Where To Get Care
We want to make sure you have easy access to care from the right provider when you need it.
| Primary Medical Provider (PMP) | Used for common sicknesses and tips. You will get most of your preventive care from your PMP. You should see your PMP the most often. This will help them get to know you and your health needs. |
|---|---|
| Telehealth | Visit with a PMP by phone or computer. Ask them if they offer telehealth. If your PMP is not available or does not offer telehealth, call Teladoc® at 1-800-TELADOC (835-2362) or visit www.Teladoc.com/CareSource. Teladoc is available 24/7/365. |
| Convenience Clinics | Used for common sickness like coughs, colds, sore throats, and to get shots when your PMP is not available. . They are found in many local drug and grocery stores, like CVS Minute Clinic® or Kroger Little Clinic®. |
Mental Health Care Providers | Mental health providers give health and social services for people living with mental health and/or substance use problems. |
| Urgent Care | Used to treat non-life threatening issues. When You cannot visit your PMP, and your health issue cannot wait. |
| Hospital Emergency Department | Use for life-threatening issues or emergencies. Call 911 or go to the nearest ER. If you are having a mental health emergency, call 988 for the Suicide and Crisis Lifeline. |
We have a network of providers. You must get health care services from a network provider to have them covered by your CareSource plan. The only exceptions are:
- In cases of emergency
- If you need medically necessary, covered urgent care services when traveling out of our service area
- When getting family planning services, from an Indiana Medicaid provider
- When specifically authorized by CareSource
We want you to be happy with your doctor and our network of providers. Let us know if you have ideas that would make our network better. Share your ideas with us on the Access Opportunity Form. The form gives you a chance to suggest a doctor for our network. You can also tell us about things, like if it is easy to set up appointments, and more.
You can use our Find a Doctor search tool to find a network provider or care location near you.
Behavioral Health Crisis Line
Call the Behavioral Health Crisis line at 1-833-227-3464 if you are in crisis. When you call you can speak to a professional with behavioral health training. You can call 24 hours a day, 7 days a week. You can also call 988 Suicide and Crisis Lifeline by dialing 9-8-8.
Emergency Services
Call 911 or go to the nearest emergency room (ER) if you have an emergency. Emergency services are for severe health issues that must be treated right away. Some cases of when emergency services are needed include:
- Miscarriage/pregnancy with vaginal bleeding
- Severe chest pain
- Loss of consciousness
- Uncontrolled bleeding
- Major burns
Emergency care is covered both in and out of our service area, within the United States. You do not have to contact us for an approval before you get emergency services. If you are not sure if you need to go to the emergency room, call your PMP or the CareSource24® Nurse Advice Line.
Healthy Indiana Plan (HIP) Members will be charged an $8 copay for non-emergency visits to the ER.
When You are Outside of our Service Area
Before seeking urgent care, we encourage you to call your PMP for guidance. This is not required but can help ensure you get the right care.
If you have other questions about where to get care after hours or outside the service area, refer to your member handbook. You can also call Member Services.
Member Services: 1-844-607-2829 (TTY: 1-844-743-3333 or 711), Monday through Friday, 8 a.m. to 8 p.m. Eastern Time.