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CareSource Marketplace Bronze Dental and Vision
Healthcare.gov Individual Medical Plan Finder
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CareSource Marketplace Bronze Dental and Vision

Overview
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CareSource Marketplace Bronze Dental and Vision 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 Marshall 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
50328WV0020024
Coverage area
Marshall 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 96.12%
Premium Child Age 0-14 269
Premium Child Age 18 321
Premium Adult Individual Age 21 352
Premium Adult Individual Age 27 369
Premium Adult Individual Age 30 400
Premium Adult Individual Age 40 450
Premium Adult Individual Age 50 629
Premium Adult Individual Age 60 956
Premium Couple 21 705
Premium Couple 30 800
Premium Couple 40 900
Premium Couple 50 1,259
Premium Couple 60 1,913
Couple+1 child, Age 21 974
Couple+1 child, Age 30 1,069
Couple+1 child, Age 40 1,170
Couple+1 child, Age 50 1,528
Couple+2 children, Age 21 1,244
Couple+2 children, Age 30 1,339
Couple+2 children, Age 40 1,440
Couple+2 children, Age 50 1,798
Couple+3 or more Children, Age 21 1,513
Couple+3 or more Children, Age 30 1,609
Couple+3 or more Children, Age 40 1,709
Couple+3 or more Children, Age 50 2,068
Individual+1 child, Age 21 622
Individual+1 child, Age 30 669
Individual+1 child, Age 40 720
Individual+1 child, Age 50 899
Individual+2 children, Age 21 891
Individual+2 children, Age 30 939
Individual+2 children, Age 40 989
Individual+2 children, Age 50 1,168
Individual+3 or more children, Age 21 1,161
Individual+3 or more children, Age 30 1,209
Individual+3 or more children, Age 40 1,259
Individual+3 or more children, Age 50 1,438
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