Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools to make your plan easy-to-use, but you can call Member Services with questions at 1-833-230-2099 (TTY: 711) from 7 a.m. to 7 p.m. Eastern Time, Monday through Friday. We are happy to help you.

Please read your enrollment materials now. Check your ID card to ensure you are enrolled in the correct plan and that it says Adult Vision & Fitness if that is what you enrolled in. If you have any questions, think your plan may not be right for you, or have any problems with your plan, call Member Services and we will be happy to help you get the answers you need. Call before December 15 to have a new plan in place January 1. Call by January 15 to have a new plan in place February 1. You cannot change your enrollment after January 15 without a Special Enrollment.

If you need materials in another language or format, such as large print, audio or Braille, call Member Services to let us know.

Your My CareSource Member Portal

Setting up a My CareSource^® member portal account is a smart move. You will have access to your account information, the ability to use special programs and online tools, see the status of your claims, pay your premium, and much more.

Setting up an account is easy. Go to MyCareSource.com and click Set Up to get started. You’ll need your CareSource member ID card or your enrollment acknowledgment letter with your CareSource member ID number to set up your account. To learn how to set up an account and more, visit: CareSource.com/members/my-caresource-account, click Marketplace and then your state.

If you already have a My CareSource account, you’ll need to update it with your new CareSource member ID number and plan.

Go Green!  If you like, we will email or text you when possible. You can set up or change your choice for email or text any time by using the Preferences tab in your My CareSource account or by calling Member Services. Due to privacy laws, we cannot send you health information in an email or text. We will tell you when materials are ready to review in your My CareSource portal account.

We will send you another five emails — one a week for the next five weeks. They will give you helpful information about our online programs and services, how to pay your bill, where to get care, and more. We are excited to have you as a member and want to help you get the most out of your plan!

Thank you for choosing CareSource!

This week’s topics cover our online tools. We have three ways to get information.

1. CareSource.com
2. My CareSource^®
3. CareSource Mobile App

CareSource.com

Learn more about your plan, your benefits, and how to stay healthy!

• Read the Quick Start Guide to get a jump on using all your benefits.
• Access plan documents and benefit information.
• Get details or watch a video on how to make your premium payment.
• Get information about our Care Management
• Find a Doctor and other providers such as dentists, clinics, hospitals, and specialists.
• Tell us your preferences for sharing your protected health information (PHI) using the Member Consent/HIPAA Authorization Form here.

My CareSource

Your private, secure My CareSource® member portal account gives you access to your plan and personal health information. Go to MyCareSource.com and click Sign Up to create your account. You will need your member ID number to sign up, which can be found on your CareSource ID Card. If you already have an account, Login, and update it with your new member ID number and plan information.

Here are just some of the things My CareSource lets you do:

• View and print your ID card.
• Pay your premium.
• Look up claims information.
• Designate your Primary Care Provider.
• Tell us your Preferences for email or text.
• Use our new Cost Estimator to estimate your costs for many common services and procedures.
• Access many of our online healthy living tools, such as MyHealth®, myStrength^®, and MyResources™.

MyHealth

Members 18+ can log into their My CareSource portal account to use MyHealth. You can take an online Health Check assessment, get access to interactive guides and view health and wellness videos. Use tools to set your personal health goals and track them.

MyHealth Rewards

You may even be able to earn rewards through our MyHealth Rewards program! There are $150 in rewards available for completing healthy activities like getting an annual wellness exam. You earn these rewards automatically when you complete an activity. You are already enrolled! To find out more about how to earn and redeem rewards, go to the Health tab in the My CareSource member portal, or visit CareSource.com/plans/marketplace/benefits-services/rewards/ and pick your state.

myStrength

Emotional health is as important as physical health. myStrength® is a secure online tool for members 13+ that offers help to improve your mood and mental health. Learn about topics such as depression, anxiety, and substance use disorder. Get self-help tools and wellness resources. You can use myStrength online or download the mobile app at no cost. Go to bh.mystrength.com/CareSource to sign up.

MyResources

There are times in everyone’s life when they might need some extra help to get through. MyResources is an online tool that can connect you with local resources that may be able to help with housing, food, bill payment assistance and more. Try it today by logging into your My CareSource portal account.

CareSource Mobile App

Manage your health care on the go with the CareSource mobile app*.  

• Access your My CareSource account
• Show your digital ID card
• Find a doctor, hospital or clinic near you
• Call the CareSource24^® nurse advice line
• Connect to Teladoc^® telehealth services

Download the free CareSource mobile app through the Apple App Store or Google Play today**!

 

 

Thank you for choosing CareSource!

 

This week’s topic is how to pay your premium. We try to make it as easy as possible, offering different, convenient ways to pay. You can make a payment online, by phone or by mail.

How to Pay Your Premium

There are many convenient ways to pay your premium.

1. Make an Express Payment: Go to www.CareSource.com/MPpay and enter your member information to be taken directly to the payment screen.
2. Use Your My CareSource account: Online payments can be made one time, or you can set up automatic monthly recurring payments through your MyCareSource.com account. Recurring payments let you “set it and forget it!” You can always go back into your account to change or cancel the payments.
3. Use Google Pay or Apple Pay: Use your My CareSource portal account or the Express Payment option to go to the payment portal. Click the icon for Google or Apple Pay to use the wallet on your smart phone to make your payment.
4. Pay by phone: Call Member Services and tell our automated attendant that you would like to make a payment. Phone payments can be made with a credit card, debit card or checking account.
5. Pay by mail: Detach the bottom portion of your invoice (remittance slip) and write in the amount of the check or money order. Include it and your check or money order in the included envelope and be sure that our address shows through the envelope window. Please include your member ID number on the memo portion of the check or money order.

Paying Your Premium On Time is Important

It is important to pay the total premium amount due by the due date! If we do not receive your premium payment by the due date on the invoice, then your account is considered past due, and your medical and pharmacy benefits may be at risk.

Thank you for choosing CareSource!

 

This week’s topic is where to get care. This is important because getting care from the right provider or facility can save you time and money. For your health care services to be covered by your plan, you must get them from an in-network provider, in most cases.

Primary Care Provider (PCP)

Your PCP is your “family doctor” and must be in our Marketplace network. Your PCP will work with you to guide your health care. They will treat you for most of your routine health care needs. A PCP visit gives you the most value for your health care dollar.

Going to the same provider each time you need care will help them get to know you and your needs. With regular visits, your PCP can help you stay healthy, manage chronic conditions, and identify any concerns before they become an issue. Your PCP may offer telehealth visits and after-hours care. Talk with your PCP’s office to find out more about your options for care.

Go to your My CareSource member portal account to tell us who you choose for a provider. You may also call Member Services to let us know. You don’t have to tell us your choice of PCP, and you can change your PCP whenever you choose. However, telling us who your PCP is ensures that you pay the lowest cost share for your visit, and that we can better coordinate your care with all providers involved in your treatment.

You can learn more about finding a PCP and why having one is so important on our website.

You Have Options for Where to get Care

If you ever aren’t sure where to go to get care, or need health care advice, call our CareSource24^® Nurse Advice Line. The phone number is on the back of your CareSource member ID card. Nurses are available to speak with you any time, 24/7/365.

Primary Care Provider (PCP)	Usually open during regular business hours. Appointment needed. Used for common illnesses and advice. You will get most of your routine and preventive care from your PCP. Your PCP may offer telehealth. Contact their office to find out.
Telehealth	Talk with a provider by phone or computer 24/7 with Teladoc® for illnesses or minor injuries. Teladoc offers mental health and substance use disorder counseling from 7 a.m. to 9 p.m. ET. All at no cost to you. Call 1-800-TELADOC (835-2362) or visit Teladoc.com/CareSource.
Community Behavioral Health Center (CBHC)	CBHCs provide a range of health and social services for people living with mental health and/or substance use problems. CBHCs may be the first place to go to get help for behavioral health concerns.
Convenience	Usually open seven days with evening and weekend hours. These retail clinics are inside many local drug and grocery stores. Used for common illnesses like colds or flu, minor injuries and to get immunizations.
Urgent Care	Usually open seven days a week with evening and weekend hours. Use when your provider is not available or your health issue cannot wait. Used to treat non-life threatening issues: common illness, x-rays, injuries.
Hospital Emergency Room	Open 24 hours a day, 365 days a year. Used for life-threatening issues or emergencies such as chest pain, head injuries, miscarriage or mental health crisis. Call 911 or go to the nearest ER.

*Convenience Care Clinics are not a covered benefit in West Virginia.

If you experience any of the following, don’t wait! Call 911 or get to the nearest emergency room:

• chest pain
• severe stomach pain
• coughing or vomiting blood
• severe burns
• deep cuts or bleeding that will not stop
• sudden blurred vision
• sudden weakness/loss of coordination or any condition which you believe is life-threatening.

If you are having suicidal or homicidal thoughts, or any mental health crisis, call 911 or 988, the new mental health crisis line for immediate help.

You can learn more about where to get care in your member handbook and on our website at https://www.caresource.com/members/tools-resources/where-to-get-care/.

Thank you for choosing CareSource!

Where to Get Care: Additional Benefits

Your benefits include hearing, pediatric vision, accidental dental, and optional fitness program buy-in through Active&Fit Direct^®. If you purchased an optional adult Vision and Fitness plan, your supplemental benefits also include adult vision, as well as a fitness benefit through Active&Fit Enterprise^®.

Our supplemental benefits are managed by partnerships with benefit managers.  

Hearing Benefits

TruHearing^® Choice Program

You can have an annual routine hearing screening and select from a variety of hearing aid devices offered exclusively through TruHearing network providers. Call TruHearing at the phone number on the back of your member ID card for more information. You can find a nearby provider by searching in our Find A Doctor tool for “Hearing Aid Dealers.”

Get more details about the TruHearing program in your Welcome Member Handbook or Welcome Booklet. Hearing benefits are available to members in all plans.

Vision Benefits

EyeMed^®

All marketplace plans cover pediatric vision services. You have access to one of the largest and most recognized networks for vision care in the country. EyeMed is our exclusive network of providers for annual vision exams and glasses or contacts for pediatric vision coverage, and for members with optional adult Dental and Vision plans.

Pediatric coverage is generous, with mostly $0 copays for frames and lenses. Adult coverage has a $250 allowance toward contacts or frames and lenses with a percentage off the balance over $250. Other costs vary depending on your plan. Refer to your Evidence of Coverage and Schedule of Benefits on the Plan Documents page for complete details.

Call EyeMed at the phone number on the back of your CareSource member ID card for more information or visit eyemedvisioncare.com/csmp.  You can search for EyeMed providers in our Find A Doctor tool under “Vision – Optometry.”

Accidental Dental Benefits

If you injure your jaw or face in an accident, we will cover the initial dental work you may need, including exams, x-rays, and restoration. There is a cost limit for dental coverage per accidental injury. Injury from chewing or biting is not considered accidental. Your Evidence of Coverage has more details about this benefit. This is a covered benefit in all Marketplace plans.

Fitness

Active&Fit^® Direct

If you did not enroll in an optional Vision and Fitness plan, you or anyone on your plan age 18 and over can enroll in Active&Fit Direct any time during the plan year. You get all the same benefits as the Active&Fit Enterprise program, except for the home kit. This includes access to over 12,500 fitness centers, 8,500 Plus program centers, free one-on-one telephone wellness coaching, and over 12,000 digital on-demand fitness videos. Enrollment is month-to-month, and you can cancel any time.

Active&Fit^® Enterprise

Choosing a CareSource plan with Dental, Vision and Fitness coverage brings the added value of access to a fitness benefit through the Active&Fit Enterprise program. The program gives you access to a free fitness center membership and a home fitness kit, in addition to other health and wellness-focused resources like personal coaching and online classes.

Learn more at www.caresource.com/plans/marketplace/benefits-services/fitness/, or by calling 1-877-771-2746.

---

You can get more details about all your benefits in your plan documents and Welcome Booklet.

Thank you for choosing CareSource!

Cost Savings Tips and Advocating for Your Care

The last weekly topic of our email series is how to get the most out of your health care coverage dollar. You pay for your health care, and you should get the best “bang for your buck!” The health care system can be hard to figure out sometimes. We are here to help clear a path for you.

You can find a list of common health care terms and what they mean on our website. This explains terms like copay and coinsurance, as well as more complicated terms like preauthorization. This is published by the Health Insurance Marketplace, so some terms may not apply to your coverage, like out-of-network co-payment. CareSource does not cover out-of-network services except in emergency or special situations outlined in your Evidence of Coverage.

Be Your Own Advocate

You are your own best advocate! When you visit your primary care provider (PCP), set your expectations with him or her. If you are there for an annual wellness exam that is considered preventive, set that expectation up-front when you call for the appointment, and again with your provider during the visit. Understand that labs may be separate from the visit itself and may have a different charge under your plan.

If you are prescribed medication, always ask if there is a generic alternative, or if the provider has written for a generic. If your provider knows that cost is important to you, he or she may keep that in mind when prescribing and ordering tests. It won’t affect your quality of care, but it can affect your wallet! You can see the CareSource Drug Formulary at CareSource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/.

If your provider sends you for imaging, a colonoscopy, or other outpatient test or procedure, ask if you can have it at an outpatient diagnostic center or outpatient ambulatory surgery center. These free-standing centers may be able to save you as much as 60% on the same care that you would get through a hospital outpatient testing or surgery center!

Get an Estimate

Just like with your car or home repairs, if you have time to plan, you can ask for an estimate from providers. It’s not as hard as it sounds. Ask your PCP if they have more than one facility or preference for surgeons or specialists for the procedure you need. Most will have at least a couple of options for you to choose from. Of those, if you call, they can likely give you an idea of the cost up-front if it is a routine procedure such as a colonoscopy, or even a simple surgery like a gall bladder removal or knee replacement.

Use Our Cost Navigator

Login to MyCareSource.com member portal and try out our Cost Estimator tool! You can get cost estimates for local providers for many common procedures and services. Click the Benefits tab and select the Cost Estimator. Follow the prompts and select the member to get started. Enter the type of treatment or service needed and your location. If available, you can compare in-network providers for location and cost. You will see estimates for the cost of the service, how much your plan will pay, and what your out-of-pocket costs may be. If a prior authorization is needed, it will be highlighted at the top of the screen. If you need help using the Estimator, please call Member Services.

Use Our Care Management Services

A Care Manager can help you streamline your health care by having one point of contact at CareSource. You will be given their direct phone line, so you can call with questions or concerns. Our team can help you:

• Navigate the health care system and multiple providers.
• Find more affordable options for medications and supplies.
• Provide education about chronic and acute illness.
• Connect you to community resources.

You can learn more about Care Management on our website at: CareSource.com/plans/marketplace/benefits-services/care-disease-management/.

How can I get Care Management Services?

Call us if you have any questions about Care Management or think you would benefit from our services. You can reach us at 1-833-230-2037 (TTY: 711) Monday through Friday from 8 a.m. to 5 p.m. Eastern Time.

Thank you for choosing CareSource!