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 and heart conditions, in addition to overall improved plan options. While anyone can enroll in this plan, it’s designed to reduce expenses on preventive care for those diagnosed with chronic conditions such as diabetes, congestive heart failure and coronary artery disease. 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 HAP 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 high deductible health plan preventive benefits too!
$0 COST COVERAGE FOR SELECT DRUGS‡
Save on ACE Inhibitors like linisopril, beta-blockers like metoprolol and statins like atorvastatin. Plus, $0 cost diabetes generic drugs like alogliptin and metformin, brand names like Jardiance® and insulins like Basaglar® and Humalog®.
$0 COST FOR SELF-MANAGEMENT
Each HAP CareSource Marketplace HDHP Preventive plan member living with diabetes is eligible for a $0 OneTouch Verio® glucose meter and test strips, lancets/lancing device, pen needles, insulin syringes/needles and ketone test strips.
$0 COST COVERAGE FOR SELECT MEDICAL SERVICES
Included in the HDHP Preventive plan coverage are select medical services like $0 retinopathy eye screening, A1C tests and Low Density Lipoprotein (LDL) testing.
OTHER PLAN HIGHLIGHTS INCLUDE:
- Tax Advantaged Savings with HSA Eligible Plans**: You may enjoy tax savings by opening a Health Savings Account (HSA) along with your HDHP. Contributions to your HSA are tax-deductible, the money grows tax-free, and withdrawals for qualified medical expenses are typically not taxed.
- Care Management Program: Every CareSource HDHP Preventive Member has their own Care Manager, a single point of contact with CareSource, to help you navigate and understand your health benefits. Your Care Manager will help you learn more about your condition and how to take care of yourself better, take your medications correctly, coordinate doctor visits and more.
- Medication Management: Our special expanded Rx drug list provides zero-cost brand name and generic drugs for common treatments, while support from pharmacists will help you manage medications and avoid potential drug interactions.
- Advanced Premium Tax Credits (APTC): APTC can lower your premiums for any of our plans. If you enroll in a Silver plan, like this HDHP Preventive plan, you may also qualify for Cost Share Reductions that can lower your out-of-pocket costs by up to 80%.
Other Marketplace HDHP Plan Benefits
All members enrolled in a Healthy Heart plan get comprehensive HAP CareSource coverage, including:
Trusted Network of Providers
We now offer broad access, with more hospitals and clinics for easy access to care. see what medications are covered in our drug formulary or find HAP CareSource in-network doctors and hospitals at findadoctor.CareSource.com.
Expanded Drug Formulary
Our expanded Rx drug list Includes more drugs in preferred tiers, including $0 cost preventive drugs in tier 0.
Mail Order Pharmacy
Our Mail Order Pharmacy is a convenient and cost-effective choice for getting your maintenance medications. 90-day supplies are 2.5x the cost of a 30-day supply.
24-Hour Nurse Advice Line
Not sure where to go for care, or have a health-related question? Call the 24-Hour 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.
Telehealth
Take advantage of our zero-cost telehealth partner program with access to U.S.-licensed physicians for both medical and behavioral health services.
$0 Cost Preventive Care and Screenings
Services like screenings, immunizations and annual check-ups are covered at no cost, helping you keep your good health and catch potential issues early!
Substance Use Services
Our substance use services include outpatient treatment with and without medication and inpatient treatment.
Rewards for Healthy Activities
Earn up to $150 for completing healthy 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 HDHP Preventive Plan or another HAP 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 HAP CareSource Marketplace Plans or enroll now!