Procareadvantageplan.com

Medication Therapy Management Program

WebIf you take many medications for more than one chronic health condition contact your drug plan to see if you’re eligible for MTM, or for more information, please contact customer …

Actived: 3 days ago

URL: https://procareadvantageplan.com/for-members/medication-therapy-management-program/

Join Our Network

WebWe provide our members with exceptional benefits and an abundance of attention, and we believe ProCare Advantage providers deserve the same. Want to learn more about …

Category: Health Go Health

Prescription Drug Transition Policy

WebThe transition policy cannot be used to purchase a non-Part D drug or drug out-of-network. If you have any questions about our transition policy, please call the ProCare Advantage …

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Cancel My Enrollment

WebIf you are leaving our plan, you must continue to get your medical care through our plan until your Membership ends. Please complete the following to disenroll: Request a …

Category: Medical Go Health

2024 Model of Care Training

WebMember/Member Representatives and providers can file an appeal within the allowed CMS timeframe which is 60 days from date of denial. • Members/member …

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Out-of-Network Coverage

WebThe plan covers emergency care or urgently needed care that you get from an out- of-network provider. For more information about this, and to learn what emergency or …

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Organization Determination

WebAn organization determination (OD) is a decision made by the Medicare Health Plan regarding: Receipt of, or payment for, managed care item or service; The amount a Plan …

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2023 ProCare Advantage Provider Manual

WebThe Provider Manual is customarily updated annually but may be updated more frequently as policies or regulatory requirements change. Providers can access the most current …

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COVID-19 Announcement

WebBeginning January 1, 2022, all Medicare Advantage Organizations are to pay for the COVID-19 vaccine and its administration without cost sharing. What This Means for You: Claims …

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