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

Overview
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CareSource Marketplace Gold 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 Putnam 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
50328WV0010022
Coverage area
Putnam County, West Virginia
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
HMO
Coverage type
Medical deductible
$2,000
Out-of-pocket maximum
$6,500
Generic drug co-pay
$10
Preferred brand drug co-pay
$50
Primary care physician visit cost
No Charge
Specialist doctor visit cost
$35
Doctor Visits
Primary Care Visit No Charge
Specialist Visit $35
Emergency Room Visit 20% Coinsurance after deductible
Inpatient Facility Visit 20% Coinsurance after deductible
Inpatient Physician Visit 20% Coinsurance after deductible
Prescription Drugs
Generic Drugs $10
Preferred Brand Drugs $50
Non-preferred Brand Drugs $200
Specialty Drugs 40% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $2,000
Medical Maximum Out Of Pocket (Individual) $6,500
Medical Deductible (Family) $4,000
Medical Maximum Out Of Pocket (Family) $13,000
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 0-14 408
Premium Child Age 18 487
Premium Adult Individual Age 21 534
Premium Adult Individual Age 27 559
Premium Adult Individual Age 30 606
Premium Adult Individual Age 40 682
Premium Adult Individual Age 50 953
Premium Adult Individual Age 60 1,449
Premium Couple 21 1,068
Premium Couple 30 1,212
Premium Couple 40 1,365
Premium Couple 50 1,907
Premium Couple 60 2,898
Couple+1 child, Age 21 1,476
Couple+1 child, Age 30 1,620
Couple+1 child, Age 40 1,773
Couple+1 child, Age 50 2,316
Couple+2 children, Age 21 1,885
Couple+2 children, Age 30 2,029
Couple+2 children, Age 40 2,182
Couple+2 children, Age 50 2,724
Couple+3 or more Children, Age 21 2,293
Couple+3 or more Children, Age 30 2,437
Couple+3 or more Children, Age 40 2,590
Couple+3 or more Children, Age 50 3,133
Individual+1 child, Age 21 942
Individual+1 child, Age 30 1,014
Individual+1 child, Age 40 1,091
Individual+1 child, Age 50 1,362
Individual+2 children, Age 21 1,351
Individual+2 children, Age 30 1,423
Individual+2 children, Age 40 1,499
Individual+2 children, Age 50 1,770
Individual+3 or more children, Age 21 1,759
Individual+3 or more children, Age 30 1,831
Individual+3 or more children, Age 40 1,908
Individual+3 or more children, Age 50 2,179
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