WE GOT YOU.
Life is complicated. Your health insurance shouldn’t be. That’s why all CareSource Marketplace plans are simple and affordable with coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. Every plan also includes pediatric vision benefits or coverage, plus our optional adult Vision through EyeMed® and fitness benefits. New, in 2025, we’ve expanded our offering to include enhanced plans for members with diabetes and heart conditions. We’ve even added a high deductible health plan option. So, if you need health insurance this open enrollment period, CareSource can help. We’ve been helping our members through uncertain times for over 30 years.
MARKETPLACE PLANS COVER ESSENTIAL HEALTH BENEFITS
Preventive & wellness services
Emergency services
Hospitalization
Prescription drugs
Outpatient care
Pregnancy, maternity and newborn care
Mental health and substance use disorder services
Rehabilitative and habilitative services and devices
Laboratory services
Pediatric services, including vision
Optional Adult Vision and Fitness benefit plans are also available
NEW AND ENHANCED PLANS IN 2025!
Chronic Condition, HDHP Preventive Silver and Preventive Silver Plans
In keeping with our commitment to making a lasting difference in our member’s lives, CareSource is excited to offer new chronic condition health plans. These innovative plans support members living with diabetes and heart conditions, in addition to overall improved plan options. Select your specific state at the top of this page to learn more about each plan.
DIABETES
Gold and Silver Plans
Living with Diabetes is easier with CareSource by your side. Our new enhanced diabetes plans offer $0 cost for selected drugs, $0 cost for self-management monitors, tests and supplies, and $0 cost for select medical services like counseling and screenings.
HEALTHY HEART
Gold and Silver Plans
CareSource has always been “Health Care with Heart®.” We’re also “Health Care For Your Heart” with $0 cost for select heart drugs, $0 cost for select self-management items like blood pressure cuffs∞ and $0 cost for select heart care services and testing.
∞Limit of one per member.
HDHP PREVENTIVE AND PREVENTIVE
Silver Health Plans
There can be significant benefits to having a high-deductible health plan, especially if it’s from CareSource. In addition to lower premiums, members can also enjoy $0 cost for select drugs, self-management tools and services.
EXTRA WAYS TO SAVE MONEY
**Four out of five customers can get a Marketplace plan for under $10 a month with financial help! **Over 70% of people who enroll in a CareSource Health Insurance Marketplace plan also qualify for a government-funded subsidy that substantially lowers the overall cost of the plan. When you enroll, you’ll see if you qualify. Eligibility for these funds is determined by the Health Insurance Marketplace, and not by CareSource. There are two ways in which the funds are distributed:
| Advance Premium Tax Credit (APTC) |
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A tax credit based on income level, that lowers monthly premium payments. This can be used no matter which plan you enroll in. |
| Cost-Sharing Reduction (CSR) |
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CSRs are discounts or “extra savings” that lower the amount you have to pay for deductibles, copayments, and coinsurance. CSRs only apply to Silver plans†, so if you qualify for a CSR, you must enroll in a Silver plan to get them. |
Marketplace Plan Benefits
Marketplace Plans
Marketplace plans are separated into metal levels of Gold, Silver, and Bronze. The metal levels are based on how you and CareSource share the cost of your health care. Note: many CareSource members are also eligible for helpful government subsidies, which will lower your cost for health care.
Are You a Member?
Get quick access to prescription coverage, find a doctor or provider, use health and educational tools, and discover what you can do with your My CareSource® account.
- Georgia Access is the state’s program for all residents to find quality, affordable health insurance.
- With Georgia Access, consumers have many options for enrolling in affordable health coverage, including through web brokers, certified agents, insurance companies and the Georgia Access consumer portal.
- Open Enrollment begins November 1, 2024. For consumers who enroll in a plan on or before December 16, 2024, coverage will start on January 1, 2025. For consumers who enroll in a plan after December 16, 2024, coverage will begin on February 1, 2025. The deadline to enroll for coverage is January 15, 2025.
- If you do not currently have health insurance for 2024 or have had certain life events such as losing health coverage, moving, getting married, or having a baby you may qualify for a Special Enrollment Period. This means you can potentially enroll in coverage for the remainder of 2024. Visit HealthCare.gov today to see if you qualify.