Bronze 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.

PLAN DOCUMENTS

MEMBER HANDBOOK

The Member Handbook is a quick reference guide to your health care benefits and how to engage with CareSource. 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 2019 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:

2019

2020

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.

2019

2020

SCHEDULE OF BENEFITS

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

2019

2020

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. Access plan details to learn more.

GLOSSARY

FORMS

We want you to find the forms you need for your CareSource Marketplace plan easily. Visit the Forms page to find most forms when you need them.

DISCLAIMERS

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 Marketplace plans. To see all available Qualified Health Plan options available, 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.

This is a solicitation for health insurance. CareSource marketplace plans have exclusions, limitations, reductions and terms under which the policy may be continued in force or discontinued. Premiums, deductibles, coinsurance and copays may vary based upon individual circumstances and plan selection. Benefits and costs vary based upon plan selection. Not all plans and products offered by CareSource cover the same services and benefits. Covered services and benefits may vary for each plan. For costs and complete details of coverage, please review CareSource’s Evidence of Coverages and Schedules of Benefits documents at www.caresource.com/marketplace.

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.

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., 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.


ADV-WebPlanDocs/Benefits(OH2020)-1077
OH-EXCM-1077
Last updated: 10/23/2019