Welcome

We are so glad you are here.

There are some differences with a Marketplace plan you may not know or may need to learn more about.

Visit the Quick Start page to get an overview of how to use your benefits.

Marketplace plans have costs. Besides paying a monthly premium, you will generally have copays, coinsurance and an annual deductible. Learn more about the other costs you’ll have to pay with your plan.

Some Things to Know:

  • Marketplace plans do not cover some benefits you may be used to, like transportation to and from your doctor visits.
  • Dental and vision benefits are provided for children on all Marketplace plans. Dental and vision benefits are not covered for adults unless you buy an optional adult Dental, Vision and Fitness plans. These plans offer dental and vision coverage for all adults on your plan, plus give you an added a fitness benefit.
  • Your provider network is different. If you are going through treatment (dialysis, chemo, etc.) or you are pregnant, when you change plans, don’t worry. We can work with your current provider while you change to in-network providers with your new plan. Call Member Services to get this started.

Get Up and Running!

When You Are Coming From Another Plan
(another CareSource Plan or a different plan):

  1. Use Find A Doctor to find out if your Primary Care Provider (PCP) is in-network, or choose a new PCP.
  2. Use Find My Prescriptions to make sure your medications are covered and what they are going to cost.
  3. Use Find A Pharmacy to make sure that your pharmacy is in-network or find a new one.
  4. Find out more about Care Management. Do you need help to better understand your health condition or benefits? Our Care Management team is here to help. Call 1-844-438-9498, Monday through Friday, 8 a.m. to 5 p.m. Eastern Time.
  5. Learn how to save money on your care.
  6. Learn more about your benefits and services.
  7. Learn about preventive care.
  8. Learn about the Rewards program.

If you have questions about your plan or benefits, or need help finding a provider, call Member Services at 1-833-230-2099 (TTY: 711). We are open Monday through Friday, 7 a.m. to 7 p.m. Eastern Time to answer your questions.