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CareSource Marketplace Bronze
Healthcare.gov Individual Medical Plan Finder
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CareSource Marketplace Bronze

Overview
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CareSource Marketplace Bronze is an individual health health plan issued by CareSource West Virginia Co. and is available for the year 2019. This health plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

Where Do I Need to Live to Quality for this Plan?

This plan is available for qualifying individuals who live in Ohio county, West Virginia.

What Type of Health Plan Is This?

This plan is an HMO plan, which is also known as a "Health Maintenance Organization." An HMO is a type of insurance plan that generally limits coverage to care from doctors who contract with the HMO. Out-of-network doctors are usually not covered.

You may be required to live or work in a particular service area in order to be eligible for the HMO's coverage. In an HMO, you will usually need to have a primary care doctor (PCP) and you need referrals in order to see specialists.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
CareSource West Virginia Co.
Plan ID
50328WV0010024
Coverage area
Ohio County, West Virginia
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
HMO
Coverage type
Medical deductible
$7,400
Out-of-pocket maximum
$7,900
Generic drug co-pay
$30
Preferred brand drug co-pay
40% Coinsurance after deductible
Primary care physician visit cost
$35
Specialist doctor visit cost
40% Coinsurance after deductible
Doctor Visits
Primary Care Visit $35
Specialist Visit 40% Coinsurance after deductible
Emergency Room Visit 40% Coinsurance after deductible
Inpatient Facility Visit 40% Coinsurance after deductible
Inpatient Physician Visit 40% Coinsurance after deductible
Prescription Drugs
Generic Drugs $30
Preferred Brand Drugs 40% Coinsurance after deductible
Non-preferred Brand Drugs 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $7,400
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $14,800
Medical Maximum Out Of Pocket (Family) $15,800
Drug Deductible
Drug Deductible (Individual) Included in Medical
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) Included in Medical
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 258
Premium Child Age 18 308
Premium Adult Individual Age 21 337
Premium Adult Individual Age 27 354
Premium Adult Individual Age 30 383
Premium Adult Individual Age 40 431
Premium Adult Individual Age 50 603
Premium Adult Individual Age 60 917
Premium Couple 21 675
Premium Couple 30 767
Premium Couple 40 863
Premium Couple 50 1,207
Premium Couple 60 1,834
Couple+1 child, Age 21 934
Couple+1 child, Age 30 1,025
Couple+1 child, Age 40 1,122
Couple+1 child, Age 50 1,465
Couple+2 children, Age 21 1,192
Couple+2 children, Age 30 1,284
Couple+2 children, Age 40 1,380
Couple+2 children, Age 50 1,724
Couple+3 or more Children, Age 21 1,451
Couple+3 or more Children, Age 30 1,542
Couple+3 or more Children, Age 40 1,639
Couple+3 or more Children, Age 50 1,982
Individual+1 child, Age 21 596
Individual+1 child, Age 30 642
Individual+1 child, Age 40 690
Individual+1 child, Age 50 862
Individual+2 children, Age 21 854
Individual+2 children, Age 30 900
Individual+2 children, Age 40 948
Individual+2 children, Age 50 1,120
Individual+3 or more children, Age 21 1,113
Individual+3 or more children, Age 30 1,159
Individual+3 or more children, Age 40 1,207
Individual+3 or more children, Age 50 1,379
Reference
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  • HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov
  • The 'metal' categories: Bronze, Silver, Gold & Platinum. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plans-categories
  • Health insurance plan & network types: HMOs, PPOs, and more. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plan-types