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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 Monongalia 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
Monongalia 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 0-14 323
Premium Child Age 18 386
Premium Adult Individual Age 21 423
Premium Adult Individual Age 27 443
Premium Adult Individual Age 30 480
Premium Adult Individual Age 40 541
Premium Adult Individual Age 50 756
Premium Adult Individual Age 60 1,148
Premium Couple 21 846
Premium Couple 30 960
Premium Couple 40 1082
Premium Couple 50 1,512
Premium Couple 60 2,297
Couple+1 child, Age 21 1,170
Couple+1 child, Age 30 1,284
Couple+1 child, Age 40 1,405
Couple+1 child, Age 50 1,835
Couple+2 children, Age 21 1,494
Couple+2 children, Age 30 1,608
Couple+2 children, Age 40 1,729
Couple+2 children, Age 50 2,159
Couple+3 or more Children, Age 21 1,818
Couple+3 or more Children, Age 30 1,932
Couple+3 or more Children, Age 40 2,053
Couple+3 or more Children, Age 50 2,483
Individual+1 child, Age 21 747
Individual+1 child, Age 30 804
Individual+1 child, Age 40 864
Individual+1 child, Age 50 1,079
Individual+2 children, Age 21 1071
Individual+2 children, Age 30 1,128
Individual+2 children, Age 40 1,188
Individual+2 children, Age 50 1,403
Individual+3 or more children, Age 21 1,394
Individual+3 or more children, Age 30 1,451
Individual+3 or more children, Age 40 1,512
Individual+3 or more children, Age 50 1,727
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