CareSource Find a Doctor. Find clinical tools and information about working with CareSource. So, if you need health insurance this open enrollment period, CareSource can help. doctor, request an ID Card and more. Not already Contracted to Sell for CareSource? You can also contact your Care Manager with questions. check your deductible, change your The metal level categories are based on how you and CareSource share the cost of your health care. CareSource is the fastest and easiest way to enroll in ACA / Marketplace health insurance. Financial Assistance. CareSource offers this service at no cost. CareSource knows health care can be confusing. Press Enter again after expanding an item to navigate to that page. Kentucky Marketplace CareSource Marketplace Map 1 CareSource Marketplace Service Area 2021 July 29, 2020 Service Areas CareSource Service Area 2021 Login to the portal and select "Provider Maintenance" from the navigation. CareSource rewards its members for taking a proactive role in their health and well-being. CareSource . Bronze plans offer the most affordable premiums. You will find: My CareSourceis a personal, online account that can help you get the most out of your member experience. You may want or need to end your Marketplace insurance plan if you get other health coverage, or for other reasons. Cofinity. If you send us your question or request on a Friday, you will get a response by Monday of the next week. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov . OPTIONAL ADULT DENTAL, VISION AND FITNESS BENEFITS, Moving outside your insurers coverage area, Having a change in income or household status that affects eligibility for advance premium tax credits or cost-sharing reductions if you are already enrolled in coverage through the Marketplace, Adopting a child or placing a child for adoption or foster care, Losing other qualifying health coverage due to losing job-based coverage, divorce, COBRA expiration, aging off a parents plan, losing eligibility for Medicaid or CHIP (Childrens Health Insurance Plan) and similar circumstances. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov . Definity Health. 2023 Anthem Marketplace Map. Results are provided "AS IS" and "AS AVAILABLE" and do not . CareSource accepts claims in a variety of formats, including online and paper claims. First Name: Last Name: Member Number: Date of Birth: AM-EXCM-0753. For questions not addressed on our website, please call Provider Services at 1-855-852-5558 Our Health Partner Engagement Representatives will be happy to answer your questions Monday through Friday, 8 a.m. to 6 p.m. Evercare - Medicare. Refer to the provider manual for instructions to submit paper claims. Press Enter or Space to expand a menu item, and Tab to navigate through the items. Just Kids Pediatric Dentistry Dentists Pediatric Dentistry Clinics BBB Rating: A+ We offer different Silver plan options so you can choose the one that fits your budget and healthcare needs. CareSource has partnered with ECHO Health, Inc. to deliver provider payments. Press Enter or Space to expand a menu item, and Tab to navigate through the items. Join us and watch your business grow. We administer one of the nation's largest Medicaid-managed care plans and offer access to care through health insurance, including Medicaid, Health Insurance Marketplace, Medicare Advantage and dual-eligible programs. 2023 Caresource Marketplace Map. Copyright CareSource 2022. We offer individual and family plans with optional dental and vision coverage for adults. CareSource also partners with Availity to offer electronic claim submission and real-time transactions at no charge through theAvaility Portal. Need to take a trip to the eye doctor or dentist? Use the portal to pay your premium, If you have additional general questions about the New Health Partner Contract Form, call Provider Services at 1-855-852-5558. Gold plans have: Higher premiums. Not already Contracted to Sell for CareSource? A team of nurses who can answer health questions 24/7/365. User Registration. doctor, request an ID Card and more. Join us and watch your business grow. CareSource Kentucky Marketplace. Established in 1989 Press Escape to collapse the expanded menu item. Get Contracted by following the link below. Not already Contracted to Sell for CareSource? Need to find a new doctor or see if your prescription medicine is covered by CareSource? Four out of five customers can get a Marketplace plan for under $10 a month with financial help!**. check your deductible, change your I had a good amount to work done over several appointments and I can't say enough about how professional everyone was Make an Appointment 2. Blue Grass of Kentucky. Choice Care / Humana PPO. All plans include pediatric dental and vision. Get Started Skip. Log in orcreate your My CareSource account. CareSource strives to make it easy for you to work with us, whether online or over the phone. doctor, request an ID Card and more. Contact the SHOP Call Center 1-800-706-7893 (TTY 711) Mon- Fri 9 a.m. - 5 p.m. When you enroll, youll see if you qualify. We want to make it as easy as possible to conduct business with us. You have joined two million members who receive their health care through us. Not already Contracted to Sell for CareSource? Enrollment in CareSource Medicare Advantage plans depends . . Adults get enhanced benefits by adding optional Adult Dental, Vision & Fitness Benefits*** to any Silver, Bronze or Gold plan. We offer different Bronze plan options so you can choose the one that fits your budget and healthcare needs. You can choose to include the optional adult dental, vision, and fitness benefits where available. CareSource accepts claims in various formats, including paper and electronic claims. Health Partner Engagement Representativeswill be happy to answer your questions Monday through Friday, 8 a.m. to 6 p.m. You can also do business with us online any time of the day or night. Press Enter again after expanding an item to navigate to that page. Need to request a new ID card or access claim information? Enroll in the CareSource Marketplace Gold plan today. You can: If you are having trouble finding the information you are looking for on our website or have more questions, please call us. With more than 100,000 network providers across the coverage areas, and depending on your plan, you have plenty of choice when it comes to finding the best care available to meet your health needs. My Caresource Create an Account * indicates a required field What is your name? Click on the link to shop and compare plans, grab a FREE quote, and sign up for coverage. CHICAGO, Oct. 27, 2022 /PRNewswire/ -- Easterseals announced today that it has received a donation of $2.55 million from CareSource, a nationally recognized leader in managed care with a legacy. If you choose Marketplace coverage, you can benefit from a subsidy on the monthly premium if your income qualifies. And, back in 2017, Georgia added CareSource to its Medicaid roster.CareSource, a nonprofit corporation headquartered in Dayton, Ohio, now operates in five states. Thats why there are no copays or coinsurance fees for defined preventive health services with CareSource Marketplace plans. doxo helps over 7 million . check your deductible, change your .Babies should see a health care provider for a well-child visit at least six times between birth and 15 months, says the American Academy of Pediatrics..provider for a well-child visit at Some of these plans are health savings account (HSA) compatible and include the following benefits: Essential benefit coverage CareSource is a nonprofit, multi-state health plan recognized as a national leader in managed care. You have made the right choice. Join us and watch your business grow. Press Enter or Space to expand a menu item, and Tab to navigate through the items. Log in orcreate your My CareSource account. Due to HIPAA guidelines, CareSource is only able to provide general information regarding anyone over the age of 18 years old, without their permission or required documentation. We offer individual and family plans with optional dental and vision coverage for adults. You will receive a response within one business day. Overpayment Recovery Form Submit this form to offset overpaid claims against a future payment. Copyright CareSource 2022. We encourage you to submit claims online to take advantage of the following benefits: Refer to theprovider manualfor detailed information to submit claims. Navigate With Marketplace Plans, you can make claims inquiries at (866) 286-9949 (Indiana), (855) 852-5558 (Kentucky), (937) 224-3300 (Ohio), (678) 214 7500, (Georgia) and (855 . You have made the right choice. Attention: This website is operated by CareSource and is not the Health Insurance Marketplace website at HealthCare.gov. Find clinical tools and information about working with CareSource. All plans include pediatric dental and vision coverage. Use the online Tell Us form to send us your question or request. Bronze plans have: Lowest premiums. Enter the member information to make a payment. Box 2008Dayton, OH 45401-2008. MARKETPLACE SEE HOW CARESOURCE CAN SAVE YOU MONEY ON HEALTH INSURANCE 1-844-539-1733 (TTY: 711) Shop or Enroll WE GOT YOU. ECHO offers three payment options: *Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card. KHBE.Questions@ky.gov KHBE Contact Center: 1 (855) 459-6328 KHBE Office: (502) 564-7940 Address: 275 East Main Street 4-WE HealthSherpa is the fastest and easiest way to enroll in 2023 Marketplace health insurance. Submit this Navigate Enter your Application ID and NPI to check the status of your enrollment.. Qualifying life events include, but are not limited to: To find out if you are eligible for a Special Enrollment Period, give us a call at 1-844-539-1733 (TTY: 711.). Find clinical tools and information about working with CareSource. Marketplace Plans. Optional Adult Dental, Vision & Fitness benefit plans are also available. CareSource is a Qualified Health Plan offered through the Health Insurance Marketplace. Box 824Dayton, OH 45401-0824, CareSourceAttn: Provider AppealsP.O. Fortified Provider Network. Fitbit or Garmin), digital workouts and live lifestyle coaching. Bind. We strive to make it easy for doctors, members and the community to work with us, whether online or over the phone. This website contains information that will help you understand your CareSource insurance coverage. ChampVA. Health Care Coverage Your Way. Marketplace plans are separated into metal level categories of Gold, Silver, and Bronze. Press Enter again after expanding an item to navigate to that page. CSRs are discounts or extra savings that lower the amount you have to pay for deductibles, copayments, and coinsurance. When and how you end your Marketplace plan depends on two things: The reason you're ending coverage (like if you get a job-based plan, if you qualify for Medicaid or Medicare, or if you simply want to end coverage) Call ECHO Customer Support at 1-888-834-3511. The plans, all of which offer health coverage, include: The state-based marketplace relaunch, recently approved by the federal Centers for Medicare & Medicaid Services, will allow Kentuckians to access and compare state-managed health care options, apply for coverage and complete their enrollment all on one convenient platform. These are the only plans that offer cost-sharing reductions (CSRs) in addition to premium tax credits. bill pay. View or Submit Provider Disputes & Appeals View grievance requirements and time frames and submit grievances. All plans include pediatric dental and vision. CareSource. If this person would like specific information, they will need to email or call CareSource regarding their concerns. GEHA PPO USA . You can locate doctors/providers, pharmacies and covered medications. View or Submit Claims Submit claims, find processes and access time-saving tools. If you dont expect to have many doctor appointments or need many prescription drugs, this may be a good choice for you. Find clinical tools and information about working with CareSource. SEE HOW CARESOURCE CAN SAVE YOU MONEY ON HEALTH INSURANCE. CIGNA. CSRs help you save money on health insurance by lowering the amount you have to pay for deductibles, copayments, and coinsurance. You pay more each month for a Gold plan than you would for another metal level. Press Enter or Space to expand a menu item, and Tab to navigate through the items. You can also set up a free, secure My CareSource online account to change your doctor, access & print your ID Card or request a new ID card be mailed, pay your premium, see your claim information and more. The Kentucky Health Benefit Exchange provides support and resources for Kentuckians to enroll in health coverage and learn what health insurance and other programs they may be eligible for. Click on the link to shop and compare plans, grab a FREE quote, and sign up for coverage. If you have any problems reading or understanding this information, please call our Member Services team or use our TTY for hearing impaired members at the number below. You pay less each month for a Bronze Plan, but these plans have the highest deductibles and other out-of-pocket costs. We can read the information aloud for you, in English, or in your primary language. In addition to initiating your prior authorization request through the provider portal, you can now submit requests to update your authorization requests. In addition to information about how to submit claims and check payments, CareSourceoffers you tools to find specific information, such as claim status and member coordination of benefits (COB) status. Over 70% of people who enroll in a CareSource Health Insurance Marketplace plan also qualify for a government-funded subsidy that substantially lowers the overall cost of the plan. Lower out-of-pocket costs. We look forward to helping you get the most from your CareSource coverage and have highlighted some great resources. You can also download the free CareSource mobile app to use many of these features on-the-go. Outpatient practices may register as Practitioner to create a portal account for the practice Tax ID. The Fitness Benefit provides access to multiple fitness centers and gyms, digital fitness choices with home fitness tools, including one home fitness kit per benefit year with some kits including a wearable device (e.g. Join us and watch your business grow. Questions? Application ID: * NPI: * Thats Health Care with Heart! CareSource and our partners provide access to US licensed physicians who can consult, diagnose, and prescribe medications by phone or video for short-term illnesses. CareSource marketplace plans provide comprehensive, quality coverage that you can afford, understand and use. You can find information fast and submit requests online anytime day or night by clicking on Tools and Resources. Your email address will be your username (username@example.com). Our Member Services staff will be happy to answer your questions. Interested in no-cost gym memberships? Our plans are simple and affordable with coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. My CareSource Rewards Program Through the My CareSource Rewards Program , you can earn up to $365!. Our plans are simple and affordable with coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. With a Gold plan, the amount you pay each time you get a health service, such as seeing a doctor or filling a prescription, is less than what youd pay if you have a Bronze or Silver plan. Check Enrollment Status. Use the portal to pay your premium, Our files are locatedhere. Use the portal to pay your premium, You cansubmit claims, track claim payments and more. If the Tax ID for your facility or practice has already created an account to utilize the CareSource Provider Portal, a new account cannot be created. CareSource Marketplace Gold Dental, Vision + Fitness Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Links Summary Of Benefits Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Emergency Room Standard: $400 Copay after deductible Attention: This website is operated by CareSource and is not the Health Insurance Marketplace website at HealthCare.gov. This is a free service. The complete premium dataset can be found on this technical database. Health insurance & health reform authority October 7, 2022 Key takeaways Read frequently asked questions about marketplace enrollment, rates and carriers in Kentucky Kentucky is creating a Basic Health Program that will debut in the fall of 2023, for coverage effective in 2024 (only two other states have BHPs) Press Escape to collapse the expanded menu item. All rights reserved. Join us and watch your business grow. Create a password: Use at least 8 characters. (844) 967-1917 | Find an agent | Text Size | Home; Plans; Insurance; FAQs; How You Save; Shop Online; Search. Get Contracted by following the link below. CareSource marketplace plans provide comprehensive, quality coverage that you can afford, understand and use. View & print your ID Card or request one be mailed to you, View claims to see what CareSource paid and what you owe, Check progress toward your deductible and out of pocket amounts, Decide when self-care, a doctor visit, or the emergency room is appropriate, Understand a medical condition or recent diagnosis, Find out more about prescriptions or over-the-counter medicines. . Member Services: 1-888-815-6446 (TTY: 1-800-648-6056) 7 a.m. to 7 p.m., Monday through Friday. Top 10 CareSource Provider Specialties in Kentucky: Family Doctor (35 providers) Internist (27 providers) Radiologist (19 providers) Emergency Doctor (14 providers) Pediatrician (Kids / Children Specialist) (12 providers) Anesthesiologist (9 providers) Dermatologist (Skin Specialist) (9 providers) Ophthalmologist (Eye Doctor) (9 providers) CareSourceaccepts claims in a variety of formats, including online and paper claims. In 2022, CareSource Member Services will be closed in observance of these holidays: Is there a CareSource member in your family who: We can get someone who can sign or speak your language to help you talk with us or your doctor over the phone or in person. Member-Related Forms PCP Change Request Form We monitor and take action on any member or provider fraud, waste and abuse. This website does not display all Qualified Health Plans available through HealthCare.gov. Press Escape to collapse the expanded menu item. Many of our members find that Silver Plans fit their health care coverage needs and budget best. You can use theAvaility Portal Registration Guide to get signed up. Go to https://www.caresource.com/providers/contact-us/ Enhancements to Authorization on the Provider Portal CareSource is excited to announce additional enhancements for the Provider Portal. All rights reserved. CareSource offers this service at no cost. Use this list as a guide to help you find the appropriate contact for your questions. Press Escape to collapse the expanded menu item. Five health plans offered in 2021 for Kentuckians on the federal marketplace (www.healthcare.gov), offered by CareSource Kentucky Company, are currently unavailable for plan comparison, according to the Center for Medicare and Medicaid Services, which maintains the federal marketplace. If you get a message that the provider does not exist in Provider Portal, you can call the help line at 1-800-488-0134 (Medicaid, Marketplace and MyCare) or 1-844-679-7865 (Medicare Advantage). CareSource Provider Overview Provider Portal Provider Portal Prior Authorization View prior authorization requirements and submit authorization requests. Copyright CareSource 2022. Health Partner Engagement Representatives. Visit our Provider Portal to check claims, prior authorization status, member eligibility, coordination of benefits and more. CareSource is a Qualified Health Plan offered through the Health Insurance Marketplace. Not already Contracted to Sell for CareSource? Please see our Fraud, Waste &Abuse page for more information or call the Fraud Hotline: 1-844-415-1272 (Follow the prompts for reporting Fraud). CareSource plans have some of the lowest in-network primary care or retail clinic copays. First Health. The CareSource ID card displays member copays for office visits on the front of the card in the purple box. ET. Home (844) 967-1917. Use the portal to pay your premium, Our prescription drug coverage includes copays as low as $0 for generic drugs and an extensive list of brand name drugs. What is your email? Please select your state for more details about CareSource marketplace plans. Blue Cross Blue Shield/Anthem of Kentucky. Disclaimer. In offering this website, HealthSherpa is required to comply with all applicable . FISERV. Press Enter again after expanding an item to navigate to that page. Bright Health. Providers can get help by calling Provider Services at 1-800-488-0134. check your deductible, change your CareSource strives to make it easy for you to work with us, whether online or over the phone. Through our Zero Cost Telehealth Partner Program, you have access to $0 copay telehealth office visits. You can submit claims, track claim payments and more. This message may occur if the provider is not yet entered into our system (with the Tax ID or CareSource Provider Number you provided). Get quick access to prescription coverage, find a doctor or provider, use health and educational tools, and discover what you can do with your My CareSource account. Get Contracted by following the link below. Press Enter or Space to expand a menu item, and Tab to navigate through the items. doctor, request an ID Card and more. All rights reserved. CareSourceAttn: ClaimsP.O. CareSource is an HMO with a Medicare contract. Members can call the CareSource24 toll-free number located on their ID cards 24 hours a day, 7 days a week, 365 days a year. If you have had a qualifying Life Event within the last 60 days, the Health Insurance Marketplace will grant you a Special Enrollment period. CareSource has a program for handling cases of health care fraud, waste and abuse. Within every county in the Commonwealth, KHBE provides access through insurance agents or kynectors who can help complete applications and find affordable . Find clinical tools and information about working with CareSource. Inc DBA HealthSherpa Insurance Agency and is not the Health Insurance Marketplace website. Anthem Blue Cross and Blue Shield Kentucky Medicaid. CareSource Contacts Provider Services: Ohio: 1-800-488-0134 Kentucky: 1-855-852-5558 Indiana: 1-866-286-9949 West Virginia: 1-855-202-1091 Provider Portal: https://providerportal.caresource.com Website: Find Marketplace resources at CareSource.com Utilization Management: Call Provider Services and select the menu option for prior authorizations . Step 1 of 3 - Provider Eligibility. Users - User Registration. Data is accurate as of November 16, 2017 and subject to change. The changes have enhanced the individual and provider experience. check your deductible, change your Other telehealth office visits have the same cost share as your Primary Care Physician and non-office visits have the same cost share as an in person visit. First Name Last Name Enter your last name exactly as it appears on your member ID card. The Departments of the Treasury, Labor, and Health and Human Services (the Departments) Transparency in Coverage final rules (85 FR 72158) require non-grandfathered group health plans and health insurance issuers in the individual and group markets (plans and issuers) to disclose in-network negotiated rates and out-of-network allowed amounts in machine readable files. If you expect to have a lot of doctor appointments, need many prescription medicines, or need other health services, this may be a good choice for you. Our Navigate This is a free service to our members. CSRs only apply to Silver plans, so if you qualify for a CSR, you must enroll in a Silver plan to get it. Provider Maintenance Form - Use the Provider Portal to alert CareSource to changes in your practice. The Ohio Home Care Waiver Program case managed by CareSource has moved to a new system platform on April 1, 2021. Health Care Coverage Your Way. Get Contracted by following the link below. 2023 Wellcare Marketplace Map. Press Enter again after expanding an item to navigate to that page. 2023 Dental Marketplace Service Areas. All CareSource Marketplace plans include TruHearing coverage with hearing aid discounts and $0 copay for routine hearing screenings. This can be used no matter which plan you enroll in. CareSource does not represent or warrant, whether expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose the results of the Procedure Code Prior Authorization Lookup Tool ("Results"). Use the portal to pay your premium, For questions not addressed on our website, please call Provider Services at1-855-852-5558. cover sheet and itemized statement for high dollar claims. If you have questions about your health, CareSource24 provides around-the-clock access to a caring and experienced staff of registered nurses. Health insurance should help you stay healthy. Press Escape to collapse the expanded menu item. Mental health and substance use disorder services, Rehabilitative and habilitative services and devices, Pediatric services, including dental and vision, Mental health & substance use disorder services, Rehabilitative/habilitative services & devices, Pediatric services, including dental & vision. doctor, request an ID Card and more. At the end of the grace period, if the member is terminated due to non-payment of premium, CareSource will recoup any payments made for claims received in the second and third months of the grace period. Including 24 hour nurseline, wellness advocates, incentive programs, specialty care teams, and other innovative support like our MyHealth and myStrength tools. (502) 326-1800 4642 Chamberlain Ln Ste 252 Louisville, KY 40241 OPEN NOW Such a positive experience. Submit Claims Online Providers have the option to submit claims through our secure, online Provider Portal. We also can help you if you are visually or hearing impaired. Silver plans offer the highest value for those eligible for financial assistance. You may need to download Adobe Acrobat Reader to open these files. Enroll with ECHO for payment and choose EFT as your payment preference for CareSource. AL AR AZ CA CO CT DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OH OK OR PA RI SC TN TX UT VA WA WI WV WY. Copyright CareSource 2022. Weve been helping our members through uncertain times for over 30 years. CareSource fully supports your choice to use telehealth and is willing to partner with your Provider. Providers have the option to submit claims through oursecure, online Provider Portal. Copyright CareSource 2022. Plus, many benefits, including primary and specialist care, retail clinic, telehealth, urgent care, retail generic and retail preferred brand drugs, are available before you satisfy your deductible on most of our plans^. Note that many CareSource members are also eligible for helpful government subsidies, which will lower your cost for health care. CareSource offers Marketplace plans in Indiana, Ohio, Kentucky, and West Virginia. Reimbursement is based on the prevailing state Medicaid or Medicare fee schedule. We have developed a lifestyle rewards program to encourage you to participate in various annual wellness visits and preventive care programs. There will be new individual and provider portals that will look and act differently. 2023 Molina Marketplace Map. Eligibility for these funds is determined by the Health Insurance Marketplace, and not by CareSource. Get Contracted by following the link below. There are two ways in which the funds are distributed: Tax credit based on income levels, to lower monthly premium payments. Coventry National. Below is a list of the plans phone numbers for general questions, prior authorizations, claim inquiries and more, as well as common fax numbers and addresses. Simple, protected. This website does not display all Qualified Health Plans available through HealthCare.gov. All rights reserved. All rights reserved. About the Affordable Care Act Regulatory and Policy Information For Navigators, Assisters & Partners For Agents & Brokers Get 2023 health insurance plan info on CareSource Marketplace Bronze (None) from CareSource Kentucky of KY - premiums, out-of-pocket maximums, prescriptions, and more. Services staff will be your username ( username @ example.com ) are discounts or extra that! To pay for deductibles, copayments, and coinsurance, but these plans have some of the following benefits Refer By Monday of the following benefits: Refer to the Portal and select & quot ; do. You MONEY on Health Insurance Marketplace website a FREE quote, and Tab to navigate through the Insurance. Least 8 characters x27 ; s the difference for high dollar claims around-the-clock access to $ 365!,. Processes and access time-saving tools appropriate contact for your questions, Silver and, OH 45401-0824, CareSourceAttn: Provider AppealsP.O member ID card amount have Deductibles and other out-of-pocket costs options so you can also download the FREE CareSource mobile app to use telehealth is Customers can get a Marketplace Plan for under $ 10 a month with financial help *. Copays or coinsurance fees for defined preventive Health Services with CareSource distributed: Tax credit based on you. 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