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You are here: Home1 / Reporting Fraud

Reporting Fraud

Care N’ Care is committed to detecting and fighting healthcare fraud. Working with law enforcement when necessary, Care N’ Care evaluates all allegations of fraud, waste and abuse.

You can help us fight fraud by paying close attention to your medical and prescription drug benefits. Review every Explanation of Benefits (EOB) for accuracy. If you find a suspicious charge on your EOB or MSN, call your provider first. It could be a simple error that can be easily corrected. If you still suspect fraud after speaking with them, you can contact Care N’ Care at 1-877-374-7993 (TTY 711). Care N’ Care employees are trained in detecting fraud, waste and abuse and will evaluate your call and determine the appropriate course of action. To report healthcare fraud, waste, or abuse, call the Care N’ Care Compliance Hotline at 1-844-760-5838. Reports made through the compliance hotline can be made confidentially or anonymously, 24 hours a day, 7 days a week. To submit a written report, write to: Care N’ Care, Attn: Compliance Department, 1701 River Run, Suite 402, Fort Worth, TX 76107.

You can also contact the Office of the Inspector General Hotline; this provides a confidential means to report information.

Examples of potentially fraudulent activities

  • You did not receive a medication listed on your EOB.
  • You received a different drug than what is listed on your EOB.
  • You received a different quantity of drug than what is listed on your EOB.
  • Someone asked you to sell your member ID card.
  • Someone asked you to use your member ID card.
  • Someone offered you cash to purchase a prescription drug or to disenroll from your current plan.

Care N’ Care materials are available in other formats, call toll-free at 1-800-994-1076 (TTY 711) October 1– March 31, 8 am – 8 pm, (CST) seven days a week or April 1 – September 30, 8 am – 5 pm (CST), Monday through Friday.

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Page last updated: Jan 2, 2021

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Dental Health

Taking care of your health includes caring for your teeth, too.

At Care N’ Care, we believe your dental health can have a direct impact on your overall health and well-being and may have an influence on the development of certain conditions, such as diabetes and heart disease.

Care N’ Care’s (HMO/PPO) Plan helps meet most of your everyday dental needs.

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Contact your Provider Concierge by phone or email for assistance:

By Email: providerconcierge@cnchealthplan.com

By Phone: 817-687-4004

Contact your Customer Experience Team by phone, email or mail:

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
1701 River Run, Suite 402
Fort Worth, TX 76107

Interim CEO

Michael recently retired after 22 years as the President and CEO of Sentara Optima Health Plans, a $3-billion, 525,000-member multi-product health plan in Virginia, North Carolina and Ohio.

Prior to Sentara, Michael held a variety of local, regional and national leadership positions with Kaiser Permanente. His executive experience with health plans, medical groups and hospitals will be beneficial to our efforts to position Care N’ Care for the next level of success.

Michael holds a Master of Science Degree in Health Administration from the University of Colorado and his Bachelor of Arts Degree in English from Brigham Young University. He also completed the Executive Management Program at Stanford University.

Care N’ Share Newsletter

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.

Communication Preference

How do you want to hear from us?

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.

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    Pharmacy Alerts, Member Event Information, Reminders, Health & Wellness Tips. Standard text messaging rates apply.

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We value our certified agents & brokers and look forward to assisting you with any questions. Contact your Agent Concierge Team at 855-547-0345 or use the form below to send us an e-mail.

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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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Replace ID Card

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

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Drug Search

Shane Greene

Director of Clinical Pharmacy Services

As director of clinical pharmacy services, Shane Greene, Pharm. D. works to optimize the pharmacy benefits for all Care N’ Care members. His responsibilities include not only ensuring a compliant Medicare Part D pharmacy program but developing and managing innovative clinical programs that ensure safe and appropriate medication use by all plan members.

Dr. Greene brings to his position a wealth of pharmacy-related experience, having previously served as the director of clinical pharmacy services for North Texas Specialty Physicians as well as associate professor of pharmacy practice at the Texas Tech University Health Sciences Center’s School of Pharmacy. He has also worked in the retail pharmacy space, further complementing his broad understanding of the pharmacy-related issues of all consumers, especially seniors.

A frequently-published author and in demand speaker with a wealth of research credentials, Dr. Greene holds a doctor of pharmacy degree from the University of Texas at Austin and a bachelors’ degree in biomedical science from Texas A&M University. He is a past president of the Texas Society of Health System Pharmacists and is an active member of both the American Society of Health System Pharmacists as well as the American College of Clinical Pharmacy.

Nakia Smith

Director of Government Programs and Compliance

Nakia Smith is a senior-level health care management professional who brings to Care N’ Care more than 18 years of professional experience in regulatory compliance, health plan operations and Medicaid managed care auditing. In her role as director of government programs and compliance, Nakia is responsible for providing Medicare compliance oversight and ensuring accountability with CMS contractual requirements.

Prior to joining Care N’ Care, Nakia served as the compliance officer for Kaiser Permanente, the only five-star plan in the state of Georgia. Her full body of work spans both the for-profit and not-for-profit environments and also includes work with federal and state regulators. Throughout the years Nakia has strengthened her skills in medical management, program management and process re-engineering by leading numerous initiatives within quality, NCQA accreditation and health plan operations.

Nakia holds a master’s degree in business administration from Troy State University and a bachelor of science degree in health care management. She is an active member of the Health Care Compliance Association and is certified in Healthcare Compliance. Possessing a passion for service and community involvement, Nakia is a former board member of the Gwinnett County Coalition for Health and Human Services and is actively involved in the Council for Area Agency on Aging of Tarrant County.

Bridjit Campbell

Director of Health Plan Operations

As director of health plan operations for Care N’ Care, Bridjit Campbell oversees numerous components of the health plan’s operations including member services, eligibility and enrollment, business solutions and office management. She is also responsible for document management as it relates to enrollment and other select materials, website maintenance and security administration as well as managing Care N’ Care’s relationship with health plan vendors and delegates, partnering collaboratively to implement products that align with member needs and organizational goals.

Bridjit brings to her role a proven track record of successfully leading teams to high-performance results. She first joined Care N’ Care in 2014 as senior manager of the health plan’s unique Customer Experience Team program which provides each member with a personal concierge to serve as a single point of contact and help facilitate the member’s healthcare needs, such as scheduling appointments, helping with claims or billing, answering questions regarding prescriptions, and more. In 2017 she became the health plan’s senior manager of member services and provider support. In that role she collaborated on multiple task forces and committees including those having to do with quality, pharmacy and claims as well as serving on the Member Advisory Board and providing oversight of the Community Engagement Program.

A resident of Arlington, Bridjit began her career at North Texas Specialty Physicians in 2009 and served as an implementation and training specialist there until joining Care N’ Care.

Scott Hancock

Vice President of Sales and Operations

In his executive leadership position at Care N’ Care, Scott Hancock’s wide portfolio of responsibilities touch nearly every aspect of the health plans’ daily operations and long term business goals. In overseeing sales, marketing and product development, Scott is responsible for developing and implementing strategies that will increase the sales of Care N’ Care’s multiple products while enhancing the company’s brand and broadening its name recognition throughout a seven-county area of North Texas. Also under Scott’s purview are such vitally important day-to-day functions as member services, provider services, enrollment, network management, benefit management, plan design and business solutions management.

Part of the Care N’ Care team since 2014, Scott worked as director of sales and later director of product management before assuming his current position in early 2017. Before joining Care N’ Care Scott served as president of a full service life and health agency servicing clients in Texas, Oklahoma and North Carolina and specializing in health products related to the Medicare market. While there, Scott was responsible for creating, training and managing an agent force for multiple carriers and handling all negotiations of contractual agreements with insurance carriers.

Scott holds a bachelors of science degree (with an emphasis in economics) from Texas A&M University where he is currently pursuing an MBA degree.

David Sand, MD, MBA, FACS

Chief Medical Officer

In his role as chief medical officer and member of Care N’ Care’s senior executive team, Dr. David Sand provides clinical direction to the health management, network and credentialing divisions of Care N’ Care. He is also heavily involved in the strategy, development and implementation of innovative clinical programs that will best serve the Medicare population in North Texas. His vast experience in medical management and healthcare coordination help ensure the delivery of affordable quality healthcare services to Care N’ Care members.

Before joining Care N’ Care in 2018, Dr. Sand served as chief clinical officer for the Government Business Division of Anthem, including Medicare, Medicaid and Group Retiree Solutions. Under his leadership, Anthem achieved the best regulatory audit scores of all major payers in recent years. He also served as executive sponsor on multiple clinical initiatives including those focusing on diabetes, the opioid crisis, palliative and cancer care and the care of individuals with complex medical conditions. Prior to joining Anthem, Dr. Sand served as vice president and medical director of Partners Health Plan in New York and as the Illinois state medical director of WellCare Insurance Company.

Dr. Sand earned both his doctorate in medicine and his Bachelor of Science degree in biology from Brown University in Rhode Island. He also holds an MBA in healthcare from Regis University in Colorado. He is a former clinical instructor at Temple University Hospital in Philadelphia and past chair of the department of otolaryngology at Helene Fuld Medical Center in New Jersey.

Wendy Karsten

Chief Executive Officer

As Chief Executive Officer of Care N’ Care Insurance Company, Wendy Karsten is responsible for the health plan’s overall performance, program enhancements and ongoing excellence in the seven North Texas counties currently being served. Before joining Care N’ Care in 2015, Wendy served as vice president and general manager of SCAN Health Plan Arizona where she provided strategic, operational and financial direction for the plan’s overall performance in Maricopa and Pima counties.

Immediately prior to her work at SCAN (which also included serving as vice president of healthcare operations), Wendy had a long run of success at Huntington Medical Foundation in California where she first served as chief operating and chief financial officer and later as CEO. Under her leadership, the medical foundation was formed through the acquisition of 14 independent medical practices comprised of more than 40 physicians and during her tenure, she helped grow the organization into a large, multi-site medical group and early adopter of an electronic health record system. She also led multiple community partners in the successful launch of the Pasadena Community Urgent Care Center and formed a local partnership between the medical group and Young & Healthy to provide care to uninsured children in the community.

Augmenting her more than 25 years of healthcare leadership experience, Wendy holds a master of arts degree in education from California State University Los Angeles and a bachelor of science in finance and economics from Eastern Oregon University in La Grande, Oregon.

Care N Care: COVID-19 Notifications
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Become a Volunteer

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.

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Become a Strategic Partner

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.

 

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Volunteer Opportunities

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

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Our Partners

YMCA logo

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:

  • Airport Area YMCA
  • Benbrook YMCA
  • Northwest YMCA
  • Westside YMCA
Attend Activities

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

Contact Form