Plan Documents
Review your CareSource marketplace plan documents 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.
Marketplace Plans
On-Exchange Plans
These are the only plans that qualify for financial subsidies like Advance Premium Tax Credit (APTC) and Cost Sharing Reductions (CSRs) to lower your costs for care. On-exchange plans are available directly through the Enroll.CareSource.com enrollment portal. You can also work with web brokers or go through the Exchange.
Off-Exchange Plans
While these plans are not eligible for financial subsidies (APTC and CSRs), they do afford the same protections as our on-exchange plans, covering the same Essential Health Benefits (EHBs), preventive services, and pre-existing conditions. They may offer premium savings compared to on-exchange options. You can enroll in an off-exchange plan directly through our Enroll.CareSource.com enrollment portal, through web brokers, or through our network of sales agents and brokers.
CareSource Platinum Plans
Platinum plans give you the highest level of coverage with the lowest copays and coinsurance that CareSource offers. You will pay higher premiums for this level of coverage. A platinum plan may be a good choice for you if you have many health issues and/or want predictable out-of-pocket costs.
CareSource Gold Plans
Lower out-of-pocket costs. With a Gold plan, the amount you pay each time you get a health service, such as seeing a doctor or filling a prescription, is less than what you’d pay if you have a bronze or silver plan.
- Gold: aligns to federal standard plan design including copays on prescription drugs.
- Diabetes Gold: offers preferred coverage for diabetes medications, supplies, and care. There are special programs just for people with diabetes, like our diabetes focused Care Management program. The Diabetes Gold plan lowers your cost for care and gives you a predictable way to control ongoing costs.
- Healthy Heart Gold: offers preferred coverage for people with heart conditions, with a special Care Management program, heart medications and special care.
CareSource Silver Plans
The only plans offering Cost Sharing Reductions (CSRs).
CareSource Silver Plans are our most popular plan. In fact, 50% of our members find that it fits best into their lifestyle and budget.
- Silver: offers a balance between premiums and out-of-pocket costs.
- Low Premium Silver: reduces your overall premium while allowing for CSRs.
- Diabetes Silver: offers preferred coverage for diabetes medications, supplies, and care. There are special programs just for people with diabetes, like our diabetes focused Care Management program. The Diabetes Silver plan lowers your cost for care and gives you a predictable way to control ongoing costs.
- Healthy Heart Silver: offers preferred coverage for heart health medications, supplies and care. This plan has special coverage and programs for people with heart conditions, like $0 cost heart medications and our focused Care Management program. The Healthy Heart plan lower your overall cost for care and gives you a predictable way to control ongoing costs.
- Low Deductible: allows you to prioritize reducing your out-of-pocket costs at a higher monthly premium.
Financial Assistance – These are the only plans where you can take advantage of CSRs. If you qualify for CSRs, they will lower your out-of-pocket costs – deductibles, copayments, and coinsurance. Eligibility for CSRs is determined by the Health Insurance Marketplace and is based upon your household size and income.
CareSource Bronze Plans
New for 2026! All Bronze plans are now Health Savings Account (HSA)-eligible plans, providing a tax-free way to save for health care costs.
Our Bronze plans offer access to key services — such as Primary Care and some Prescription Drugs — prior to having to satisfy your deductible. They have the lowest premiums, but the highest out-of-pocket costs.
If you don’t expect to have many doctor appointments or need many prescription drugs, this may be a good choice for you.
- Bronze: This plan provides Essential Health Benefits with a low premium, and gives you access some services, like primary care, preventive care and some prescription drugs before you satisfy your deductible.
- Low Premium Bronze: This Bronze plan focuses on keeping your premiums low while still giving you all Essential Health Benefits.
Member Handbook
The Member Handbook is a quick reference guide to your health care benefits. 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.
Chronic Care Plan Guides
Some plans have extra benefits that are not outlined in the member handbook or EOC. These are called our Chronic Care plans, and include the Diabetes Gold and Silver and the Healthy Heart Gold and Silver plans.
2026
2025
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 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:
2026
- 2026 CareSource Evidence of Coverage
- 2026 CareSource Evidence Of Coverage – Vision And Fitness Plan Rider
2025
- 2025 CareSource Evidence of Coverage
- 2025 CareSource Evidence Of Coverage – Vision And Fitness Plan Rider
Benefits-At-A-Glance
Use this guide to see your benefits and services! You can learn more about these benefits and services in your Evidence of Coverage.
Glossary
Forms
We want you to easily find the forms you need for your CareSource marketplace plan. Visit the Forms page to find any form when you need it.
Financial Information Privacy Notice
Your privacy is important to us. Read the Financial Information Privacy Notice to learn how we may use your financial information.