REAL HEALTH INSURANCE YOU CAN REALLY AFFORD

CareSource Marketplace plans are now available in Georgia!

Don’t settle for coverage with limits and exclusions that won’t be there when you need it. As a Qualified Health Plan CareSource offers coverage for all the essential health benefits required by the Affordable Care Act. Plus, Marketplace plans cover people with pre-existing conditions and don’t carry lifetime coverage caps for essential health benefits.

With CareSource’s Marketplace plans, you’ll get real, affordable health insurance that covers the health care you need, when you need it.

CARESOURCE MARKETPLACE PLANS COVER ESSENTIAL HEALTH BENEFITS

 

Pregnancy, maternity & newborn care

 

Prescription drugs

 

Outpatient care

 

Emergency services

 

Hospitalization

 

Mental health & substance use disorder services

 

Rehabilitative/habilitative services & devices

 

Laboratory services

 

Preventive & wellness services

 

Pediatric services, including dental & vision

 

Pregnancy, maternity & newborn care

 

Prescription drugs

 

Outpatient care

 

Emergency services

 

Hospitalization

 

Mental health & substance use disorder services

 

Rehabilitative/habilitative services & devices

 

Laboratory services

 

Preventive & wellness services

 

Pediatric services, including dental & vision

Optional Adult Dental, Vision & Fitness benefit plans are also available.

SAVING MONEY ON HEALTH INSURANCE

Marketplace plans are also the only plans that qualify for government-sponsored funds that help make coverage affordable. Eligibility for these funds is determined by the Health Insurance Marketplace, not by CareSource. There are two ways the funds are distributed:

Advance Premium Tax Credit (APTC)
Tax credit based on income levels, to lower monthly premium payments. This can be used no matter what plan you enroll in.
Cost-Sharing Reduction (CSR)
CSRs are discounts or “extra savings” that lower the amount you have to pay for deductibles, copayments, and coinsurance. CSRs only apply to Silver plans, so if you qualify for a CSR, you must enroll in a Silver plan to get it.

Service Area

CareSource Marketplace plans are available in 44 counties in Georgia:

Appling, Banks, Bartow, Bryan, Bulloch, Butts, Candler, Chatham, Cherokee, Clayton, Cobb, Coweta, Dawson, Dekalb, Douglas, Effingham, Evans, Fayette, Forsyth, Franklin, Fulton, Gwinnett, Habersham, Hall, Hart, Henry, Jasper, Lamar, Liberty, Long, Lumpkin, Newton, Paulding, Pike, Rabun, Rockdale, Screven, Spalding, Stephens, Tattnall, Towns, Union, Walton, and White.

CareSource 2020 Georgia Marketplace Covered Counties

Service Area

CareSource Marketplace plans are available in 44 counties in Georgia:

Appling, Banks, Bartow, Bryan, Bulloch, Butts, Candler, Chatham, Cherokee, Clayton, Cobb, Coweta, Dawson, Dekalb, Douglas, Effingham, Evans, Fayette, Forsyth, Franklin, Fulton, Gwinnett, Habersham, Hall, Hart, Henry, Jasper, Lamar, Liberty, Long, Lumpkin, Newton, Paulding, Pike, Rabun, Rockdale, Screven, Spalding, Stephens, Tattnall, Towns, Union, Walton, and White.

CareSource 2020 Georgia Marketplace Covered Counties

Marketplace Plan Benefits

DENTAL, VISION & FITNESS

Need to take a trip to the eye doctor or dentist? Interested in no-cost gym memberships? Adults get enhanced benefits by adding an optional Dental, Vision & Fitness package* to any Silver, Bronze or Gold plan. All plans include pediatric dental and vision coverage.

LOW COPAYS

CareSource plans have some of the lowest in-network primary care or retail clinic copays. Plus, many benefits, including primary and specialist care, retail clinic, telemedicine, urgent care, retail generic and retail preferred brand drugs, are available before you satisfy your deductible on most of our plans^.

PRESCRIPTION DRUG BENEFITS

Our prescription drug coverage includes copays as low as $0 for generic drugs and an extensive list of brand name drugs.

PREVENTIVE CARE COVERAGE

Health insurance should help you stay healthy. That’s why there are no copays or coinsurance fees for defined preventive health services with CareSource Marketplace plans.

HEARING BENEFITS

All CareSource Marketplace plans include TruHearing® coverage with hearing aid discounts and $0 copay for routine hearing screenings.

GET ACTIVE&FIT®

When you add Dental, Vision & Fitness benefits, you get access to a network of contracted fitness centers (like LA Fitness®, Snap Fitness, Anytime Fitness®, Planet Fitness® – and more!) at no extra cost or two home fitness kits of your choice. There are no monthly gym membership fees or contracts required!

Marketplace Plans

Marketplace plans are separated into metal level categories of Gold, Silver, and Bronze. The metal level categories are based on how you and CareSource share the cost of your health care. Note that many CareSource members are also eligible for helpful government subsidies, which will lower your cost for health care.


Plan Comparison

CARESOURCE BRONZE

Bronze plans offer the most affordable premiums. 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.

Two Different Bronze Plan Options:

Standard Bronze – This plan reduces your premiums for a higher contribution on your benefit usage. Unlike our HSA Eligible option, CareSource will begin covering certain services before you meet your deductible such as Primary Care Provider visits and retail generic prescription drugs.

HSA Eligible – Our Bronze HSA-eligible plan is a high deductible health plan, compatible with a tax advantaged Health Savings Account (HSA). This plan requires your deductible to be met before we contribute to your benefits, however your pre-tax/tax deductible HSA contributions will offset some of the costs. An HSA account can be opened at most financial institutions.

Shop & Compare Plans

CARESOURCE SILVER

CareSource Silver Plans are our most popular plans. In fact, many of our members find that Silver Plans fit their healthcare coverage needs and budget best.  Silver plans offer the highest value for those eligible for financial assistance†.

Health Care Coverage Your Way.  We offer three different Silver plan options so you can choose the one that fits your budget and healthcare needs – Low Premium, Low Deductible, or balance premium and deductible with the Standard Silver plan.

Financial Assistance. These are the only plans that offer cost-sharing reductions (CSRs)† in addition to premium tax credits. CSRs help you save money on health insurance by lowering the amount you have to pay for deductibles, copayments, and coinsurance.

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CARESOURCE GOLD

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.

Shop & Compare Plans

ALREADY A MEMBER?

Looking for information about your plan or services?

Go to Members Page   |   Log In to My CareSource

ALREADY A MEMBER?

Looking for information about your plan or services?

Go to Members Page

Log In to My CareSource