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

Overview
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CareSource Marketplace HSA Eligible 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 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
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Issuer
CareSource West Virginia Co.
Plan ID
50328WV0010020
Coverage area
Preston County, West Virginia
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
HMO
Coverage type
Medical deductible
$5,200
Out-of-pocket maximum
$6,650
Generic drug co-pay
50% Coinsurance after deductible
Preferred brand drug co-pay
50% Coinsurance after deductible
Primary care physician visit cost
50% Coinsurance after deductible
Specialist doctor visit cost
50% Coinsurance after deductible
Doctor Visits
Primary Care Visit 50% Coinsurance after deductible
Specialist Visit 50% Coinsurance after deductible
Emergency Room Visit 50% Coinsurance after deductible
Inpatient Facility Visit 50% Coinsurance after deductible
Inpatient Physician Visit 50% Coinsurance after deductible
Prescription Drugs
Generic Drugs 50% Coinsurance after deductible
Preferred Brand Drugs 50% Coinsurance after deductible
Non-preferred Brand Drugs 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $5,200
Medical Maximum Out Of Pocket (Individual) $6,650
Medical Deductible (Family) $10,400
Medical Maximum Out Of Pocket (Family) $13,300
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 0-14 364
Premium Child Age 18 434
Premium Adult Individual Age 21 476
Premium Adult Individual Age 27 499
Premium Adult Individual Age 30 540
Premium Adult Individual Age 40 608
Premium Adult Individual Age 50 850
Premium Adult Individual Age 60 1,292
Premium Couple 21 952
Premium Couple 30 1,081
Premium Couple 40 1,217
Premium Couple 50 1,701
Premium Couple 60 2,585
Couple+1 child, Age 21 1,317
Couple+1 child, Age 30 1,445
Couple+1 child, Age 40 1,581
Couple+1 child, Age 50 2,065
Couple+2 children, Age 21 1,681
Couple+2 children, Age 30 1,810
Couple+2 children, Age 40 1,946
Couple+2 children, Age 50 2,430
Couple+3 or more Children, Age 21 2,045
Couple+3 or more Children, Age 30 2,174
Couple+3 or more Children, Age 40 2,310
Couple+3 or more Children, Age 50 2,794
Individual+1 child, Age 21 840
Individual+1 child, Age 30 905
Individual+1 child, Age 40 973
Individual+1 child, Age 50 1,215
Individual+2 children, Age 21 1,205
Individual+2 children, Age 30 1,269
Individual+2 children, Age 40 1,337
Individual+2 children, Age 50 1,579
Individual+3 or more children, Age 21 1,569
Individual+3 or more children, Age 30 1,633
Individual+3 or more children, Age 40 1,701
Individual+3 or more children, Age 50 1,943
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