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.
Choose your state from the drop down list above to see all of the documents for your plan.
Marketplace Plans
CareSource Gold Plans
Higher premiums and lower out of pocket costs.
If you expect to have a lot of doctor appointments, need many prescription medicines, or need other health services, this may be a good choice for you. Gold plans have:
Higher premiums. You pay more each month for a Gold plan than you would for another metal level.
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.
CareSource Silver Plans
Our only plans offering cost sharing reductions (CSRs).
CareSource Silver Plans are our most popular plans. In fact, 50% of our members find that it fits best into their lifestyle and budget.
Financial Assistance – These are the only plans where you can take advantage of cost sharing reductions (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
Lowest premiums and 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 plans have:
Lowest premiums. You pay less each month for a Bronze Plan, but these plans have the highest deductibles and other out-of-pocket costs.
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.
- Select your state to view documents
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.
- Select your state to view documents
Benefits-At-A-Glance
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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.