Decide when self-care, a doctor visit or the emergency room is appropriate.CareSource24 Nurse Advice LineĬareSource24 ® gives you around-the-clock access to a caring and experienced staff of registered nurses.Ĭall the CareSource24 toll-free number located on your ID card, 24 hours a day, 7 days a week, 365 days a year. If you have an emergency, please call 911 or go to the nearest hospital or emergency department. If your doctor’s office is closed or if you are very sick or hurt, you still have options. We want you to get the right care from the right health care provider when you need it. However, you are not required to get a referral from your PCP before you see many types of specialists. If needed, your PCP will help you decide if you need to see other doctors (specialists) or admit you to the hospital. Talk with your provider’s office to find out more about your options for care. Your provider may offer telehealth visits and after-hours care. With regular visits, your PCP can help you stay healthy, manage chronic conditions and identify any concerns before they become an issue. The more familiar your provider is with you and your medical history, the better they will be able to treat you. Going to the same PCP each time you need care will help your provider get to know you and your needs. When you tell CareSource who you have chosen to be your PCP, it helps us to make sure that your visits are billed at the PCP cost share level. Going to a PCP is one of the most cost-effective ways to access your benefits – ensuring you get the most value from of your health care dollar.
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You can also find a doctor’s professional training by accessing additional sites. You can find the most current list of network providers on the Find a Doctor/Provider tool on the left side of this web page under Quick Links. You may also call Member Services to let us know. Visit My CareSource to tell us who you choose for a provider, or to change your PCP. He or she will treat you for most of your routine health care needs. Your PCP will work with you to direct your health care. You must choose a PCP who is a network provider. This form also gives you a chance to tell us about your experience with a provider, like ease of scheduling appointments. Share your ideas with us on the Access Opportunity Form. If you have suggestions that would improve our network, we want to hear from you. You can search by specific criteria, like a provider’s specialty, foreign language, and more.ĬareSource wants you to be happy with your doctor and the network of providers we offer. Use the filters in the right column to find in network providers, facilities and pharmacies for your plan. You can use our Find a Doctor/Provider search tool to find a network provider or care facility near you. When specifically authorized by CareSource.If you receive services in an in-network facility (like a hospital or outpatient facility) and you get services from an out of network provider.If you need medically necessary, covered emergency or urgent care services when traveling out of our service area or.Please contact us at 602.685.5051 with any questions you may have.In order to have your health care services covered by your CareSource plan, you must get them from a network provider.
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