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’s costs and coverage.
SUMMARY OF BENEFITS AND COVERAGE (SBC)
The Summary of Benefits and Coverage (SBC) is an easy-to-read comparison of costs and coverage. You can compare options based on price, benefits and other features that may be important to you.
2027 Silver Plan SBCs
Marketplace (On Exchange) Plans
- Silver Standard EPO 6400 $40 PCP
- Silver Standard EPO 6400 $40 PCP + Vision Exam
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP + Vision Exam
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP + Vision Exam
Silver 1 Plans
- Silver Standard EPO 2900 $40 PCP
- Silver Standard EPO 2900 $40 PCP
- Value Silver EPO 4800 $30 PCP
- Value Silver EPO 4800 $30 PCP + Vision Exam
- Low Deductible Silver EPO 5200 $45 PCP
- Low Deductible Silver EPO 5200 $45 PCP + Vision Exam
Silver 2 Plans
- Silver Standard EPO 800 $20 PCP
- Silver Standard EPO 800 $20 PCP + Vision Exam
- Value Silver EPO 800 $20 PCP
- Value Silver EPO 800 $20 PCP + Vision Exam
- Low Deductible Silver EPO 850 $20 PCP
- Low Deductible Silver EPO 850 $20 PCP + Vision Exam
Silver 3 Plans
- Silver Standard EPO $0 Ded $0 PCP
- Silver Standard EPO $0 Ded $0 PCP + Vision Exam
- Value Silver EPO $0 Ded $0 PCP
- Value Silver EPO $0 Ded $0 PCP + Vision Exam
- Low Deductible Silver EPO $0 Ded $5 PCP
- Low Deductible Silver EPO $0 Ded $5 PCP + Vision Exam
Off Exchange Plan SBCs
- Silver Standard EPO 6400 $40 PCP
- Silver Standard EPO 6400 $40 PCP + Vision Exam
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP + Vision Exam
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP + Vision Exam
Off Exchange Only Plan SBCs
- HSA Silver EPO 4000 $15 PCP After Ded + Vision Exam & Allergy Test
- Silver Standard EPO 6400 $40 PCP + Vision Exam & Allergy Test
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP + Vision Exam & Allergy Test
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP + Vision Exam & Allergy Test
SCHEDULE OF BENEFITS
The Schedule of Benefits (SOB) is an easy-to-read list of your benefits and the costs you share with the plan.
2027 Silver Plan SOBs
Marketplace (On Exchange) Plans
- Silver Standard EPO 6400 $40 PCP
- Silver Standard EPO 6400 $40 PCP + Vision Exam
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP + Vision Exam
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP + Vision Exam
Silver 1 Plans
- Silver Standard EPO 2900 $40 PCP
- Silver Standard EPO 2900 $40 PCP + Vision Exam
- Value Silver EPO 4800 $30 PCP
- Value Silver EPO 4800 $30 PCP + Vision Exam
- Low Deductible Silver EPO 5200 $45 PCP
- Low Deductible Silver EPO 5200 $45 PCP + Vision Exam
Silver 2 Plans
- Silver Standard EPO 800 $20 PCP
- Silver Standard EPO 800 $20 PCP + Vision Exam
- Value Silver EPO 800 $20 PCP
- Value Silver EPO 800 $20 PCP + Vision Exam
- Low Deductible Silver EPO 850 $20 PCP
- Low Deductible Silver EPO 850 $20 PCP + Vision Exam
Silver 3 Plans
- Silver Standard EPO $0 Ded $0 PCP
- Silver Standard EPO $0 Ded $0 PCP + Vision Exam
- Value Silver EPO $0 Ded $0 PCP
- Value Silver EPO $0 Ded $0 PCP + Vision Exam
- Low Deductible Silver EPO $0 Ded $5 PCP
- Low Deductible Silver EPO $0 Ded $5 PCP + Vision Exam
Off Exchange Plan SOBs
- Silver Standard EPO 6400 $40 PCP
- Silver Standard EPO 6400 $40 PCP + Vision Exam
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP + Vision Exam
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP + Vision Exam
Off Exchange Only Plan SOBs
- HSA Silver EPO 4000 $15 PCP After Ded + Vision Exam & Allergy Test
- Silver Standard EPO 6400 $40 PCP + Vision Exam & Allergy Test
- Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP + Vision Exam & Allergy Test
- Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP + Vision Exam & Allergy Test
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.