Plan Documents
CareSource health plans for individuals and families cover many benefits, including preventive care. Some services need our approval before you get them. Review your plan documents to make sure you get the most from your health insurance. You can also contact us with any questions about your plan coverage.
On Exchange Plans
These plans are offered through the Health Insurance Marketplace® (Exchange). If you choose a SILVER On-Exchange plan, you may be able to get help to lower your costs for care. Types of help include:
- Advance Premium Tax Credit (APTC)
- Cost Sharing Reduction (CSR) plans
Off Exchange Plans
- May cost less each month than On-Exchange plans.
- Provide the same protections as On-Exchange plans.
- Cover the same basic health benefits, preventive care and care for health problems you had before you joined the plan.
- Do not qualify for financial help like APTC and CSRs.
Looking for Insurance?
- Enroll.CareSource.com – Our secure portal streamlines the process to sign up for a CareSource health plan.
- Work with a licensed health insurance Broker.
- Call our Sales Team 1-855-494-2667 (TTY: 711)
- For On-Exchange plans, you can also sign up on HealthCare.gov.
Benefits at a Glance
Use this guide to see your benefits and services. You can learn more in your Evidence of Coverage.
- 2027 Benefits-At-A-Glance
- 2026 Benefits-At-A-Glance (pdf applies to all our Marketplace plans)
| Gold* Plans | Silver Plans | Bronze Plans | |
|---|---|---|---|
| 10 Essential Health Benefits | ✓ | ✓ | ✓ |
| Teladoc Health** Telehealth Services | ✓ | ✓ | ✓ |
| Out-of-Pocket Costs | Lowest | Higher | Highest |
| Monthly Premium | Highest | Lower | Lowest |
| Health Savings Account (HSA) Compatible** | ✓ Off Exchange | ✓ On Exchange Off Exchange | |
| Cost Sharing Reduction (CSR)*** | ✓ On Exchange | ||
| Extra Benefits for Additional Premium | |||
| Adult Vision Exam | ✓ On Exchange | ✓ On Exchange | |
| Adult Vision Exam & Allergy Testing | ✓ Off Exchange | ✓ Off Exchange | ✓ Off Exchange |
*Do you expect to have many doctor visits, prescriptions or other health care needs services? A Gold plan may be a good choice for you.
**Starting January 1, 2027, Teladoc Health® telehealth services are included with all plans at $0 cost. Telehealth visits through other providers are subject to standard cost-sharing.
***The Health Insurance Marketplace decides if you can get a Cost Sharing Reduction (CSR). A CSR may lower your deductibles, copays, and coinsurance. It is based on your household size and income.
Evidence of Coverage (EOC)
The Evidence of Coverage is an important legal document. It is your contract with CareSource. It explains your rights and responsibilities as a plan member. The EOC also tells you:
- How the plan works.
- The services the plan covers.
- Any rules or limits for covered services.
- The health care services the plan does not cover.
- What you pay for covered services, such as your yearly deductible, copays and coinsurance.
2027 Evidence of Coverage
Marketplace Plans
Limited Cost Sharing (LCS) & No Cost Sharing (NCS) Plans