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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 Pleasants 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
Pleasants 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 0-14 287
Premium Child Age 18 343
Premium Adult Individual Age 21 375
Premium Adult Individual Age 27 394
Premium Adult Individual Age 30 426
Premium Adult Individual Age 40 480
Premium Adult Individual Age 50 671
Premium Adult Individual Age 60 1,020
Premium Couple 21 751
Premium Couple 30 853
Premium Couple 40 960
Premium Couple 50 1,342
Premium Couple 60 2,040
Couple+1 child, Age 21 1,039
Couple+1 child, Age 30 1,141
Couple+1 child, Age 40 1,248
Couple+1 child, Age 50 1,630
Couple+2 children, Age 21 1,327
Couple+2 children, Age 30 1,428
Couple+2 children, Age 40 1,536
Couple+2 children, Age 50 1,918
Couple+3 or more Children, Age 21 1,614
Couple+3 or more Children, Age 30 1,716
Couple+3 or more Children, Age 40 1,823
Couple+3 or more Children, Age 50 2,205
Individual+1 child, Age 21 663
Individual+1 child, Age 30 714
Individual+1 child, Age 40 768
Individual+1 child, Age 50 959
Individual+2 children, Age 21 951
Individual+2 children, Age 30 1,001
Individual+2 children, Age 40 1,055
Individual+2 children, Age 50 1,246
Individual+3 or more children, Age 21 1,238
Individual+3 or more children, Age 30 1,289
Individual+3 or more children, Age 40 1,343
Individual+3 or more children, Age 50 1,534
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