Plan Documents

Marketplace Plans

On-Exchange Plans
These are the only plans that qualify for financial subsidies like Advance Premium Tax Credit (APTC) and Cost Sharing Reductions (CSRs) to lower your costs for care. On-exchange plans are available directly through the Enroll.CareSource.com enrollment portal. You can also work with web brokers or go through the Exchange. (In Nevada, go to NevadaHealthLink.com).

Off-Exchange Plans
While these plans are not eligible for financial subsidies (APTC and CSRs), they do afford the same protections as our on-exchange plans, covering the same Essential Health Benefits (EHBs), preventive services, and pre-existing conditions. They may offer premium savings compared to on-exchange options. You can enroll in an off-exchange plan directly through our Enroll.CareSource.com enrollment portal, through web brokers, or through our network of sales agents and brokers.

CareSource Gold Plans

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.

  • Core Gold:  richer benefits than the Gold plan federal standard option, with lower copays on many services.
  • Low Premium Gold: the rich benefits you expect from a Gold plan with a lower premium. Slightly higher out-of-pocket costs can be expected compared to the Core Gold plans.
  • 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.
  • Healthy Heart Gold: offers preferred coverage for people with heart conditions, with a special Care Management program, heart medications and special care just for people with heart conditions.
  • HDHP Gold: A high-deductible health plan that allows you to use a tax-advantaged Health Savings Account to offset some of your out-of-pocket costs.

CareSource Gold

CareSource Silver Plans

The only plans offering Cost Sharing Reductions (CSRs).

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

  • Low Premium Silver: reduces your overall premium while allowing for CSRs.
  • Silver: offers a balance between premiums and out-of-pocket costs.
  • 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.
  • Healthy Heart Silver: offers preferred coverage for heart health medications, supplies and care. This plan has special coverage and programs for people with heart conditions, like $0 cost heart medications and our focused Care Management program. The Healthy Heart plan lower your overall cost for care and gives you a predictable way to control ongoing costs.
  • HDHP Preventive Silver: A balanced silver plan with some of the features of both the Diabetes and Healthy Heart Silver plans, with a focus on preventive care. The Silver and Silver 1 plan levels can be paired with an HSA account for tax advantaged savings.

Financial Assistance – Silver plans are the only plans where you can take advantage of 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 on your household size and income.

HSA Bank is our recommended partner for your Health Savings Account. Learn more about HSA Bank or call their Client Assistance Line at 1-800-357-6246, 24 hours a day, 7 days a week.

CareSource Silver

CareSource Bronze Plans

Lowest premiums and highest out of pocket costs.

New for 2026! All Bronze plans are now Health Savings Account (HSA)-eligible plans, providing a tax-free way to save for health care costs.

Our Bronze plans offer access to key services — such as Primary Care and some Prescription Drugs — prior to having to satisfy your deductible.

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 when you need care.

  • Core Bronze: This plan provides Essential Health Benefits with a low premium, and gives you access to key services, like primary care, preventive care and some prescription drugs before you satisfy your deductible.
  • Low Premium Bronze: This Bronze plan focuses on keeping your premiums low while still giving you all Essential Health Benefits.

HSA Eligible: All CareSource Bronze plans are designed to be compatible with a tax advantaged Health Savings Account (HSA). Outside of basic, preventive services, and some prescription drugs, you’ll need to satisfy your deductible before CareSource contributes to your health care costs.

HSA Bank is our recommended partner for your Health Savings Account. Learn more about HSA Bank or call their Client Assistance Line at 1-800-357-6246, 24 hours a day, 7 days a week.

CareSource 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.

Chronic Care Plan Guides

Some plans have extra benefits that are not outlined in the member handbook or EOC. These are called our Chronic Care plans, and include the Diabetes Gold and Silver, Healthy Heart Gold and Silver, and HDHP Preventive Silver plans.

2026

2025

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:

2026

2025

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.