Procareadvantageplan.com

IPD Directory and Instructions

WebHow do you find ProCare Advantage providers that serve your area? Step 1: Select your state to view in-network providers. Step 2: Select the type of provider you are …

Actived: 2 days ago

URL: https://procareadvantageplan.com/directory-preamble/

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 …

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About the EZ-NET provider Portal

WebEZ NET Provider Portal offers Providers secure, web-based access to health care information, including claims, eligibility, and benefits. And, its secure method protects the …

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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 …

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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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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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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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Coverage Determination

WebA coverage determination is a decision made by our plan (not the pharmacy) about your prescription drug benefits, including: Whether a drug is covered. Whether you have met …

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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 …

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