Benefits and Services

CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with optional vision coverage for adults.

Benefits Update

For 2025, CareSource Marketplace Plans feature the following benefits:

  • TruHearing® provider network for hearing coverage is included with all plans.
  • EyeMed® provider network for vision services on all plans for pediatric vision and adults with optional Vision and Fitness plans.
  • Active&Fit® Fitness benefit included with all optional Vision and Fitness plans. It includes access to a network of participating fitness centers, including select LA Fitness®, Snap FitnessTM, Anytime Fitness®, Planet Fitness® – and more! To get more information about the Active&Fit program, visit www.ActiveandFit.com.

Benefits

See your benefits listed together in one place. See the Benefits at a Glance brochure.

BENEFITS AT A GLANCE

Contact your provider for further details on when a prior authorization is required. You can also review our prior authorization list.

Services

We are here to help you. Your services include:

  • Member Services:  Our Member Services representatives are available toll-free to answer your questions and help Monday through Friday, from 7 a.m. to 7 p.m. Eastern Standard Time (EST). We also provide TTY access for members who are deaf or hearing impaired. Please call us at 1-833-230-2099 (TTY: 711).
  • CareSource24® Nurse Advice Line – Members may call any time of the day or night to speak to a registered nurse about health and medical concerns. Call the number on your member ID card 24 hours a day, 7 days a week.
  • Care Management Services – CareSource offers care management services to children and adults with special health care needs. Registered nurses, social workers and outreach workers can work with you one-on-one to help coordinate your care.

For more specific information about your benefits and services, please see your Evidence of Coverage and Member Handbook, found on the Plan Documents & Resources page. You may also call Member Services. We are happy to help.

Call for additional information:

  • If you need more information about your health benefits, call CareSource Member Services at 1-833-230-2099 (TTY: 711).
  • For help or more information about your pediatric and optional adult vision benefits, call EyeMed at 1-833-337-3129 or visit www.EyeMedVisionCare.com/csmp
  • For help or more information about the TruHearing program, call TruHearing at 1-866-202-2674.

If you have our optional Vision and Fitness coverage and would like more information about Active&Fit®, call 1-877-771-2746 or visit www.ActiveandFit.com