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 heart conditions, in addition to overall improved plan options. While anyone can enroll in these plans, they are designed to reduce expenses for heart related services, drugs and 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 healthy heart benefits too!
$0 COST COVERAGE FOR SELECT HEART DRUGS
Get $0 cost coverage for generic drugs to treat arrhythmias, amiodarone, digoxin, flecainide, sotalol and sotalol AF, plus brand name drugs to treat heart failure Jardiance®*, Farxiga®* and Entresto™*
$0 COST COVERAGE FOR SELECT SELF-MANAGEMENT SUPPLIES
Members of the CareSource Healthy Heart Marketplace plan receive helpful self-management supplies Including a blood pressure cuff** and gradient compression socks for $0.
$0 COST COVERAGE FOR SCREENINGS AND TESTS
Stay on top of monitoring your heart health with $0 coverage for a wide range of screenings and tests Including a lipid panel, metabolic panel, prothrombin and EKG.
*Prior authorization or step therapy required. **Limit of one blood pressure cuff per eligible member.
OTHER PLAN HIGHLIGHTS INCLUDE:
- Cardiac Care Network: Access to a premium network of cardiologists and hospitals.
- Specialist Visits: No referral needed for visits to cardiologists and other specialists for comprehensive care, covered with a low copay.
- Advanced Treatment Options: Coverage for advanced cardiac treatments and procedures.
- Cardiac Rehabilitation: Regular sessions are essential for recovery and supporting heart health, including one-on-one health coaching sessions focused on diet, exercise, and lifestyle changes to improve your heart health. Regular monitoring and check-ups include scheduled reminders and follow-ups for check-ups and screenings.
- Expanded Drug Formulary: Easier access to the drugs that you need to treat your heart condition.
- Medication Management: Support from pharmacists to manage heart and other medications and avoid potential drug interactions.
- Emergency Care Coverage: When you need it, you have peace of mind knowing you have comprehensive coverage for emergency services related to heart conditions, including ambulance services and ER visits.
Other Marketplace Plan Benefits
All members enrolled in a Healthy Heart plan get 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®.
A PERSONAL PARTNER IN HEART HEALTH
Every CareSource Healthy Heart plan member has the opportunity to work one-on-one with a Care Manager to set up a care plan, help you with health education and provider care coordination. Your Care Manager can also help you understand your plan benefits. You can use your Care Manager as much or as little as you like.
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!