CareSource - CareSource Silver

Indiana, 2018

  • Plan Type

    HMO

  • Metal Tier

    Silver

  • Out of Pocket Maximum

    $7,300

  • Deductible

    $3,900

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $3,900
Deductible (Family) $7,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,300
Out of Pocket Maximum (Family) $14,600

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $300 Copay per day
Inpatient Physician Data Not Available
Emergency Room Services $500 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $200 Copay after deductible
Laboratory Outpatient and Professional Services $75 Copay after deductible
X-Ray and Diagnostic Imaging $150 Copay after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient $300 Copay per day
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 30% Coinsurance after deductible
Outpatient Surgery 30% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs 40% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $3,900
Deductible (Family) $7,800
Out of Pocket Maximum (Individual) $5,850
Out of Pocket Maximum (Family) $11,700

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $500 Copay after deductible
Inpatient Facility $300 Copay per day
Inpatient Physician

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 40% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $950
Deductible (Family) $1,900
Out of Pocket Maximum (Individual) $1,900
Out of Pocket Maximum (Family) $3,800

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $350 Copay after deductible
Inpatient Facility $175 Copay per day
Inpatient Physician

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 40% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $325
Deductible (Family) $650
Out of Pocket Maximum (Individual) $625
Out of Pocket Maximum (Family) $1,250

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $200 Copay after deductible
Inpatient Facility $110 Copay per day
Inpatient Physician

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 25% Coinsurance after deductible

Other Plans in Indiana

Plan CareSource Hoosier Choice Gold Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Hoosier Choice Silver Dental and Vision Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Bronze Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Low Premium Silver Dental and Vision Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Hoosier Choice Bronze Dental and Vision Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Gold Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Federal Simple Choice Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource HSA Bronze Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,550
Plan CareSource Bronze Dental and Vision Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Federal Simple Choice Bronze Dental and Vision Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Hoosier Choice Gold Dental and Vision Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Hoosier Choice Silver Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Hoosier Choice Bronze Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Gold Dental and Vision Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Silver Dental and Vision Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Low Premium Silver Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Federal Simple Choice Silver Dental and Vision Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Federal Simple Choice Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $3,900
Deductible (Family) $7,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,300
Out of Pocket Maximum (Family) $14,600

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $300 Copay per day
Inpatient Physician Data Not Available
Emergency Room Services $500 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $200 Copay after deductible
Laboratory Outpatient and Professional Services $75 Copay after deductible
X-Ray and Diagnostic Imaging $150 Copay after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient $300 Copay per day
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 30% Coinsurance after deductible
Outpatient Surgery 30% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs 40% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $3,900
Deductible (Family) $7,800
Out of Pocket Maximum (Individual) $5,850
Out of Pocket Maximum (Family) $11,700

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $500 Copay after deductible
Inpatient Facility $300 Copay per day
Inpatient Physician

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 40% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $950
Deductible (Family) $1,900
Out of Pocket Maximum (Individual) $1,900
Out of Pocket Maximum (Family) $3,800

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $350 Copay after deductible
Inpatient Facility $175 Copay per day
Inpatient Physician

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 40% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $325
Deductible (Family) $650
Out of Pocket Maximum (Individual) $625
Out of Pocket Maximum (Family) $1,250

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $200 Copay after deductible
Inpatient Facility $110 Copay per day
Inpatient Physician

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 25% Coinsurance after deductible

Other Plans in Indiana

Plan CareSource Hoosier Choice Gold Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Hoosier Choice Silver Dental and Vision Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Bronze Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Low Premium Silver Dental and Vision Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Hoosier Choice Bronze Dental and Vision Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Gold Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Federal Simple Choice Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource HSA Bronze Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,550
Plan CareSource Bronze Dental and Vision Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Federal Simple Choice Bronze Dental and Vision Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Hoosier Choice Gold Dental and Vision Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Hoosier Choice Silver Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Hoosier Choice Bronze Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Gold Dental and Vision Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Silver Dental and Vision Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Low Premium Silver Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Federal Simple Choice Silver Dental and Vision Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Federal Simple Choice Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350