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 coverage.
MEMBER HANDBOOK
The Member Handbook is a quick reference guide to your health care benefits and how to engage with CareSource. 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.
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:
2025
- 2025 CareSource Evidence of Coverage
- 2025 CareSource Evidence of Coverage – Vision And Fitness Plan Rider
2024
- 2024 CareSource Evidence of Coverage
- 2024 CareSource Evidence of Coverage – Dental, Vision and Fitness Plan Rider
SUMMARY OF BENEFITS & COVERAGE
The Summary of Benefits and Coverage is an easy-to-read summary that lets you make an apples-to-apples comparison of costs and coverage between health plans. You can compare options based on price, benefits and other features that may be important to you.
2025
SILVER
- Low Premium Silver 6000 $3 Generic Drugs
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
- Silver 5000 $20 Generic Drugs
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- HDHP Preventive Silver 5500 $0 Select Drugs
- Off-Exchange Low Deductible Silver 4500 $3 Generic Drugs
- Off-Exchange Silver 4200 $0 Select Drugs & Specialized Services
- Off-Exchange HDHP Preventive Silver 5600 $0 Select Drugss
SILVER 1
- Low Premium Silver 6000 $3 Generic Drugs
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
- Silver 3000 $20 Generic Drugs
- Silver 3000 $20 Generic Drugs Adult Vision & Fitness
- Diabetes Silver 3500 $0 Select Drugs & Specialized Services
- Diabetes Silver 3500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Silver 4000 $0 Select Drugs & Specialized Services
- Healthy Heart Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- HDHP Preventive Silver 4550 $0 Select Drugs
SILVER 2
- Low Premium Silver 1000 $2 Generic Drugs
- Low Premium Silver 1000 $2 Generic Drugs Adult Vision & Fitness
- Silver 500 $10 Generic Drugs
- Silver 500 $10 Generic Drugs Adult Vision & Fitness
- Diabetes Silver 800 $0 Select Drugs & Specialized Services
- Diabetes Silver 800 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Silver 800 $0 Select Drugs & Specialized Services
- Healthy Heart Silver 800 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Preventive Silver 1750 $0 Select Drugs
SILVER 3
- Low Premium Silver 500 $0 Generic Drugs
- Low Premium Silver 500 $0 Generic Drugs Adult Vision & Fitness
- Silver Zero $0 Generic Drugs
- Silver Zero $0 Generic Drugs Adult Vision & Fitness
- Diabetes Silver 250 $0 Select Drugs & Specialized Services
- Diabetes Silver 250 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Silver 250 $0 Select Drugs & Specialized Services
- Healthy Heart Silver 250 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Preventive Silver 700 $0 Select Drugs
2024
SILVER
- 2024 CareSource Silver
- 2024 CareSource Silver Dental, Vision, & Fitness
- 2024 CareSource Core Silver
- 2024 CareSource Core Silver Dental, Vision, & Fitness
- 2024 CareSource Low Premium Silver
- 2024 CareSource Low Premium Silver Dental, Vision, & Fitness
- 2024 CareSource Diabetes Silver
- 2024 CareSource Diabetes Silver Dental, Vision, & Fitness
SILVER 1
- 2024 CareSource Silver 1
- 2024 CareSource Silver 1 Dental, Vision, & Fitness
- 2024 CareSource Core Silver 1
- 2024 CareSource Core Silver 1 Dental, Vision, & Fitness
- 2024 CareSource Low Premium Silver 1
- 2024 CareSource Low Premium Silver 1 Dental, Vision, & Fitness
- 2024 CareSource Diabetes Silver 1
- 2024 CareSource Diabetes Silver 1 Dental, Vision, & Fitness
SILVER 2
- 2024 CareSource Silver 2
- 2024 CareSource Silver 2 Dental, Vision, & Fitness
- 2024 CareSource Core Silver 2
- 2024 CareSource Core Silver 2 Dental, Vision, & Fitness
- 2024 CareSource Low Premium Silver 2
- 2024 CareSource Low Premium Silver 2 Dental, Vision, & Fitness
- 2024 CareSource Diabetes Silver 2
- 2024 CareSource Diabetes Silver 2 Dental, Vision, & Fitness
SILVER 3
- 2024 CareSource Silver 3
- 2024 CareSource Silver 3 Dental, Vision, & Fitness
- 2024 CareSource Core Silver 3
- 2024 CareSource Core Silver 3 Dental, Vision, & Fitness
- 2024 CareSource Low Premium Silver 3
- 2024 CareSource Low Premium Silver 3 Dental, Vision, & Fitness
- 2024 CareSource Diabetes Silver 3
- 2024 CareSource Diabetes Silver 3 Dental, Vision, & Fitness
SCHEDULE OF BENEFITS
The Schedule of Benefits lists the benefits and the amount of coverage provided in a health insurance plan.
2025
SILVER
- Low Premium Silver 6000 $3 Generic Drugs
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
- Silver 5000 $20 Generic Drugs
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- HDHP Preventive Silver 5500 $0 Select Drugs
- Off-Exchange Low Deductible Silver 4500 $3 Generic Drugs
- Off-Exchange Silver 4200 $0 Select Drugs & Specialized Services
- Off-Exchange HDHP Preventive Silver 5600 $0 Select Drugs
SILVER 1
- Low Premium Silver 6000 $3 Generic Drugs
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
- Silver 3000 $20 Generic Drugs
- Silver 3000 $20 Generic Drugs Adult Vision & Fitness
- Diabetes Silver 3500 $0 Select Drugs & Specialized Services
- Diabetes Silver 3500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Silver 4000 $0 Select Drugs & Specialized Services
- Healthy Heart Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- HDHP Preventive Silver 4550 $0 Select Drugs
SILVER 2
- Low Premium Silver 1000 $2 Generic Drugs
- Low Premium Silver 1000 $2 Generic Drugs Adult Vision & Fitness
- Silver 500 $10 Generic Drugs
- Silver 500 $10 Generic Drugs Adult Vision & Fitness
- Diabetes Silver 800 $0 Select Drugs & Specialized Services
- Diabetes Silver 800 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Silver 800 $0 Select Drugs & Specialized Services
- Healthy Heart Silver 800 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Preventive Silver 1750 $0 Select Drugs
SILVER 3
- Low Premium Silver 500 $0 Generic Drugs
- Low Premium Silver 500 $0 Generic Drugs Adult Vision & Fitness
- Silver Zero $0 Generic Drugs
- Silver Zero $0 Generic Drugs Adult Vision & Fitness
- Diabetes Silver 250 $0 Select Drugs & Specialized Services
- Diabetes Silver 250 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Silver 250 $0 Select Drugs & Specialized Services
- Healthy Heart Silver 250 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Preventive Silver 700 $0 Select Drugs
2024
SILVER
- 2024 CareSource Silver
- 2024 CareSource Silver Dental, Vision, & Fitness
- 2024 CareSource Core Silver
- 2024 CareSource Core Silver Dental, Vision, & Fitness
- 2024 CareSource Low Premium Silver
- 2024 CareSource Low Premium Silver Dental, Vision, & Fitness
- 2024 CareSource Diabetes Silver
- 2024 CareSource Diabetes Silver Dental, Vision, & Fitness
SILVER 1
- 2024 CareSource Silver 1
- 2024 CareSource Silver 1 Dental, Vision, & Fitness
- 2024 CareSource Core Silver 1
- 2024 CareSource Core Silver 1 Dental, Vision, & Fitness
- 2024 CareSource Low Premium Silver 1
- 2024 CareSource Low Premium Silver 1 Dental, Vision, & Fitness
- 2024 CareSource Diabetes Silver 1
- 2024 CareSource Diabetes Silver 1 Dental, Vision, & Fitness
SILVER 2
- 2024 CareSource Silver 2
- 2024 CareSource Silver 2 Dental, Vision, & Fitness
- 2024 CareSource Core Silver 2
- 2024 CareSource Core Silver 2 Dental, Vision, & Fitness
- 2024 CareSource Low Premium Silver 2
- 2024 CareSource Low Premium Silver 2 Dental, Vision, & Fitness
- 2024 CareSource Diabetes Silver 2
- 2024 CareSource Diabetes Silver 2 Dental, Vision, & Fitness
SILVER 3
- 2024 CareSource Silver 3
- 2024 CareSource Silver 3 Dental, Vision, & Fitness
- 2024 CareSource Core Silver 3
- 2024 CareSource Core Silver 3 Dental, Vision, & Fitness
- 2024 CareSource Low Premium Silver 3
- 2024 CareSource Low Premium Silver 3 Dental, Vision, & Fitness
- 2024 CareSource Diabetes Silver 3
- 2024 CareSource Diabetes Silver 3 Dental, Vision, & Fitness
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.
GLOSSARY
FORMS
We want you to find the forms you need for your CareSource Marketplace plan easily. Visit the Forms page to find most forms when you need them.