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CareSource Marketplace Low Deductible Silver
Healthcare.gov Individual Medical Plan Finder
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CareSource Marketplace Low Deductible Silver

Overview
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CareSource Marketplace Low Deductible Silver 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 Roane 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
50328WV0010025
Coverage area
Roane County, West Virginia
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
HMO
Coverage type
Medical deductible
$4,400
Out-of-pocket maximum
$7,500
Generic drug co-pay
$10
Preferred brand drug co-pay
$60
Primary care physician visit cost
$10
Specialist doctor visit cost
$60
Doctor Visits
Primary Care Visit $10
Specialist Visit $60
Emergency Room Visit $500 Copay after deductible
Inpatient Facility Visit $500 Copay per Stay after deductible
Inpatient Physician Visit $500 Copay after deductible
Prescription Drugs
Generic Drugs $10
Preferred Brand Drugs $60
Non-preferred Brand Drugs 30% Coinsurance after deductible
Specialty Drugs 30% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $4,400
Medical Maximum Out Of Pocket (Individual) $7,500
Medical Deductible (Family) $8,800
Medical Maximum Out Of Pocket (Family) $15,000
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 0-14 369
Premium Child Age 18 441
Premium Adult Individual Age 21 483
Premium Adult Individual Age 27 506
Premium Adult Individual Age 30 548
Premium Adult Individual Age 40 617
Premium Adult Individual Age 50 863
Premium Adult Individual Age 60 1,311
Premium Couple 21 966
Premium Couple 30 1,096
Premium Couple 40 1,235
Premium Couple 50 1726
Premium Couple 60 2,622
Couple+1 child, Age 21 1,336
Couple+1 child, Age 30 1,466
Couple+1 child, Age 40 1,604
Couple+1 child, Age 50 2,095
Couple+2 children, Age 21 1,705
Couple+2 children, Age 30 1,836
Couple+2 children, Age 40 1,974
Couple+2 children, Age 50 2,465
Couple+3 or more Children, Age 21 2,075
Couple+3 or more Children, Age 30 2,205
Couple+3 or more Children, Age 40 2,344
Couple+3 or more Children, Age 50 2,834
Individual+1 child, Age 21 852
Individual+1 child, Age 30 918
Individual+1 child, Age 40 987
Individual+1 child, Age 50 1,232
Individual+2 children, Age 21 1,222
Individual+2 children, Age 30 1,287
Individual+2 children, Age 40 1,356
Individual+2 children, Age 50 1,602
Individual+3 or more children, Age 21 1,592
Individual+3 or more children, Age 30 1,657
Individual+3 or more children, Age 40 1,726
Individual+3 or more children, Age 50 1,971
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