CareSource Indiana

Plan Overviews

CareSource is a leading non-profit public sector managed care company, meeting the needs of health care consumers for more than 24 years.

Gold Plans

This may be a good choice for you if you expect to have a lot of doctor appointments, need many prescription medicines, or need other health services.

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.

Plan Costs

Plan Type

Annual Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim.

Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max

Primary Care Visit Copay

Retail Clinic Visit Copay

Specialist Visit Copay

Emergency Copay

Individual

$1,000

Medical $2,500 Pharmacy $2,000

20%

$0

$0

$40

$250 after deductible

Family

$2,000

Medical $5,000 Pharmacy $4,000

20%

$0

$0

$40

$250 after deductible

Prescription Drug Coverage

Plan Type

Preventive

Generic

Preferred Brand

Non-preferred Brand

Preferred Specialty

Non-preferred Specialty

Individual/ Family

$0

$0

$120

$160

40% Coinsurance (up to $300)

50% Coinsurance (up to $300)

Coinsurance

Service/Supply Examples Coinsurance after Deductible
Ambulance Services, Dental Services (related to accident or injury), Laboratory Services, Diagnostic  Mammogram,X-Rays, Home Health Care Services, Home Infusion Services, Hospice Services, Inpatient Professional Services, Medical Supplies, Durable Medical Equipment and Appliances, Outpatient Services, Therapy Services,   etc. 20%

Required Copays

Service

Copay

Outpatient Advanced Imaging (CT/PET Scans, MRI)

$150 after deductible

Inpatient Facility Services

$150 copay per day for 5 days, $0 days 6 and  beyond

Skilled Nursing Facility for Physical Medicine and Rehabilitation

$150 copay per day for 5 days, $0 days 6 and  beyond

Urgent Care Services

$75

Pediatric Vision Services – an annual exam is provided at no charge. Copayments apply ONLY if additional office visits are  needed.

$40

Pediatric vision and dental (including orthodontia) is included.

Silver Plans

Silver plans are a good middle of the road option, and also the best value when you qualify for cost-sharing reduction.

Plan Costs

Plan Type

Annual Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim.

Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max

Primary Care Visit Copay

Retail Clinic Visit Copay

Specialist Visit Copay

Emergency Copay

Individual

$3,300

$6,400

30%

$0

$0

$50

$500 after deductible

Family

$6,600

$12,800

30%

$0

$0

$50

$500 after deductible

Prescription Drug Coverage

Plan Type

Preventive

Generic

Preferred Brand

Non-preferred Brand

Preferred Specialty

Non-preferred Specialty

Individual/ Family

$0

$0

$60

$130

40% Coinsurance (up to $300)

50% Coinsurance (up to $300)

Coinsurance

Service/Supply Examples Coinsurance after Deductible
Ambulance Services, Dental Services (related to accident or injury), Laboratory Services, Diagnostic  Mammogram,X-Rays, Home Health Care Services, Home Infusion Services, Hospice Services, Inpatient Professional Services, Medical Supplies, Durable Medical Equipment and Appliances, Outpatient Services, Therapy Services,   etc. 20%

Required Copays

Service

Copay

Outpatient Advanced Imaging (CT/PET Scans, MRI)

$150 after deductible

Inpatient Facility Services

$150 copay per day for 5 days, $0 days 6 and  beyond

Skilled Nursing Facility for Physical Medicine and Rehabilitation

$150 copay per day for 5 days, $0 days 6 and  beyond

Urgent Care Services

$75

Pediatric Vision Services – an annual exam is provided at no charge. Copayments apply ONLY if additional office visits are  needed.

$40

Pediatric vision and dental (including orthodontia) is included.

A health plan in the bronze level may be a good choice for you if you don’t expect to have many doctor appointments or need many prescription  drugs.

Generally, plans in the Bronze category have the lowest premiums (your monthly insurance bill) but the highest deductibles and other out-of-pocket costs.

 

Plan Costs

 

Plan Type

Annual Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim.

Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services

CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max

Primary Care Visit Copay

Retail Clinic Visit Copay

Specialist Visit Copay

Emergency Copay

Individual

$6,650

$6,850

40%

$35

$35

$75

$500 after deductible

Family

$13,300

$13,700

40%

$35

$35

$75

$500 after deductible

Prescription Drug Coverage

 

Plan Type

Preventive

Generic

Preferred Brand

Non-preferred Brand

Preferred Specialty

Non-preferred Specialty

Individual/ Family

$0

$25

$100

$250

40% Coinsurance (up to $300)

50% Coinsurance (up to $300)

Coinsurance

Service/Supply Examples

Coinsurance

after Deductible

Ambulance Services, Dental Services (related to accident or injury), Laboratory Services, Diagnostic  Mammogram,

X-Rays, Home Health Care Services, Home Infusion Services, Hospice Services, Inpatient Professional Services, Medical Supplies, Durable Medical Equipment and Appliances, Outpatient Services, Therapy Services,   etc.

40%

 

Required Copays

 

Service

Copay

Outpatient Advanced Imaging (CT/PET Scans, MRI)

$200 after deductible

Inpatient Facility Services

$250 copay per day for 5 days, $0 days 6 and  beyond

Skilled Nursing Facility for Physical Medicine and Rehabilitation

$100 copay per day for 5 days, $0 days 6 and  beyond

Urgent Care Services

$100

Pediatric Vision Services – an annual exam is provided at no charge. Copayments apply ONLY if additional office visits are  needed.

$75

Read HTML articles in our blog section to learn everything about web design and development. You will find great tips.

Apply Online Now

Contact Us

Phone: (312) 726-6565
Email: [email protected]

Find What Plans Your Doctor Accepts

Find Every Plan In Your Area

Calculate Your Subsidy

Live Chat Our Agents

Apply On Or Off the Exchange

Apply in Under 5 Minutes