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HMO
Summary of Benefits Documents
2023 CarePartners of Connecticut HMO Plans Summary of Benefits
This document provides a summary of the coverage and costs associated with CarePartners of Connecticut HMO plans. Last Updated 12/16/2022.
View Document called 2023 CarePartners of Connecticut HMO Plans Summary of BenefitsPrescription (Rx) and Pharmacy Documents
2023 CarePartners of Connecticut HMO Plans Formulary (List of Covered Drugs)
This document is a comprehensive formulary containing the prescription drugs covered by CarePartners of Connecticut individual HMO plans. Last Updated 01/01/2023.
View Document called 2023 CarePartners of Connecticut HMO Plans Formulary (List of Covered Drugs)2023 CarePartners of Connecticut Prior Authorization Medical Necessity Guidelines HMO
This document details the CarePartners of Connecticut Medical Necessity Guidelines. These guidelines are used by CarePartners of Connecticut to determine medical necessity and appropriateness of health care services for the purpose of determining coverage under the applicable health benefit plan. Last Updated 01/01/2023.
View Document called 2023 CarePartners of Connecticut Prior Authorization Medical Necessity Guidelines HMO2023 CarePartners of Connecticut Step Therapy Prior Authorization Medical Necessity Guidelines HMO
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. Last Updated 01/01/2023.
View Document called 2023 CarePartners of Connecticut Step Therapy Prior Authorization Medical Necessity Guidelines HMOCarePartners of Connecticut Transition Plan Process
This document details what to do if your current prescription drugs are not included in the CarePartners of Connecticut HMO formulary, or drug list, or are restricted in some way.
View Document called CarePartners of Connecticut Transition Plan ProcessPart D Late Enrollment Penalty (LEP) Right to Review Reconsideration Notice
This document allows you to learn about your right to ask Medicare to review your Medicare Part D late enrollment penalty.
View Document called Part D Late Enrollment Penalty (LEP) Right to Review Reconsideration NoticeLegal Documents
2023 Multi-language Interpreter Services CarePartners
We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at the number included in this document. Someone who speaks your language can help you. This is a free service. Last Updated 10/01/2022.
View Document called 2023 Multi-language Interpreter Services CarePartnersNotice of Non-Discrimination
CarePartners of Connecticut complies with applicable Federal civil rights laws and does not discriminate on the basiss of race, color, national origin, age, disability or sex.
View Document called Notice of Non-DiscriminationNotice of Privacy Practices
This notice describes how health information about you may be used and disclosed, and how you can get access to this information.
View Document called Notice of Privacy PracticesAppeals and Grievances Documents
CarePartners of Connecticut HMO Appeals and Grievances Document
This document explains how to submit a complaint to CarePartners of Connecticut in the form of an appeal or grievance.
View Document called CarePartners of Connecticut HMO Appeals and Grievances DocumentFraud, Waste & Abuse
The document provides details around how CarePartners of Connecticut members can contact the CarePartners of Connecticut Fraud Hotline with questions, concerns and/or complaints related to possible wasteful, fraudulent, or abusive activity.
View Document called Fraud, Waste & AbusePlan Rating Documents
2023 CarePartners of Connecticut CareAdvantage HMO Medicare Star Ratings
This document details the Star Rating given to CarePartners of Connecticut CareAdvantage HMO plans. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. For more information on plan ratings, go to www.medicare.gov. Last Updated 10/12/2022.
View Document called 2023 CarePartners of Connecticut CareAdvantage HMO Medicare Star RatingsProvider Directories
2023 CarePartners of Connecticut Behavior Health Facility Directory
This directory provides a list of behavior health facilities in the CarePartners of Connecticut network. Last Updated 01/17/2023.
View Document called 2023 CarePartners of Connecticut Behavior Health Facility Directory2023 CarePartners of Connecticut HMO Provider and Pharmacy Directory
This directory provides a list of providers and pharmacies in the CarePartners of Connecticut network.
View Document called 2023 CarePartners of Connecticut HMO Provider and Pharmacy DirectoryEvidence of Coverage Documents
2023 Evidence of Coverage | CarePartners of Connecticut CareAdvantage Preferred HMO
This document provides detailed coverage for the CarePartners of Connecticut CareAdvantage Preferred HMO plan. This information covers the 2023 calendar year, from January 1, 2023 through December 31, 2023.
View Document called 2023 Evidence of Coverage | CarePartners of Connecticut CareAdvantage Preferred HMO2023 Evidence of Coverage | CarePartners of Connecticut CareAdvantage Prime HMO
This document provides detailed coverage for the CarePartners of Connecticut CareAdvantage Prime HMO plan. This information covers the 2023 calendar year, from January 1, 2023 through December 31, 2023.
View Document called 2023 Evidence of Coverage | CarePartners of Connecticut CareAdvantage Prime HMOAnnual Notice of Change
2023 Annual Notice of Change | CarePartners of Connecticut CareAdvantage Preferred HMO
This document provides detailed coverage for the CarePartners of Connecticut CareAdvantage Preferred HMO plan. This information covers the 2023 calendar year, from January 1, 2023 through December 31, 2023. Last Updated 10/01/2022.
View Document called 2023 Annual Notice of Change | CarePartners of Connecticut CareAdvantage Preferred HMO2023 Annual Notice of Change | CarePartners of Connecticut CareAdvantage Prime HMO
This document provides detailed coverage for the CarePartners of Connecticut CareAdvantage Prime HMO plan. This information covers the 2023 calendar year, from January 1, 2023 through December 31, 2023. Last Updated 10/01/2022.
View Document called 2023 Annual Notice of Change | CarePartners of Connecticut CareAdvantage Prime HMOPPO
Summary of Benefits Documents
2023 CarePartners of Connecticut PPO Plans Summary of Benefits
This document provides a summary of the coverage and costs associated with CarePartners of Connecticut PPO plans. Last Updated 12/16/2022.
View Document called 2023 CarePartners of Connecticut PPO Plans Summary of BenefitsPrescription (Rx) and Pharmacy Documents
2023 CarePartners of Connecticut PPO Plans Formulary (List of Covered Drugs)
This document is a comprehensive formulary containing the prescription drugs covered by CarePartners of Connecticut individual HMO plans. Last Updated 01/01/2023.
View Document called 2023 CarePartners of Connecticut PPO Plans Formulary (List of Covered Drugs)2023 CarePartners of Connecticut Prior Authorization Medical Necessity Guidelines PPO
This document details the CarePartners of Connecticut Medical Necessity Guidelines. These guidelines are used by CarePartners of Connecticut to determine medical necessity and appropriateness of health care services for the purpose of determining coverage under the applicable health benefit plan. Last Updated 01/01/2023.
View Document called 2023 CarePartners of Connecticut Prior Authorization Medical Necessity Guidelines PPO2023 CarePartners of Connecticut Step Therapy Prior Authorization Medical Necessity Guidelines PPO
This document details drugs that may require prior authorization or Step Therapy to be covered by CarePartners of Connecticut PPO 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. Last Updated 01/01/2023.
View Document called 2023 CarePartners of Connecticut Step Therapy Prior Authorization Medical Necessity Guidelines PPOCarePartners of Connecticut Transition Plan Process
This document details what to do if your current prescription drugs are not included in the CarePartners of Connecticut HMO formulary, or drug list, or are restricted in some way.
View Document called CarePartners of Connecticut Transition Plan ProcessPart D Late Enrollment Penalty (LEP) Right to Review Reconsideration Notice
This document allows you to learn about your right to ask Medicare to review your Medicare Part D late enrollment penalty.
View Document called Part D Late Enrollment Penalty (LEP) Right to Review Reconsideration NoticeLegal Documents
2023 Multi-language Interpreter Services CarePartners
We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at the number included in this document. Someone who speaks your language can help you. This is a free service. Last Updated 10/01/2022.
View Document called 2023 Multi-language Interpreter Services CarePartnersNotice of Non-Discrimination
CarePartners of Connecticut complies with applicable Federal civil rights laws and does not discriminate on the basiss of race, color, national origin, age, disability or sex.
View Document called Notice of Non-DiscriminationNotice of Privacy Practices
This notice describes how health information about you may be used and disclosed, and how you can get access to this information.
View Document called Notice of Privacy PracticesAppeals and Grievances Documents
CarePartners of Connecticut HMO Appeals and Grievances Document
This document explains how to submit a complaint to CarePartners of Connecticut in the form of an appeal or grievance.
View Document called CarePartners of Connecticut HMO Appeals and Grievances DocumentFraud, Waste & Abuse
The document provides details around how CarePartners of Connecticut members can contact the CarePartners of Connecticut Fraud Hotline with questions, concerns and/or complaints related to possible wasteful, fraudulent, or abusive activity.
View Document called Fraud, Waste & AbusePlan Rating Documents
2023 CarePartners of Connecticut CareAdvantage PPO Medicare Star Ratings
This document details the Star Rating given to CarePartners of Connecticut CareAdvantage PPO plans. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. For more information on plan ratings, go to www.medicare.gov. Last Updated 10/12/2022.
View Document called 2023 CarePartners of Connecticut CareAdvantage PPO Medicare Star RatingsProvider Directories
2023 CarePartners of Connecticut Behavior Health Facility Directory
This directory provides a list of behavior health facilities in the CarePartners of Connecticut network. Last Updated 01/17/2023.
View Document called 2023 CarePartners of Connecticut Behavior Health Facility Directory2023 CarePartners of Connecticut PPO Provider and Pharmacy Directory
This directory provides a list of providers and pharmacies in the CarePartners of Connecticut network.
View Document called 2023 CarePartners of Connecticut PPO Provider and Pharmacy DirectoryEvidence of Coverage Documents
2023 Evidence of Coverage | CarePartners of Connecticut Carepartners Access PPO
This document provides detailed coverage for the CarePartners of Connecticut CarePartners Access PPO plan. This information covers the 2023 calendar year, from January 1, 2023 through December 31, 2023.
View Document called 2023 Evidence of Coverage | CarePartners of Connecticut Carepartners Access PPOAnnual Notice of Change
2023 Annual Notice of Change | CarePartners of Connecticut CarePartners Access PPO
This document provides detailed coverage for the CarePartners of Connecticut CareAdvantage Access PPO plan. This information covers the 2023 calendar year, from January 1, 2023 through December 31, 2023. Last Updated 10/01/2022.
View Document called 2023 Annual Notice of Change | CarePartners of Connecticut CarePartners Access PPO