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Carrier Text ID Card Letter - 12 - 10 - 2020

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Julie Jenkins
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174 views2 pages

Carrier Text ID Card Letter - 12 - 10 - 2020

?

Uploaded by

Julie Jenkins
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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56985416

PO BOX 28
PO Box 8738

Julie M Jenkins
Dayton, Ohio 45401-8738

BROOKVILLE, OH 45309-0028
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j_crUu`)9€]„Š9$fYNa~Šˆ#-1†i-9<s5f
W([Œ‹LS„#„OW(ˆ4;‹pCpKLcTc`ƒ€_Ts,ƒl;
z70Ai5A/^5d[/UN„f-Cƒ~WFDWF6H1+g…Rf
Ag'Šr;YMf zJi6ˆ)S;K{4SCŠ/…4z#{;„O];

Marketplace Low Deductible


Silver 3
Member: Dependents: OH 2021
Julie M Jenkins
Member ID
109751571-00
Health Plan
77552OH001020506
Payer ID: 31114

 $0  5%*
 $15   $25
MISC-OH(2021) *after deductible

Marketplace Low Deductible


Silver 3
Member: Dependents: OH 2021
Julie M Jenkins
Member ID
109751571-00
Health Plan
77552OH001020506
Payer ID: 31114
 $0  5%*
 $15   $25
MISC-OH(2021) *after deductible
MyCareSource.com to sign up or log in. Now you can access

Download the app to your iPhone® or Android® phone to have


pay your premiums online? You can do this and more through
Want to choose your doctor? Need another ID card? Want to

your My CareSource account, pay your premium, talk with a

Don't forget to update your existing My CareSource account


Attached is your new or replacement CareSource ID card.

Nurse, and much more with the CareSource mobile app.


My CareSource®, your personal online account. Go to

your plan information wherever you go.

with your new member ID number.

AM-EXCM-0653a

CareSource.com/marketplace
‘’“”•–—˜™•™š›”•œš•žŸ—˜—œ››•–š ›˜—ž›¡•‘š• ›˜“¢£•¤›œ›¥”¦• “›§•–¨—“©”¦•š˜•¥œ™•
—••ª˜š “™›˜¦• “”“•’›•§›¤”“›•š˜•–—¨¨•«›©¤›˜•¬›˜ “–›”¡
Member Services: 1-800-479-9502
CareSource24® Nurse Advice Line: 1-866-206-4240
TTY Service for Hearing Impaired: 1-800-750-0750 or 711
NUMBERS
MEMBER

Dental (Ped Only) DentaQuest 1-855-388-6252


Vision (Ped Only) EyeMed 1-833-337-3129
Hearing TruHearing 1-866-202-2561
PROVIDER

Provider Services: 1-800-488-0134 | ESI: 1-800-419-5609


INFO

RXBin: 003858 | RxPCN: A4 | RxGrp: RXINN04


Medical Claims: P.O. Box 8730, Dayton, OH 45401-8730
Coverage provided through the Health Insurance Marketplace by CareSource Ohio, Inc.
CareSource.com/marketplace
‘’“”•–—˜™•™š›”•œš•žŸ—˜—œ››•–š ›˜—ž›¡•‘š• ›˜“¢£•¤›œ›¥”¦• “›§•–¨—“©”¦•š˜•¥œ™•
—••ª˜š “™›˜¦• “”“•’›•§›¤”“›•š˜•–—¨¨•«›©¤›˜•¬›˜ “–›”¡
Member Services: 1-800-479-9502
CareSource24® Nurse Advice Line: 1-866-206-4240
NUMBERS
MEMBER

TTY Service for Hearing Impaired: 1-800-750-0750 or 711


Dental (Ped Only) DentaQuest 1-855-388-6252
Vision (Ped Only) EyeMed 1-833-337-3129
Hearing TruHearing 1-866-202-2561
PROVIDER Provider Services: 1-800-488-0134 | ESI: 1-800-419-5609
INFO
RXBin: 003858 | RxPCN: A4 | RxGrp: RXINN04
Medical Claims: P.O. Box 8730, Dayton, OH 45401-8730
Coverage provided through the Health Insurance Marketplace by CareSource Ohio, Inc.
56985416

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