Plan Documents

Review your CareSource marketplace plan documents to make sure you get the most from your health insurance plan. You can also contact us with any questions you have about your plan coverage.

Marketplace Plans

CareSource Gold Plans

Higher premiums and lower out of pocket costs.

If you expect to have a lot of doctor appointments, need many prescription medicines, or need other health services, this may be a good choice for you. Gold plans have:

Higher premiums. You pay more each month for a Gold plan than you would for another metal level.

Lower out-of-pocket costs. With a Gold plan, the amount you pay each time you get a health service, such as seeing a doctor or filling a prescription, is less than what you’d pay if you have a Bronze or Silver plan.

  • Gold: aligns to federal standard plan design including copays on prescription drugs.
  • Core Gold: offers richer benefits than the Gold plan with lower copays on many services.
  • Diabetes Gold: offers preferred coverage for diabetes medications, supplies, and care. There are special programs just for people with diabetes, like our diabetes focused Care Management program. The Diabetes Gold plan lowers your cost for care and gives you a predictable way to control ongoing costs.

CARESOURCE 2024 GOLD

CARESOURCE 2023 GOLD

CareSource Silver Plans

The only plans offering cost sharing reductions (CSRs).

The CareSource Silver Plan is our most popular plan. In fact, 50% of our members find that it fits best into their lifestyle and budget.

  • Silver: offers a balance between premiums and out-of-pocket costs.
  • Core Silver: offers all the coverages and benefits of a Marketplace plan.
  • Low Premium: reduces your overall premium while allowing for CSRs.
  • Diabetes Silver: offers preferred coverage for diabetes medications, supplies, and care. There are special programs just for people with diabetes, like our diabetes focused Care Management program. The Diabetes Silver plan lowers your cost for care and gives you a predictable way to control ongoing costs.
  • Low Deductible: allows you to prioritize reducing your out-of-pocket costs at a higher monthly premium.

Financial Assistance – These are the only plans where you can take advantage of cost sharing reductions (CSRs). If you qualify for CSRs, they will lower your out-of-pocket costs – deductibles, copayments, and coinsurance. Eligibility for CSRs is determined by the Health Insurance Marketplace and is based upon your household size and income.

CARESOURCE 2024 SILVER

CARESOURCE 2023 SILVER

CareSource Bronze Plans

Lowest premiums and highest out of pocket costs.

If you don’t expect to have many doctor appointments or need many prescription drugs, this may be a good choice for you. Bronze plans have:

Lowest premiums. You pay less each month for a Bronze Plan, but these plans have the highest deductibles and other out-of-pocket costs.

  • Bronze First: offers first dollar benefits; meaning benefits we cover before you meet your deductible. This is not available with most Bronze plans. This plan focuses on keeping premiums low, while covering preventive services and other more common health care before you satisfy your deductible. This plan offers first dollar benefits for primary care, specialists, and generic prescriptions.

CARESOURCE 2024 BRONZE

CARESOURCE 2023 BRONZE

Member Handbook

The Member Handbook is a quick reference guide to your health care benefits. It allows you to quickly look up information such as how to contact us, how to request an ID card and how to pay your bill.

Evidence of Coverage (EOC)

The EOC is an important legal document that describes the relationship between CareSource, and CareSource members. It serves as your contract with CareSource and describes CareSource members’ rights, responsibilities and obligations. It also tells you how the plan works, the covered services you are entitled to, any conditions and limits related to covered services, the health care services that are not covered by the plan, and the annual deductible, copayments, and coinsurance you must pay when you receive covered services.

Access the EOC below that corresponds to your plan:

2024

2023

Benefits-At-A-Glance

  • Navigate Benefits-At-A-Glance:
    Use this guide to see your benefits and services! You can learn more about these benefits and services in your Evidence of Coverage.

Glossary

Forms

We want you to easily find the forms you need for your CareSource marketplace plan. Visit the Forms page to find any form when you need it.

Financial Information Privacy Notice

Your privacy is important to us. Read the Navigate Financial Information Privacy Notice to learn how we may use your financial information.