Share
Medicine Status
CareSource Marketplace Bronze Dental and Vision
Healthcare.gov Individual Medical Plan Finder
Contents
Explore
Search
Medicine Status
More
About Medicine Status
Copyright © 2020 MedicineStatus.com and Spring Launch Media LLC. All Rights Reserved.

All content on this website ("the Site") is the property of Spring Launch Media LLC. The collection and assembly of content on this Site are the exclusive property of Spring Launch Media LLC and are protected by copyright and other intellectual property laws. MedicineStatus.com does not provide medical advice, diagnosis, or treatment, and urges you to consult with a qualified medical provider for diagnosis, treatment, and for answers to your medical questions. MedicineStatus.com does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information disclosed. MedicineStatus.com does not assume any responsibility for any aspect of medical care administered based on the contents provided on this Site. The contents of MedicineStatus.com, such as text, images, graphics, or other material are solely for informational purposes. MedicineStatus.com does not recommend or endorse any specific provider, opinions, procedures, or other information on the Site. Rely on any information provided by MedicineStatus.com or displayed on this Site solely at your own risk. Consult a healthcare professional before taking any drug, choosing or changing any course of treatment.

CareSource Marketplace Bronze Dental and Vision

Overview
Back to Top

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 Preston 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
Back to Top
Issuer
CareSource West Virginia Co.
Plan ID
50328WV0020024
Coverage area
Preston 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 0-14 356
Premium Child Age 18 425
Premium Adult Individual Age 21 466
Premium Adult Individual Age 27 488
Premium Adult Individual Age 30 529
Premium Adult Individual Age 40 595
Premium Adult Individual Age 50 832
Premium Adult Individual Age 60 1,265
Premium Couple 21 932
Premium Couple 30 1,058
Premium Couple 40 1,191
Premium Couple 50 1,665
Premium Couple 60 2,530
Couple+1 child, Age 21 1,288
Couple+1 child, Age 30 1,414
Couple+1 child, Age 40 1,548
Couple+1 child, Age 50 2,021
Couple+2 children, Age 21 1,645
Couple+2 children, Age 30 1,771
Couple+2 children, Age 40 1,904
Couple+2 children, Age 50 2,378
Couple+3 or more Children, Age 21 2,002
Couple+3 or more Children, Age 30 2,127
Couple+3 or more Children, Age 40 2,261
Couple+3 or more Children, Age 50 2,734
Individual+1 child, Age 21 822
Individual+1 child, Age 30 885
Individual+1 child, Age 40 952
Individual+1 child, Age 50 1,189
Individual+2 children, Age 21 1,179
Individual+2 children, Age 30 1,242
Individual+2 children, Age 40 1,308
Individual+2 children, Age 50 1,545
Individual+3 or more children, Age 21 1,535
Individual+3 or more children, Age 30 1,598
Individual+3 or more children, Age 40 1,665
Individual+3 or more children, Age 50 1,902
Reference
Back to Top

  • 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