Is CareSource Medicaid or Medicare?
If you’re asking ‘Is CareSource Medicaid or Medicare?’, the answer is both. CareSource provides Medicaid plans for those with financial constraints and Medicare plans for the elderly and certain people with disabilities. Throughout this article, we will explore the specifics of what CareSource offers under each program to help you decide which plan fits your needs.
Key Takeaways
- CareSource provides comprehensive Medicaid and Medicare plans, including MyCare Ohio plan that combines both for eligible Ohioans, with benefits like no copay/premiums, extra allowances, and a large provider network.
- Members of CareSource benefit from personalized services like care coordination, transportation for various needs, a 24-hour nurse advice line, and incentives for participating in healthy activities.
- CareSource offers flexibility during open enrollment to switch plans as needs evolve, simplified online and local enrollment processes, and automatic re-enrollment within 60 days of losing Medicaid eligibility.
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Deciphering CareSource: Medicaid or Medicare?
CareSource is a remarkable health care provider that designs comprehensive Medicaid and Medicare plans for eligible individuals in Ohio. Take, for instance, the CareSource Medicaid plan, a managed care solution that provides healthcare coverage for:
- low-income Ohioans
- pregnant women
- infants
- children
- older adults
- individuals with disabilities
Moving on to the CareSource MyCare Ohio plan, This distinct plan amalgamates the benefits of Medicare and Medicaid, catering to those eligible for both.
Enrolling in CareSource Medicaid is as simple as visiting the Ohio Medicaid website or applying online using the Ohio Benefits Portal or at your local Department of Job and Family Services (JFS).
Navigating CareSource Health Plans
Exploring further, the MyCare Ohio plan under CareSource health plans, a game-changer for those eligible for Medicare Parts A & B and Medicaid in the service area.
This plan offers remarkable benefits such as:
- no copays or premiums
- transportation services
- a 24-hour medical advice line
- a large network of providers.
CareSource, with its recognizable caresource logo, collaborates with local community agencies for seamless care coordination for MyCare Ohio members, providing an annual $500 Flex Allowance for extra dental, vision, and hearing services.
Want to become a member of CareSource MyCare Ohio? You can either call the Ohio Medicaid Consumer Hotline or visit the enrollment website for assistance. Both options are available to help you with your Medicaid enrollment. Your journey to better healthcare starts now.
The Breadth of CareSource Services
The care coordination service of CareSource assigns a dedicated care coordinator to guide you through a person-centered planning process and oversee your care. But that’s not all. CareSource also offers transportation services, providing up to 60 one-way trips at no cost to members each year for various purposes such as getting to provider appointments, pharmacies, and even the gym.
Additionally, CareSource incentivizes members for maintaining good health. Through its rewards program, members can earn rewards by participating in healthy activities. These rewards can then be redeemed at participating retailers, adding even more value to your health journey.
Member-Centric Tools and Assistance
At the heart of CareSource is the empowerment of members to manage their healthcare. Through My CareSource, members can:
- Access personal information
- Modify their doctor
- Request a new ID card
- Learn about their benefits
- View plan records
- Select their preferred communication method with CareSource
Personalized health tools are provided by CareSource including MyHealth for members 18 and older, and myStrengthSM, a wellness tool designed to enhance mood, mind, body, and spirit. Finding the best healthcare providers in the CareSource network is a breeze with the Find a Doctor/Provider tool, putting you in control of your healthcare journey.
For round-the-clock advice, CareSource24 Nurse Advice Line is there for you. This hotline service provides invaluable nursing advice to members, ensuring support is always just a call away.
Understanding Your Benefits
Members of CareSource can take advantage of numerous benefits. Dental coverage includes one routine oral exam and one cleaning every 6 months, as well as coverage for dental x-rays once annually. Vision health is also taken care of with coverage for routine eye exams and eyewear.
Hearing benefits cover routine exams and hearing aids every 4 to 5 years, depending on the model. MyCare Ohio members also enjoy a $100 quarterly over-the-counter (OTC) allowance, with the flexibility to conveniently purchase health and wellness items online, over the phone, or via tty for those who require it in stores.
CareSource understands the importance of nutrition in recovery. That’s why Community Well members receive two meals per day for 14 days following an inpatient hospital discharge or observation period.
How to Choose the Right CareSource Plan
Selecting a suitable CareSource plan is crucial for catering to your present needs. Open enrollment periods offer the opportunity to make changes, including switching CareSource plans.
Yes, you heard it right! Members can switch CareSource plans during open enrollment periods. This flexibility means you can adjust your coverage as your health needs and preferences evolve.
Enrollment Simplified
Subscribing to CareSource plans is simple and user-friendly. Online self-service portals like the My CareSource Account for members and Provider Portal for providers simplify the process.
Need assistance? CareSource Member Services is just a call away, ready to assist you from 7 a.m. to 8 p.m., Monday through Friday. You can also receive assistance by visiting your local Job and Family Services (JFS) office or by calling the Ohio Medicaid Consumer Hotline.
Whether you prefer online enrollment through the Ohio Benefits Portal or a personal visit to the local Department, CareSource has you covered. And the best part – if you lose Medicaid eligibility but regain it within 60 days, CareSource will automatically re-enroll you.
Maximizing Your Health Coverage
Intriguing rewards programs are provided by CareSource like the My CareSource Rewards and MyHealth Rewards programs, designed to provide incentives for members who actively participate in healthy activities.
Flex allowances in CareSource health plans are fantastic annual allowances that members can use for certain services and accessories, with amounts up to $500 or $1,000 per year depending on the plan. These allowances open up a world of possibilities, including:
- Dental services
- Vision services
- Hearing services
- Accessories for dental, vision, and hearing
- Over-the-counter products
You can make the most of your CareSource flex allowances by using your FlexCard at participating retailers to buy over-the-counter drugs and other eligible items.
Summary
We’ve journeyed through the vast landscape of CareSource, discovering its commitment to quality, comprehensive healthcare coverage, and member-centric approach. With a range of Medicaid and Medicare plans, CareSource empowers you to take control of your health journey.
Frequently Asked Questions
→ Is Medicare and CareSource the same thing?
No, Medicare and CareSource are not the same thing. CareSource is an HMO with a Medicare contract, offering additional benefits and coordinated care under its Medicare-Medicaid plan.
→ Is CareSource of Ohio Medicaid?
Yes, CareSource is a major provider of Medicaid managed care plans in Ohio, offering coverage across the state (Source: CareSource).
→ Can you be on Medicare and Medicaid in Ohio?
Yes, you can be on Medicare and Medicaid in Ohio through the MyCare Ohio program, which offers both Medicare and Medicaid coverage from a single, integrated plan, providing additional benefits such as $0 copayments for prescription drugs and transportation services.
→ Is CareSource Georgia Medicaid?
Yes, CareSource Georgia is one of the state’s Medicaid health plans that offers Medicaid coverage. Check out their website or call 1-855-202-0729 for more information.
→ Who is eligible for CareSource plans?
CareSource offers Medicaid and Medicare plans for eligible individuals in Ohio, including low-income Ohioans, pregnant women, infants, children, older adults, and individuals with disabilities. Whether you fall into one of these categories, you may be eligible for CareSource plans.
ZRN Health & Financial Services, LLC, a Texas limited liability company
Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.