Silver Plans

Review your CareSource plan documents and other resources 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.

• BACK TO PLAN DOCUMENTS

SUMMARY OF BENEFITS & COVERAGE

The Summary of Benefits and Coverage is an easy-to-read summary that lets you make an apples-to-apples comparison of costs and coverage between health plans. You can compare options based on price, benefits and other features that may be important to you.

2026

On Exchange Plans

SILVER

• Navigate Low Premium Silver HMO 6200 $40
• Navigate Low Premium Silver HMO 6200 $40 and Adult Vision and Fitness
• Navigate Diabetes Silver HMO 5000 $30 $0 Chronic Care Services
• Navigate Diabetes Silver HMO 5000 $30 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Healthy Heart Silver HMO 5000 $30 $0 Chronic Care Services
• Navigate Healthy Heart Silver HMO 5000 $30 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate HDHP Preventive Silver HMO 5500 0% $0 Chronic Care Drugs

SILVER 1

• Navigate Low Premium Silver HMO 5500 $35
• Navigate Low Premium Silver HMO 5500 $35 and Adult Vision and Fitness
• Navigate Diabetes Silver HMO 4600 $30 $0 Chronic Care Services
• Navigate Diabetes Silver HMO 4600 $30 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Healthy Heart Silver HMO 4600 $30 $0 Chronic Care Services
• Navigate Healthy Heart Silver HMO 4600 $30 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate HDHP Preventive Silver HMO 4750 0% $0 Chronic Care Drugs

SILVER 2

• Navigate Low Premium Silver HMO 800 $15
• Navigate Low Premium Silver HMO 800 $15 and Adult Vision and Fitness
• Navigate Diabetes Silver HMO 1000 $5 $0 Chronic Care Services
• Navigate Diabetes Silver HMO 1000 $5 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Healthy Heart Silver HMO 1000 $5 $0 Chronic Care Services
• Navigate Healthy Heart Silver HMO 1000 $5 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Preventive Silver HMO 1750 0% $0 Chronic Care Drugs

SILVER 3

• Navigate Low Premium Silver HMO 500 $0
• Navigate Low Premium Silver HMO 500 $0 and Adult Vision and Fitness
• Navigate Diabetes Silver HMO 250 $0 $0 Chronic Care Services
• Navigate Diabetes Silver HMO 250 $0 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Healthy Heart Silver HMO 250 $0 $0 Chronic Care Services
• Navigate Healthy Heart Silver HMO 250 $0 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Preventive Silver HMO 700 0% $0 Chronic Care Drugs

2025

SILVER

• Navigate Low Premium Silver 6000 $3 Generic Drugs
• Navigate Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
• Navigate Silver 5000 $20 Generic Drugs
• Navigate Silver 5000 $20 Generic Drugs Adult Vision & Fitness
• Navigate Diabetes Silver 4000 $0 Select Drugs & Specialized Services
• Navigate Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
• Navigate Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate HDHP Preventive Silver 5500 $0 Select Drugs

SILVER 1

• Navigate Low Premium Silver 6000 $3 Generic Drugs
• Navigate Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
• Navigate Silver 3000 $20 Generic Drugs
• Navigate Silver 3000 $20 Generic Drugs Adult Vision & Fitness
• Navigate Diabetes Silver 3500 $0 Select Drugs & Specialized Services
• Navigate Diabetes Silver 3500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Healthy Heart Silver 4000 $0 Select Drugs & Specialized Services
• Navigate Healthy Heart Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate HDHP Preventive Silver 4550 $0 Select Drugs

SILVER 2

• Navigate Low Premium Silver 1000 $2 Generic Drugs
• Navigate Low Premium Silver 1000 $2 Generic Drugs Adult Vision & Fitness
• Navigate Silver 500 $10 Generic Drugs
• Navigate Silver 500 $10 Generic Drugs Adult Vision & Fitness
• Navigate Diabetes Silver 800 $0 Select Drugs & Specialized Services
• Navigate Diabetes Silver 800 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Healthy Heart Silver 800 $0 Select Drugs & Specialized Services
• Navigate Healthy Heart Silver 800 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Preventive Silver 1750 $0 Select Drugs

SILVER 3

• Navigate Low Premium Silver 500 $0 Generic Drugs
• Navigate Low Premium Silver 500 $0 Generic Drugs Adult Vision & Fitness
• Navigate Silver Zero $0 Generic Drugs
• Navigate Silver Zero $0 Generic Drugs Adult Vision & Fitness
• Navigate Diabetes Silver 250 $0 Select Drugs & Specialized Services
• Navigate Diabetes Silver 250 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Healthy Heart Silver 250 $0 Select Drugs & Specialized Services
• Navigate Healthy Heart Silver 250 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Preventive Silver 700 $0 Select Drugs

SCHEDULE OF BENEFITS

The Schedule of Benefits lists the benefits and the amount of coverage provided in a health insurance plan.

2026

On-Exchange Plans

SILVER

• Navigate Low Premium Silver HMO 6200 $40
• Navigate Low Premium Silver HMO 6200 $40 and Adult Vision and Fitness
• Navigate Diabetes Silver HMO 5000 $30 $0 Chronic Care Services
• Navigate Diabetes Silver HMO 5000 $30 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Healthy Heart Silver HMO 5000 $30 $0 Chronic Care Services
• Navigate Healthy Heart Silver HMO 5000 $30 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate HDHP Preventive Silver HMO 5500 0% $0 Chronic Care Drugs

SILVER 1

• Navigate Low Premium Silver HMO 5500 $35
• Navigate Low Premium Silver HMO 5500 $35 and Adult Vision and Fitness
• Navigate Diabetes Silver HMO 4600 $30 $0 Chronic Care Services
• Navigate Diabetes Silver HMO 4600 $30 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Healthy Heart Silver HMO 4600 $30 $0 Chronic Care Services
• Navigate Healthy Heart Silver HMO 4600 $30 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate HDHP Preventive Silver HMO 4750 0% $0 Chronic Care Drugs

SILVER 2

• Navigate Low Premium Silver HMO 800 $15
• Navigate Low Premium Silver HMO 800 $15 and Adult Vision and Fitness
• Navigate Diabetes Silver HMO 1000 $5 $0 Chronic Care Services
• Navigate Diabetes Silver HMO 1000 $5 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Healthy Heart Silver HMO 1000 $5 $0 Chronic Care Services
• Navigate Healthy Heart Silver HMO 1000 $5 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Preventive Silver HMO 1750 0% $0 Chronic Care Drugs

SILVER 3

• Navigate Low Premium Silver HMO 500 $0
• Navigate Low Premium Silver HMO 500 $0 and Adult Vision and Fitness
• Navigate Diabetes Silver HMO 250 $0 $0 Chronic Care Services
• Navigate Diabetes Silver HMO 250 $0 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Healthy Heart Silver HMO 250 $0 $0 Chronic Care Services
• Navigate Healthy Heart Silver HMO 250 $0 $0 Chronic Care Services and Adult Vision and Fitness
• Navigate Preventive Silver HMO 700 0% $0 Chronic Care Drugs

2025

SILVER

• Navigate Low Premium Silver 6000 $3 Generic Drugs
• Navigate Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
• Navigate Silver 5000 $20 Generic Drugs
• Navigate Silver 5000 $20 Generic Drugs Adult Vision & Fitness
• Navigate Diabetes Silver 4000 $0 Select Drugs & Specialized Services
• Navigate Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
• Navigate Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate HDHP Preventive Silver 5500 $0 Select Drugs

SILVER 1

• Navigate Low Premium Silver 6000 $3 Generic Drugs
• Navigate Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
• Navigate Silver 3000 $20 Generic Drugs
• Navigate Silver 3000 $20 Generic Drugs Adult Vision & Fitness
• Navigate Diabetes Silver 3500 $0 Select Drugs & Specialized Services
• Navigate Diabetes Silver 3500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Healthy Heart Silver 4000 $0 Select Drugs & Specialized Services
• Navigate Healthy Heart Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate HDHP Preventive Silver 4550 $0 Select Drugs

SILVER 2

• Navigate Low Premium Silver 1000 $2 Generic Drugs
• Navigate Low Premium Silver 1000 $2 Generic Drugs Adult Vision & Fitness
• Navigate Silver 500 $10 Generic Drugs
• Navigate Silver 500 $10 Generic Drugs Adult Vision & Fitness
• Navigate Diabetes Silver 800 $0 Select Drugs & Specialized Services
• Navigate Diabetes Silver 800 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Healthy Heart Silver 800 $0 Select Drugs & Specialized Services
• Navigate Healthy Heart Silver 800 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Preventive Silver 1750 $0 Select Drugs

SILVER 3

• Navigate Low Premium Silver 500 $0 Generic Drugs
• Navigate Low Premium Silver 500 $0 Generic Drugs Adult Vision & Fitness
• Navigate Silver Zero $0 Generic Drugs
• Navigate Silver Zero $0 Generic Drugs Adult Vision & Fitness
• Navigate Diabetes Silver 250 $0 Select Drugs & Specialized Services
• Navigate Diabetes Silver 250 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Healthy Heart Silver 250 $0 Select Drugs & Specialized Services
• Navigate Healthy Heart Silver 250 $0 Select Drugs & Specialized Services Adult Vision & Fitness
• Navigate Preventive Silver 700 $0 Select Drugs

MEMBERS OF FEDERALLY RECOGNIZED TRIBES AND ANCSA CORPORATION SHAREHOLDERS

If you qualify, you can enroll in a zero cost sharing plan or a limited cost sharing plan.