SAVE MORE ON YOUR CARE! WE GOT YOU.
In keeping with our commitment to making a lasting difference in our member’s lives, we are excited to offer new chronic condition health plans. These innovative plans support members living with diabetes, in addition to overall improved plan options. While anyone can enroll in these plans, they are designed to reduce expenses for diabetic-related services, drugs and drug supplies. Ensuring we have your back every step of the way, We Got You! If you qualify for Advance Premium Tax Credits (APTC), they can be used to help lower your premiums with these plans.
Every simple and affordable CareSource Marketplace plan offers coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. Now, you can get these additional diabetes benefits too!
$0 COPAY FOR SELECT MEDICATIONS
Regular insulins: Humulin® N, Novolin® N, Humulin® R, Novolin® R, Humulin® 70-30, Novolin® 70-30
Rapid-acting insulins: Humalog®, insulin lispro, insulin aspart
Long-acting insulins: Basaglar®, Rezvoglar™, Tresiba®
Generic oral drugs: Acarbose, alogliptin, alogliptin-metformin, alogliptin-pioglitazone, glimepiride, glipizide, glipizide-metformin, glyburide, glyburide-metformin, metformin, miglitol, nateglinide, pioglitazone, pioglitazone-metformin, pioglitazone-glimepiride, repaglinide
Brand name oral drugs: Jardiance®*, Januvia®*, Farxiga®* and Janumet®*
*Prior authorization or step therapy required.
$0 COST FOR SELECT SELF-MANAGEMENT SUPPLIES
Living successfully with diabetes means keeping a close watch on your numbers. Now, CareSource offers $0 cost for glucose monitors and meters as well as a range of diabetic supplies.
Continuous glucose monitors: Dexcom*, Freestyle Libre*
Glucose meters: OneTouch Verio® Flex, test strips (OneTouch Verio®), lancets/lancing devices
Diabetes supplies: Pen needles, insulin syringes, alcohol swabs, urine ketone strips
*Prior authorization or step therapy required.
$0 COST FOR SELECT MEDICAL SERVICES
Knowledge is power! In 2025, CareSource is offering a number of new medical services as well as popular pre-existing medical services for our members with diabetes.
Diabetes Self-Management Education – New for 2025!
Nutritional Counseling -New for 2025!
Routine Diabetic Foot Care – New for 2025!
A1C Screenings
Retinopathy eye screening
Diabetic kidney disease screening
OTHER PLAN HIGHLIGHTS INCLUDE:
- A strong network of providers: including networks for diabetes targeted health systems and other provider specialties for complex symptom management. Specialist visits do not require a referral from your PCP or CareSource.
- Expanded Formulary: Includes drugs like Mounjaro®, Ozempic®, Trulicity® and Rybelsus®.
- Home Delivery Option: Use Express Scripts® to get your maintenance medications. 90-day supplies are 2.5x the cost of a 30-day supply.
- Diabetes Coaching Program: Includes a member-centric care plan focused on diet, exercise, medication, and lifestyle changes.
Other Marketplace Plan Benefits
All family members enrolled in a CareSource plan, including our Diabetes Gold or Silver plan receive comprehensive CareSource coverage, including:
CareSource24®
Not sure where to go for care, or have a health-related question? Call the CareSource24 Nurse Advice Line 24/7/365 at the number on the back of your ID card or use the mobile app to talk to a nurse.
Teledoc® Telehealth
24/7/365 access to medical providers; behavioral health counseling by appointment 7 a.m. to 9 p.m., both with $0 cost to you!
$0 Cost Preventive Care and Screenings
Annual check-ups, immunizations, and preventive screenings are covered to help you keep your good health and catch potential issues early.
Digital Tools for Health and Wellness
MyHealth and myStrength℠ for your physical and mental well-being.
Rewards for Healthy Activities
Earn up to $150 for completing healthy activities, including $75 for diabetes related activities.
Hearing Benefit
Annual hearing test and discounted hearing aids if needed.
CareSource Circle
Get information and tips on how to get the most out of your benefits, share your experiences with other members, get healthy living ideas through weekly emails, games, chat groups and more!
Convenience Care Retail Clinics
Easy access to care with extended hours at clinics inside local pharmacy and retail stores like Walmart® and CVS®.
READY TO LEARN MORE AND ENROLL NOW?
We Got You!
The Open Enrollment Period for Marketplace health plans is November 1, 2024 through January 15, 2025, so now is the time to select our Diabetes Plan or another CareSource plan of your choice.
- Enroll by December 15, 2024, for coverage to start January 1, 2025.
- If you wait until after December 15 to enroll, the coverage you select will not become effective until February 1. If you are auto-enrolled, you will have your current or pre-selected coverage for the month of January.
- Enroll by January 15 for coverage to start February 1.
Call your local insurance agent/agency or contact us at 1-844-539-1733 (TTY: 711). We’re open 8 a.m. to 8 p.m. Eastern Time (ET) during open enrollment to take your calls and answer any questions you have.
Follow the links below to learn more about CareSource Marketplace Plans or enroll now!