Gold 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’s costs and 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. 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 or 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 AND 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
- Gold 1500 $15 Generic Drugs
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
2024
- 2024 CareSource Gold
- 2024 CareSource Gold Dental, Vision, & Fitness
- 2024 CareSource Core Gold
- 2024 CareSource Core Gold Dental, Vision, & Fitness
- 2024 CareSource Diabetes Gold
- 2024 CareSource Diabetes Gold 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
- Gold 1500 $15 Generic Drugs
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
2024
- 2024 CareSource Gold
- 2024 CareSource Gold Dental, Vision, & Fitness
- 2024 CareSource Core Gold
- 2024 CareSource Core Gold Dental, Vision, & Fitness
- 2024 CareSource Diabetes Gold
- 2024 CareSource Diabetes Gold 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. Access the plan details to learn more plan details to learn more.
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.