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Transparency in Coverage

The Departments of the Treasury, Labor, and Health and Human Services (the Departments) Transparency in Coverage final rules (85 FR 72158) require non-grandfathered group health plans and health insurance issuers in the individual and group markets (plans and issuers) to disclose in-network negotiated rates and out-of-network allowed amounts in machine readable files. Our files are located here.

DISCLAIMERS

*CareSource membership across all markets as of August 26, 2022

**Source: healthcare.gov

^Internal Data

† CSRs variations of Limited and Zero are also available on other metal tier plans for members of federally recognized tribes and ANCSA corporation shareholders.

CareSource is a Qualified Health Plan issuer in the Health Insurance Marketplace. This is not a Health Insurance Marketplace website. This website does not display all available plans. To see all available Qualified Health Plan options, go to www.healthcare.gov.

This website is subject to change at any time without prior notice. This website is intended only as general information and is not an offer or invitation to contract.

Specific policy benefits listed on this website are intended to be a summary of coverage and do not list or describe all the benefits covered under specific policies nor is every limitation, exclusion or reduction of benefits listed. The overview of benefits, coverage and member cost shares are based on benefits being received from an in-network provider. To be eligible for reimbursement, all health care services must be provided by an in-network provider, except when applicable federal and state law or the applicable Evidence of Coverage for each policy provide otherwise.

Rates, benefits, premiums, deductibles, co-payments, co-insurance, and out of pocket expenses may vary based upon a variety of factors, including but not limited to, age, county of residence, smoking status, and level of policy selected.

Policies offered by CareSource have exclusions, limitations, and reductions of benefits and terms under which the policy may be continued in force or discontinued. The amount of benefits provided depends on the plan selected and the premium will vary with the amount of benefits selected. For complete costs and details of coverage, please call CareSource. Also, please use the link(s) provided to download and review policy information, such as the Evidence of Coverage and Schedule of Benefits (Ohio, Kentucky, Indiana, West Virginia, Georgia, North Carolina, Iowa), for a more complete explanation of benefits, exclusions, limitations, and terms under which policies may not be renewed.

For additional information on renewability, cancellability, termination, modifications of benefits and/or costs and complete details of coverage, please review CareSource’s 2023 Evidence of Coverages and Schedules of Benefits documents at CareSource.com/marketplace.

References to CareSource pertain to each individual company or other CareSource affiliated companies, such as CareSource, CareSource Kentucky Co., CareSource Indiana Inc., CareSource West Virginia Co., and CareSource Georgia, Co. Each company is a separate entity and is not responsible for another’s financial condition or contractual obligations.

CareSource does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.

IA-EXC-C-1583403

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