NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
INSURER

CareSource provider networks, plan by plan.

InPlan holds provider listings for 85 CareSource marketplace (ACA) and Medicare Advantage plans in Indiana, New York, Ohio, Wisconsin and West Virginia. Together they hold more than 5.3 million provider-plan links, each with the date we read the directory.

InPlan is independent and not affiliated with CareSource. Plan and insurer names appear as the plans publish them.

PLANS WITH LISTINGS
85
STATES
5
PLAN YEARS
2026 and 2027
LATEST READ
2026-10-29

What we hold for CareSource.

Each plan below has a provider directory that lists providers in our data. The API answers from these listings, one provider and one plan at a time, and returns the source type and read date with every answer.

CareSource plans with provider listings, by market
MARKETPLANSSTATESPLAN YEARSPROVIDER-PLAN LINKSLATEST READ
Marketplace (ACA)83420265,263,1982026-10-28
Medicare Advantage21202769,1302026-10-29
PLANS ARE PUBLISHED UNDER THESE NAMES
  • CareSource
  • CareSource (Common Ground Healthcare)
  • ElderServe Health

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Where: 5 states.

Plans with provider listings in each state. A Medicare Advantage plan that serves several states counts in each of them.

CareSource plans with provider listings, by state
STATEMARKETPLACE PLANSMEDICARE ADVANTAGE PLANS
Indiana22
West Virginia22
Ohio21
Wisconsin18
New York2

Example CareSource plans.

5 of the plans we hold, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPESTATEPROVIDER-PLAN LINKS
Low Premium Silver 6200 $3 Generic DrugsCareSource77552OH00102012026Marketplace (ACA)Silver · HMOOhio107,574
HSA Eligible Bronze 6000CareSource54192IN00100102026Marketplace (ACA)Expanded Bronze · HMOIndiana72,105
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx DedCareSource (Common Ground Healthcare)87416WI00300032026Marketplace (ACA)Expanded Bronze · EPOWisconsin46,673
ElderServe Star (HMO I-SNP)ElderServe HealthH6776-001-0002027Medicare AdvantageHMO I-SNP · Special Needs PlanNew York34,565
Low Premium Silver 6200 $3 Generic DrugsCareSource50328WV00100212026Marketplace (ACA)Silver · HMOWest Virginia26,260
SAMPLE ANSWER

Is Rashid Khalil, MD in this CareSource plan?

Yes. The directory for 77552OH0010201 lists Rashid Khalil, MD in Maumee, OH. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003000142&plan_id=77552OH0010201"
Response, trimmed200 OK
{
  "npi": "1003000142",
  "plan_id": "77552OH0010201",
  "market": "aca",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2026,
  "source": { "type": "insurer_directory", "as_of": "2026-10-28" }
}
NPI 1003000142PLAN 77552OH0010201

Rashid Khalil, MD

Anesthesiology · Maumee, OH

Listed

PLAN
Low Premium Silver 6200 $3 Generic Drugs
INSURER
CareSource
MARKET
Marketplace (ACA), plan year 2026
PLAN TYPE
Silver · HMO
NETWORK TIER
PREFERRED
SOURCE
insurer_directory · read 2026-10-28
One real answer, as the API returns itCheck another pair
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Check any provider against CareSource plans.

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Other insurers in the same states

Figures counted 2026-10-30. Sources: provider directories published by insurers and plans; public plan and provider registries.