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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 Mingo 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
Mingo 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 0-14 389
Premium Child Age 18 465
Premium Adult Individual Age 21 509
Premium Adult Individual Age 27 534
Premium Adult Individual Age 30 578
Premium Adult Individual Age 40 651
Premium Adult Individual Age 50 910
Premium Adult Individual Age 60 1,382
Premium Couple 21 1,019
Premium Couple 30 1,156
Premium Couple 40 1,302
Premium Couple 50 1,820
Premium Couple 60 2,765
Couple+1 child, Age 21 1,408
Couple+1 child, Age 30 1,546
Couple+1 child, Age 40 1,692
Couple+1 child, Age 50 2,210
Couple+2 children, Age 21 1,798
Couple+2 children, Age 30 1,936
Couple+2 children, Age 40 2,082
Couple+2 children, Age 50 2,599
Couple+3 or more Children, Age 21 2,188
Couple+3 or more Children, Age 30 2,326
Couple+3 or more Children, Age 40 2,471
Couple+3 or more Children, Age 50 2,989
Individual+1 child, Age 21 899
Individual+1 child, Age 30 968
Individual+1 child, Age 40 1,041
Individual+1 child, Age 50 1,299
Individual+2 children, Age 21 1,289
Individual+2 children, Age 30 1,358
Individual+2 children, Age 40 1,430
Individual+2 children, Age 50 1,689
Individual+3 or more children, Age 21 1,679
Individual+3 or more children, Age 30 1,747
Individual+3 or more children, Age 40 1,820
Individual+3 or more children, Age 50 2,079
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