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Summary of Benefits Documents

Prescription (Rx) and Pharmacy Documents

2020 CarePartners of Connecticut Step Therapy Prior Authorization Medical Necessity Guidelines

This document details drugs that may require prior authorization or Step Therapy to be covered by CarePartners of Connecticut HMO plans. Prior Authorization means that your doctor, or prescriber, must first show that you have a medically necessary need for the drug before CarePartners of Connecticut will cover the drug cost. Step Therapy is a type of prior authorization that in most cases requires a less expensive drug, that has been proven effective for your condition, is prescribed before moving up a "step" to a more expensive drug.

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Appeals and Grievances Documents

Plan Rating Documents

Provider Directories

Evidence of Coverage Documents

Annual Notice of Change

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