׉?4ׁB!בCט  8u׉׉	 7cassandra://lcFLoogFrmNsZR-QaGzWmyHmUXe9NS9j_6khQS09cUk `
&׉	 7cassandra://TC7PQXQsYXfawUfaP99xQek0hzr9smEyvVCpq_rG55QD`׉	 7cassandra://_7N5OCEQLIpnTjMkIRBOXGv3xAxVuGhZVql2pmZyFYk`r ׉	 7cassandra://vlF7f_9l02BNX8b1NUyIcfA7VTN7ZpRf2bLjoNc-Xts E͠^ 7Riט   8u׈   5R  ׈E^ 7RW׉E *HEALTH CARE
WITH HEART
FAMILY OF PLANS
®
׉	 7cassandra://_7N5OCEQLIpnTjMkIRBOXGv3xAxVuGhZVql2pmZyFYk`r ^ 7RX^ 7RW8בCט   8u׉׉	 7cassandra://mgL16LQG5V3YtACzdVeoZS0BFlgNxcFpelSh23Jc0sI `
&׉	 7cassandra://wJh8L_ug6jFZpZNcjmltr2-b7-7mhEzY4fKVqY3hINM@`׉	 7cassandra://UUTjGk7w8w4TAnUWjBKvGW6mO_WktUBV6UkeKMjXgFoA`r ׉	 7cassandra://o_k7HzJyHvIC3cSgP3K51sXyBBFsBPBP-z0i6YHNbMA t͠^ 7Rkט  8u׉׉	 7cassandra://WIEG2ySqE_cl1a8ZPQMo2q1M4Mu7h4BLneW0A4AnMVM `
&׉	 7cassandra://FtTxZTOayyXJiS-PwecWVHLZJN9gNEJK4STRp6uFe9g9`׉	 7cassandra://jwepU551hg3cjpS9b8MoN-4uEzJpQizgQK-28En7cKI`r ׉	 7cassandra://trpEx_Dvf5uNv2G4nJdnIUoXIXRgut8dA-BVfJE8Qtw ! ͠^ 7Rl׉E*WE CARE ABOUT YOU
AND YOUR HEALTH.
We’d love to have you join
our family of plans.
WHO WE ARE
CareSource is a leading non-profit
health insurance company with over
30 years of experience. Our mission
is to make a lasting difference in our
members' lives by improving their
health and well-being.
׉	 7cassandra://UUTjGk7w8w4TAnUWjBKvGW6mO_WktUBV6UkeKMjXgFoA`r ^ 7RY׉E OUR PLANS
CareSource offers Ohio Medicaid,
Marketplace and Medicare Advantage
health plans. We provide health care
to almost 2 million members* and offer
benefits that provide a lifetime of care.
׉	 7cassandra://jwepU551hg3cjpS9b8MoN-4uEzJpQizgQK-28En7cKI`r ^ 7RZ^ 7RY8בCט   8u׉׉	 7cassandra://Zd4zcdqztQIKY2dt4_40pj1q7MeVi1VEUKchFwS26-g `
&׉	 7cassandra://gwYhTA9ENoB1awyJ1WLNE8v2lMl6rd86YdYdY3tZKaEK`׉	 7cassandra://S8gXqNKhQD03l350BpOREorbbmlXyGts07XO9qCHUCo`r ׉	 7cassandra://EK-zv_bCVs_YsqEjAM2dK2YWTEgC0Qb4pjZD9lMPkksʹn
͠^ 7Rnט  8u׉׉	 7cassandra://n_5wDhq2la6cXHIp7Mdx6mvS2HbDhODQFcDKgUU8ess ?`
&׉	 7cassandra://ScszaaoDTEdFr_x3l0zR9cgJJiu24s1-HwKTGT9fQXkG`׉	 7cassandra://7__34mdgBtGZbCwzly7bg_r4WD0Rj8UQX76qQFnTOQA`r ׉	 7cassandra://rA1e3Iw89bwUHuXz2aMOaMTMrQ_VpGfGrmSlMVQFC5g $͠^ 7Roנ^ 7Rr Mԁ9ׁH "http://CareSource.com/OhioMedicaidׁׁЈ׉EgMEDICAID
CareSource provides Medicaid health care
coverage for eligible Ohioans with low income,
pregnant women, infants and children, older
adults and individuals with disabilities.
Our Medicaid plan covers all medically
necessary Medicaid-covered services
plus extra benefits like:
Telehealth allows you to talk to a doctor
24/7/365 using your phone or computer
Access to a
large provider network
Transportation to and from doctor’s
appointments, pharmacies and County
Department of Job and Family Services
(CDJFS) appointments
Vision and dental care, including
checkups, teeth cleanings and a large
selection of eyeglasses
Reward Programs including Babies
First®
, Kids First and Women First
Behavioral health resources
that support the health of mind,
body and spirit
Prescription drugs,
including all medically-necessary
Medicaid-covered medications
OH-MMED-2407
׉	 7cassandra://S8gXqNKhQD03l350BpOREorbbmlXyGts07XO9qCHUCo`r ^ 7R[׉EFREE over-the-counter medications
with a prescription
CareSource24®
A team of nurses
who can answer health questions
24/7/365
CareSource JobConnect™
provides
personal coaching, help finding a job
and meeting educational goals
Disease management programs
to help manage asthma, diabetes
and hypertension
Local Care Managers to coordinate
your health care needs and help
connect you to community resources
CareSource Medicaid coverage is
available in all 88 counties in Ohio.
To learn more about the Medicaid
benefits CareSource offers:
CALL: 1-800-488-0134 (TTY: 711)
VISIT: CareSource.com/OhioMedicaid
ODM Approved: 12/05/2019
MEDICAID
׉	 7cassandra://7__34mdgBtGZbCwzly7bg_r4WD0Rj8UQX76qQFnTOQA`r ^ 7R\^ 7R[8בCט   8u׉׉	 7cassandra://iSJ9q8HIV3EaWLFxA7RkhLSRBQV9V1Z7rad7wbQjS1k Uf`
&׉	 7cassandra://OSjXvKpf1rdCeDIexGVO11nN4yxJ953rjOns-Idw-nQJ
`׉	 7cassandra://mtuZ_SONyusfk4ntMKnMdoPESOd-zMS4lOqx26U16To`r ׉	 7cassandra://HfO7FmqqMnkqjw1am8eBXoCBVVCPgfA5HrrwOovsil8͉	͠^!7Rtט  8u׉׉	 7cassandra://e_KPVfKpWfbZXsXTto28pd8DxpenJ6hKaZ3ArMUyEpU `
&׉	 7cassandra://YCNP2C-EBJQ10fK8OLlUokXKS39C4_U-XCkYO5bebMME`׉	 7cassandra://OviqE0CK6kJXDp6J0v2KNi8gGfYofoarIGRWBMjz4N8`r ׉	 7cassandra://BPhF6E_KaCc6b_JMldwoFgr2RK8i8vlhIOSeZFXtt_k ;6N͠^!7Ruנ^!7Rw M9ׁH !http://CareSource.com/MarketplaceׁׁЈ׉EMARKETPLACE
If you don’t qualify for Medicare or Medicaid,
CareSource offers affordable ACA-compliant
health insurance coverage with access to
potential savings from the government to
help reduce your overall costs.
Our Marketplace plans offer coverage
for you and or your family for all essential
health benefits, individuals with pre-existing
conditions, and no annual or lifetime
coverage limits for most benefits.
SOME OF OUR BENEFITS
AND SERVICES INCLUDE:
Low monthly premiums
Prescription drug coverage
Free preventive and wellness
services
Coverage for pre-existing conditions
Maternity and newborn care
Pediatric services, including dental
and vision for kids
Mental health and substance use
disorder services
ADV-Plan Brochure(OH-CSALLPRODUCTS)-1090
׉	 7cassandra://mtuZ_SONyusfk4ntMKnMdoPESOd-zMS4lOqx26U16To`r ^ 7R]׉En y gh
24/7/365 care with MYidealDoctor™
telehealth service
Optional adult Dental, Vision and
Fitness plans available
To learn more about the Marketplace
benefits CareSource offers, if you might
qualify for government savings, and
find out if a CareSource Marketplace
plan is available in your county:
CALL: 1-800-479-9502 (TTY: 711)
VISIT: CareSource.com/Marketplace
CareSource is a Qualified Health
Plan offered through the Health
Insurance Marketplace.
OH-EXCM-1090
ODI Approved: 12/19/2019
MARKETPLACE
׉	 7cassandra://OviqE0CK6kJXDp6J0v2KNi8gGfYofoarIGRWBMjz4N8`r ^ 7R^^ 7R]8בCט   8u׉׉	 7cassandra://jQW2OuAh_KKYWMO5qjjvFxCHxIJiaSFVyCdS5Cj4UJg Z`
&׉	 7cassandra://I4Atzutctx1yeR2f-mjPOPusa5uzXrzn2wJCccRBk28H`׉	 7cassandra://Xjgyce8AiocWqC72wmefmTi_d2uIUaavl4i9KQXjjZ0`r ׉	 7cassandra://v9IJKYUUeenCkln8uT18XAiE-yc2Z9ro-mtQB_ulVdU|.͠^!7Rxט  8u׉׉	 7cassandra://RXRHIFypfJdWj5I_Zl2Ta70E30EoU8a1Zs-BF8eLRHk `
&׉	 7cassandra://6E12IJc_J3D7dSBIFgVGfxodnpCeKzdR9FVIAaIJWSAI`׉	 7cassandra://5yMM5nb4S5m_KMpfMnAbflXP1ohjonhpvo_RsSOG4vwg`r ׉	 7cassandra://dRBOXlCEhnhPXz6zvlwDpx_Ld-sZB5mG-dn93urf0SQN͠^!7Ryנ^!7R{ M9ׁHhttp://CareSource.com/MedicareׁׁЈ׉EMEDICARE
ADVANTAGE
CareSource offers Medicare Advantage
plans (Part C) that provide all of the Original
Medicare benefits for doctors and hospital
coverage (Parts A and B) combined with
prescription drug coverage (Part D) – plus
additional benefits not covered by Medicare!
CareSource Advantage®
(HMO)
CareSource Advantage® Zero Premium (HMO)
We're here to help you find the plan that suits
your health needs and your budget.
$0 Premium plan available
$0 Copay for preventive services
such as yearly wellness visits,
mammograms, vaccines, dental
exams and more
Rx Copays as low as $0
Hearing coverage
including hearing aids
$0 copay for glasses or contacts
No extra cost Silver&Fit®
program
includes gym membership or home
fitness kits
׉	 7cassandra://Xjgyce8AiocWqC72wmefmTi_d2uIUaavl4i9KQXjjZ0`r ^ 7R_׉ECareSource Medicare Advantage with
Prescription Drug plans are available
in Adams, Auglaize, Brown, Butler,
Champaign, Clark, Clermont, Clinton,
Columbiana, Coshocton, Crawford,
Cuyahoga, Delaware, Fairfield, Fayette,
Franklin, Fulton, Geauga, Greene,
Hamilton, Hardin, Harrison, Henry,
Highland, Hocking, Holmes, Lake, Logan,
Lorain, Lucas, Madison, Mahoning,
Medina, Mercer, Montgomery, Morrow,
Ottawa, Perry, Pickaway, Portage, Preble,
Putnam, Shelby, Summit, Trumbull, Union,
Vinton, Warren and Wood counties.
To learn more about the Medicare
Advantage plans and benefits
CareSource offers:
CALL: 1-844-607-2830 (TTY: 711)
8 a.m. – 8 p.m. seven days a week
from Oct. 1 – Mar. 31 and Monday
through Friday the rest of the year.
VISIT: CareSource.com/Medicare
MEDICARE ADVANTAGE
׉	 7cassandra://5yMM5nb4S5m_KMpfMnAbflXP1ohjonhpvo_RsSOG4vwg`r ^ 7R`^ 7R_8בCט   8u׉׉	 7cassandra://zM_-H7j9wbbNTeNFSqufe7DEDE7VpFNaPocSqwC5pf0 g`
&׉	 7cassandra://vR0xUs5_6JhwtPlzgIfUeTWR9IJiBHT7IAf_K_uQxQA\<`׉	 7cassandra://RD7mJ6su761SsGDrrSrt1DzNtl2YY8Q_3ZLbxBe4K2g`r ׉	 7cassandra://7lLPFsu_UtbXtbWDxvLFcJLhhQlLMfuFaLq3v13SD8YͿ͠^!7R|ט  8u׉׉	 7cassandra://KGk8ISMGMF55eCNBiZ4se_WLzKhu9IB7oU2_9Z4mdCQ `
&׉	 7cassandra://7NRwUVv5yRpvUolmRI-zXrmf8Qmu7MMpsvD6NKE5D0MO`׉	 7cassandra://baa0DQ_tRHuzEpkcBBifXIEbwfRmnt4_JDFZUIpmiPo8`r ׉	 7cassandra://6suIliiFBuEYOhunWNMsqezR0EIzw8zoA1rpgSBpYb0 (:͠^!7R}נ^!7R Mځ9ׁHhttp://CareSource.com/DSNPׁׁЈ׉ECARESOURCE
DUAL
ADVANTAGE™
(HMO SNP)
CareSource offers a Medicare Advantage
plan just for those who qualify for Medicare
Parts A & B and full Medicaid benefits
(QMB, QMB+ and Full Benefit Dual Eligible).
It’s called CareSource Dual Advantage.
CareSource Dual Advantage covers all
Original Medicare-covered services like
doctor, hospital, emergency and preventive
services, but also includes great extras –
all at no cost to you!
$100 quarterly over-the-counter (OTC)
pharmacy allowance
Preventive dental care + $1,500
allowance for comprehensive dental
care including inlays, outlays and crowns
60 one-way trips to medical
appointments
2 meals per day for 2 weeks after a
hospital stay
$250 allowance for glasses or contacts
Routine hearing test and one hearing
aid per ear per year ($1000 max per ear)
Fitness benefit with access for you and
a caregiver to local participating fitness
centers or YMCAs OR your choice of
home fitness kits
׉	 7cassandra://RD7mJ6su761SsGDrrSrt1DzNtl2YY8Q_3ZLbxBe4K2g`r ^ 7Ra׉ECareSource Dual Advantage is available
in Adams, Butler, Champaign, Clark,
Clermont, Clinton, Coshocton, Crawford,
Cuyahoga, Delaware, Fairfield, Fayette,
Franklin, Fulton, Geauga, Greene,
Hamilton, Hardin, Harrison, Highland,
Hocking, Holmes, Lake, Logan, Lorain,
Lucas, Madison, Medina, Montgomery,
Morrow, Ottawa, Perry, Pickaway, Portage,
Preble, Shelby, Summit, Vinton, Warren
and Wood counties.
To learn more about the Medicare
Advantage plans and benefits
CareSource offers:
CALL: 1-844-803-6207 (TTY: 711)
8 a.m. – 8 p.m. seven days a week
from Oct. 1 – Mar. 31 and Monday
through Friday the rest of the year.
VISIT: CareSource.com/DSNP
Y0119_OHMA-M-0469_M: Accepted
CARESOURCE DUAL ADVANTAGE
׉	 7cassandra://baa0DQ_tRHuzEpkcBBifXIEbwfRmnt4_JDFZUIpmiPo8`r ^ 7Rb^ 7Ra8בCט   8u׉׉	 7cassandra://iNldpSqrEkO-s0iclC_NRanAj6K80-qL5NRiSQGagXE Y`
&׉	 7cassandra://Hh4S_NGCVg6v685gOfvN67U9-hg3R0bOsxnMgCinXbg6`׉	 7cassandra://U_I-CXUFVo_Bqix6JibRqkOs_loXN3GMeYna1oiB3ok`r ׉	 7cassandra://K1JOLv0WpM_V-iI3pANiJahiFb1zN0R_Vzhq1Ez2mtI 
i ͠^!7Rט  8u׉׉	 7cassandra://CKmZrrHPBTcUUxSKfnOpTcAMewAvEF57yJ3DWTqXslc u`
&׉	 7cassandra://NT3JII0ugVCKgXFs48oc2W534MUukzRnqr8JokWZwLk:`׉	 7cassandra://XeBhfZkHX9Ho_x7D6zpJ7FVNU-L_tOwbV9-h7jj62eA`r ׉	 7cassandra://GZ_rRrnichA7fv1_CSP1_BT4l_Pv1ZHqLvhmYGJM5Yg ~͠^!7R׉Eof CARE
A Lifetime
׉	 7cassandra://U_I-CXUFVo_Bqix6JibRqkOs_loXN3GMeYna1oiB3ok`r ^ 7Rc׉E׉	 7cassandra://XeBhfZkHX9Ho_x7D6zpJ7FVNU-L_tOwbV9-h7jj62eA`r ^ 7Rd^ 7Rc8בCט   8u׉׉	 7cassandra://5XoOEOCIvKiz11O7V20QX3r2R0aKrBCjZbLYehsQ4Kg H`
&׉	 7cassandra://rWTYLrkItYPEf4qk19MBa8cM16tu5pm2FoMSGPsqmCs.`׉	 7cassandra://UoDjn15INwgBk92pwzLKZ1nHiErPrdwm36XNO-v474oO`r ׉	 7cassandra://SqjAQB1lJi-_LAyQy-jkcsD79nKfQlO-Y0HXUqGj6lwo ͠^!7Rט  8u׉׉	 7cassandra://y98L-m6mVI22UqijgkalzcbYsHMvuWlLgB9sOj99y2M ` 
&׉	 7cassandra://X2yvKTMEc-kEE5u-8TdQK_bOOPPFOW75HZUWKABT5Bw.`׉	 7cassandra://xCy7ki1u9lv7RZni4CjmhqEbxZ7NoNsZt9HeKOAdYE0`r ׉	 7cassandra://xNsY5gmIHTjrov_RyU5fTSCNC8j0v2Lqzk7CFbw4vq0<p͠^!7R׉EExclusions and limitations apply. Covered services and
benefits may change and vary by product and plan. Only
eligible individuals may qualify for enrollment in certain
plans, products and programs. CareSource’s provider
network may change and varies by product and plan.
* Based on members enrolled in all CareSource product
lines across all service areas as of December 19, 2019.
CareSource complies with applicable state and federal
civil rights laws and does not discriminate on the basis
of age, gender, gender identity, color, race, disability,
national origin, marital status, sexual preference, religious
affiliation, health status or public assistance status.
Medicaid
ATTENTION: If you speak English, language assistance
services, free of charge, are available to you. Call
1-800-488-0134 (TTY: 711).
ATENCIÓN: Si habla español, tiene a su disposición
servicios gratuitos de asistencia lingüística. Llame al
1-800-488-0134 (TTY: 711).
注意：如果您使用繁體中文，您可以免費獲得語
言援助服務 。請致電 1-800-488-0134 (TTY: 711).
Marketplace
Si usted o alguien a quien ayuda tienen preguntas sobre
CareSource, tiene derecho a recibir esta información y
ayuda en su propio idioma sin costo. Para hablar con un
intérprete, llame al 1-800-479-9502. (TTY: 711)
如果您或者您在帮助的人对 CareSource 存有疑
问，您有权 免费获得以您的语言提供的帮助和信
息。 如果您需要与一 位翻译交谈，请致电
1-800-479-9502. (TTY: 711)
Medicare Advantage
CareSource is an HMO with a Medicare contract.
Enrollment in CareSoure depends on contract renewal.
Si usted o alguien a quien ayuda tienen preguntas sobre
CareSource, tiene derecho a recibir esta información y
ayuda en su propio idioma sin costo. Para hablar con un
intérprete, Por favor, llame al número de Servicios para
Afiliados que figura en su tarjeta de identificación.
如果您或者您在帮助的人对 CareSource 存有疑
问，您有权 免费获得以您的语言提供的帮助和信
息。 如果您需要与一 位翻译交谈，请拨打您的会
员 ID 卡上的会员服务电话号码。
© 2020 CareSource.
All Rights Reserved.
T-1000
׉	 7cassandra://UoDjn15INwgBk92pwzLKZ1nHiErPrdwm36XNO-v474oO`r ^ 7Re׉EQI would like to learn more about the following plan:
YES! I want information on CareSource. There is no charge to send this back to us.
MEDICARE ADVANTAGE
First Name
Address
City
Phone
OTHER
Last Name
County
State Zip Code
Email
I grant permission for a licensed sales agent to contact me.
By returning this card, you authorize a CareSource associate/contracted agent to call you now or during
the next enrollment period when benefit information is available. Providing your phone number means
you agree to receive telemarketing calls from us using an automatic or prerecorded dialing system.
׉	 7cassandra://xCy7ki1u9lv7RZni4CjmhqEbxZ7NoNsZt9HeKOAdYE0`r ^ 7Rf^ 7Re8בCט   8u׉׉	 7cassandra://TrPEB05vhwo8RPsciR0O-KxaH50jlgFPVcbmfgoDO1U ` 
&׉	 7cassandra://U5PcK8_52KvVoYXMlp5X4nHePMosWMMdu1UZHr_D-b0'Y`׉	 7cassandra://9GD3_w_E4WhUM-Mv342D7q8ZN7-S42158PvyRbv_Tgou`r ׉	 7cassandra://f5LVW5NkyswWy8OosIfj0yUn4f9uegnD8_OS8DsHPg40͠^"7R׉E:C
BUSINESS REPLY MAIL
POSTAGE WILL BE PAID BY ADDRESSEE
FIRST-CLASS MAIL
PERMIT NO. 817
ATTN: CARESOURCE ADVANTAGE
CARESOURCE
PO BOX 8738
DAYTON OH 45482-0459
DTAFTTDDTFDFDTTTFTAAFTATFATTFDATTFDDTFTDAFATDTAFFDFATAFFTAAADFFDD
TTN: CARESOURCE OHIO SALES
DAYTON OH
NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES
׉	 7cassandra://9GD3_w_E4WhUM-Mv342D7q8ZN7-S42158PvyRbv_Tgou`r ^ 7Rg׈E^ 7Rh^ 7Rg8,Family of Plans PDF This brochure is some information on how to receive insurance.  There are so many individuals out of work.  Please feel free to reach out if there is anything I can do to support, or if you have questions. 

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