource. All Rights Reserved. T-1000
I would like to learn more about the following plan: YES! I want information on CareSource. There is no charge to send this back to us. MEDICARE ADVANTAGE First Name Address City Phone OTHER Last Name County State Zip Code Email I grant permission for a licensed sales agent to contact me. By returning this card, you authorize a CareSource associate/contracted agent to call you now or during the next enrollment period when benefit information is available. Providing your phone number means you agree to receive telemarketing calls from us using an automatic or prerecorded dialing system.
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