Diabetes Silver HMO 5000 $30 $0 Chronic Care Services and Adult Vision and Fitness

CareSource Georgia Co. · 2026 plan year

Silver

Ind. deductible: $5,000
Family deductible: $10,000
Ind. OOP max: $9,500
Family OOP max: $19,000

Compare with other Silver plans in GA

Side by side: deductibles, out-of-pocket limits and copays.

UHC Value+ Silver HMO $5000 $20 Gen Rx $8 Adult Dental VisionUnitedHealthcare of Georgia Inc. · Deductible $5,000 · Out-of-pocket max $10,600
Silver Simple HMO $5000 $20Oscar Health Plan of Georgia · Deductible $5,000 · Out-of-pocket max $9,500
Anthem Silver Pathway Guided Access HMO 5000 $10 $0 Virtual PCP $0 Select DrugsAnthem Blue Cross and Blue Shield · Deductible $5,000 · Out-of-pocket max $9,750

Compare 4 plans Browse all Silver plans in GA

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan 94% AV Level Silver Plan Limited Cost Sharing Plan Variation Zero Cost Sharing Plan Variation

More CareSource Georgia Co. plans in GA

Diabetes Gold HMO 3000 $10 $0 Chronic Care Services Low Premium Bronze HMO 10600 0%Core Gold HMO 1500 $20 and Adult Vision and Fitness Low Premium Silver HMO 6200 $40 and Adult Vision and Fitness Diabetes Gold HMO 3000 $10 $0 Chronic Care Services and Adult Vision and Fitness

Monthly premiums by age

Rating Area 15 — the lowest-priced of the 15 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$347	$347
21	$453	$498
30	$514	$596
40	$579	$672
50	$809	$955
60	$1,230	$1,451
64 and over	$1,359	$1,604

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	$30.00

Specialist

Benefit	In-network
Specialist Visit	$50.00

Hospital

Benefit	In-network
Emergency Room Services	50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	$600.00 Copay per Stay after deductible
Outpatient Surgery Physician/Surgical Services	50.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$70.00

Pharmacy

Benefit	In-network
Generic Drugs	$15.00
Non-Preferred Brand Drugs	40.00% Coinsurance after deductible
Preferred Brand Drugs	$100.00
Specialty Drugs	50.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	$600.00 Copay per Stay after deductible
Mental/Behavioral Health Outpatient Services	$30.00

Other

Benefit	In-network
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	50.00% Coinsurance after deductible
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	50.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	$75.00
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Chemotherapy	50.00% Coinsurance after deductible
Chiropractic Care	$50.00
Cosmetic Surgery	50.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care	$600.00 Copay after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	50.00% Coinsurance after deductible
Dialysis	50.00% Coinsurance after deductible
Durable Medical Equipment	50.00% Coinsurance after deductible
Emergency Transportation/Ambulance	50.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	$30.00
Hearing Aids	Not covered
Home Health Care Services	50.00% Coinsurance after deductible
Hospice Services	50.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	$300.00 Copay after deductible
Infertility Treatment	50.00% Coinsurance after deductible
Infusion Therapy	50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	No Charge after deductible
Laboratory Outpatient and Professional Services	$75.00
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutritional Counseling	50.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	$30.00
Outpatient Rehabilitation Services	50.00% Coinsurance after deductible
Prenatal and Postnatal Care	$50.00
Private-Duty Nursing	Not covered
Prosthetic Devices	50.00% Coinsurance after deductible
Radiation	50.00% Coinsurance after deductible
Reconstructive Surgery	50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$30.00
Rehabilitative Speech Therapy	$30.00
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	No charge
Routine Eye Exam for Children	No charge
Routine Foot Care	Not covered
Skilled Nursing Facility	50.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	$600.00 Copay per Stay after deductible
Substance Abuse Disorder Outpatient Services	$30.00
Transplant	50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	50.00% Coinsurance after deductible
Weight Loss Programs	50.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	$400.00 Copay after deductible