Care N’ Care wants to provide you with thorough coverage and satisfactory service in all aspects of your medical and prescription drug coverage. This page outlines your rights and various procedures to help you make different kinds of requests.
As a member of Care N’ Care, you have the right to submit Part C organization determinations, appeals and/or grievances as needed. You can learn more about how and why to submit an organization determination, appeal and/or grievance by viewing the Care N’ Care evidence of coverage applicable to your health plan or by viewing the content on the respective pages.
Members who wish to end their enrollment in a Care N’ Care health plan may only end their membership during certain times of the year, known as enrollment periods. All members have the opportunity to leave the plan during the Annual Enrollment Period and during the annual Medicare Open Enrollment Period. In certain situations, you may also be eligible to leave the plan at other times of the year.
If you have any questions or would like more information on when you can end your membership, call your Customer Experience Team toll-free at 1-877-374-7993 (TTY 711), October 1 – March 31, 8 a.m. – 8 p.m., (CST) seven days a week or April 1 – September 30, 8 a.m. – 8 p.m. (CST), Monday through Friday.
For more information about disenrolling, view the Care N’ Care evidence of coverage applicable to your health plan.
If you have a complaint, we encourage you to call your Customer Experience Team. You may also contact Medicare.
If you disenroll during a Special Election Period and will be changing to Original Medicare you might have a special temporary right to buy a Medigap policy, also known as Medicare supplement insurance, even if you have health problems. For example, of you are age 65 or older and you enrolled in Medicare Part B within the past 6 months or if you move out of the service area, you may have this special right. Federal law requires the protections described above. Your State may have laws that provide more Medigap protections. If you have questions about Medigap or Medigap rights in your State, you should contact your State Health Insurance Program, Health Information, Counseling, and Advocacy Program (HICAP) at 1-800-252-9240. You can also call 1-800-MEDICARE (1-800-633-4227) anytime, 24 hours a day, 7 days a week for more information. TTY users should call 1-877-486-2048.
Care N’ Care materials are available in Spanish or other alternative formats. To request materials in other formats or learn more, call toll-free at 1-800-994-1076 (TTY 711) October 1– March 31, 8 a.m. – 8 p.m., (CST) seven days a week or April 1 – September 30, 8 a.m. – 8 p.m. (CST), Monday through Friday.
Policies & Procedures
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Automatic Bank Draft Form: English or Español
Direct Member Reimbursement Request: English or Español
Vision Out-of-Network Claim Form: English
DentaQuest Dental Out-of-Network Claim Form: English
Appointment of Representative: English or English- Large Print or Español or Español – Letra Grande
Disenrollment Form: English or Español
Care N’ Care Insurance Company has an update for our providers regarding the recent cyber security incident impacting Change Healthcare.
Care N’ Care is currently receiving electronic claims through the clearinghouse, Availity.
If providers are interested in signing up with Availity for electronic claims submission, Availity has created the Availity Essentials product to help providers get started.
Providers first need to register for Availity’s portal (see link below).
Availity Essentials Portal Registration
If providers should have questions, Availity has created a helpful training site related to the registration process (see link below).
Register and Get Started with Availity Essentials – Overview
Availity has also created Availity Lifeline, a self-service resource for any providers interested in registering on and transacting with Availity Essentials (see link below).
After registering for the portal, the next step will be to register for electronic remittance advices (ERAs) and enroll for electronic funds transfers (EFTs).
Providers will need a bank letter or voided check to submit their enrollment for EFTs. This check validation piece also helps with the overall validation process.
Care N’ Care strongly encourages providers to enroll with Availity for EFTs as only providers enrolled with Availity for EFTs will be able to receive electronic payments from Care N’ Care in the future.
Providers who are not enrolled with Availity for EFTs will receive paper checks as payment for claims.
Care N’ Care intends to maintain both Availity and Change Healthcare as clearinghouses for receipt of electronic claims going forward to increase the resiliency of our claims processing.
Our payer ID number for EDI claims submissions with both clearinghouses remains 66010.
Care N’ Care’s focus is on continuing to service our members and providers as we seek to minimize any disruptions.
We will continue to monitor the situation and provide updates as they become available.
Should you have any questions, please contact our Provider Claims Team at 844-806-8216.
—Last revised 4/10/2024
Call 1-833-492-9866 (TTY:711)
Customer service representatives are available Monday – Friday 7 a.m. – 6 p.m. CST, to assist you.
Please visit athome.medline.com/cnc to place your order.
To download a copy of the OTC Catalog, go to:
llame al 1-833-492-9866 (TTY:711)
Los representantes de servicio al cliente están disponibles de lunes a viernes de 7 a.m. a 6 p.m. CST para ayudarlo.
Visite athome.medline.com/es/cnc para realizar su pedido.
Para descargar una copia del Catálogo OTC, vaya a:
Need a copy of your plan material? Would you like an electronic copy emailed to you or a printed copy mailed to your home? Complete the form below to let us know and we will make sure you receive as requested!
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Care N’ Community has partnered with several Tarrant County YMCAs to jointly offer a host of weekly programs designed to increase independence, reduce isolation and encourage healthy living of local-area seniors.
The programs – open to all seniors in the area – vary greatly from week to week, depending on the needs and wants of the participants. Some programs stress physical activity, such as water aerobics; some are strictly social, such as adult coloring classes or organized breakfast and lunch groups; and some are educational, such as safety tips from local police or healthcare tips from local doctors and nurses.
Currently, Care N’ Community offers programming at the following YMCA locations:
Call one of our Local Medicare Guides today at 1-800-994-0217 (TTY 711).
They are available 8am to 8pm, CST seven days a week from October 1 – March 31, or 8am to 8pm, CST, Monday through Friday, April 1 – September 30 to help with any questions you may have.
Email: yourteam@cnchealthplan.com
Call: 1-877-374-7993 (TTY 711)
October 1 – March 31, 8 am – 8 pm, (CST) seven days a week or April 1 – September 30, 8 am – 8 pm (CST), Monday through Friday.
Mail: Care N’ Care Insurance Company, Inc.
Attn: Customer Experience Team
1603 Lyndon B. Johnson Freeway, Suite 300
Farmers Branch, TX 75234
By Email: providerconcierge@cnchealthplan.com
By Phone: 817-687-4004
Members automatically receive a copy mailed to your home. If you would prefer to receive electronically and save paper – Sign-up today! Just complete the form below and we will add you to our eNewsletter that is delivered by email, every quarter. It is the same newsletter that is mailed to members homes.
It’s your choice! Email, Text Messages, U.S. Mail or some of each?
In an effort to reduce paper and deliver communication to our members, we offer plan material and communications electronically to our members. If you choose, we will securely send plan materials to your email address instead of your mailbox. It’s easy and will help us reduce our carbon footprint by limiting the materials we print.
The email electronic option does not apply to all mailings sent to you from Care N’ Care. To protect your personal health information, we will continue to send personal health information to you by U.S. Postal Service.
Make your choice by completing the form below or contacting your Customer Experience Team to assist you.
Pending Approval
Thank you for your interest in becoming part of the Care N’ Care provider network. Please complete the online contract request form. Provider selection is based on numerous factors.
Members may pay their monthly premium online using PayPal. PayPal allows you to make payments using a variety of methods including:
Lost or damaged Care N’ Care member identification card? Complete the online form below to request a replacement card.
To make a change to your primary care physician on your ID card, please contact your Customer Experience Team at 1-877-374-7993 (TTY 711) or email yourteam@cnchealthplan.com
Play a role in the evolution of our growing senior communities while you expand your social circle, refresh those workplace skills you spent so long developing, or just enjoy the satisfaction that comes with being a community volunteer. Volunteers can be of any age! There are a variety of opportunities for volunteers seeking tasks that are detail-oriented, focused, offer flexibility, and critical to the community.
Our mission that Care N’ Community, will work hand-in-hand with the areas in which we serve to create an intergenerational support system that fosters and promotes well-being, empowerment and independence for safe and vibrant aging.
Our vision is to engage the community in such a way that we all prosper and do not age alone.
Care N’ Community is looking for strategic partnerships with local businesses and organizations who also have a vested interest in the success of the aging community as well. Care N’ Care is focusing on the link between strong communities, senior involvement, population health and encouraging our communities to become more involved and innovative in their efforts to work in concert. These partnerships offer educational, social and volunteer opportunities for everyone.
Transportation: Every once in a while seniors need a little assistance getting to medical appointments, social or cultural events, worship services, hairdresser or barbers, grocery stores and running errands. There are organizations in our community to assist seniors with these needs. Many seniors need assistance with errands such as grocery shopping, clothing and gift shopping, or picking up prescriptions.
Social Programs: Staying active in retirement is easy. With the senior social programs, there is always something fun and exciting going on in the area. Help host an outing or just attend. Active seniors will have the opportunity to attend outings such as going to lunch, attending fitness classes, cultural events, and entertainment or going to shopping destinations. There’s no one-size-fits all, there are a variety of activities available. Once a week, once a month, first Tuesday of the month whichever the case may be, we love social and like-minded gatherings. From a men’s breakfast group, to lunch bunches, book clubs, coffee groups, happy hours and small group studies there is an opportunity for everyone. Making new friends and escaping the isolation from home is always a treat.
Convenience Task & Handyman Services: Assistance with light yard work, minor household organization and cleaning, pet care, plant care, minor household chores such as hard to reach light bulbs, hang pictures, check smoke alarms, moving outdoor furniture, and simple repairs. Neighbors helping neighbors at home. For home repairs that require a little more work or a skilled tradesman, Care N’ Community can refer seniors to organizations that have pre-screened vendors.
Contact:
Kelli Blackwelder, Community Engagement Manager
Phone: 1-844-656-7667
Email: social@carencommunity.com
Staying active in retirement is easy. With the senior social programs, there is always something fun and exciting going on in the area. Active seniors will have the opportunity to attend outings such as going to lunch, attending fitness classes, cultural events, and entertainment or going to shopping destinations. There’s no one-size-fits all, there are a variety of activities available. Once a week, once a month, first Tuesday of the month whichever the case may be, we love social and like-minded gatherings. From a men’s breakfast group, to lunch bunches, book clubs, coffee groups, happy hours and small group studies there is an opportunity for everyone. Making new friends and escaping the isolation from home is always a treat.
Contact:
Kelli Blackwelder, Community Engagement Manager
Phone: 1-844-656-7667
Email: social@carencommunity.com