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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 Mcdowell 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
Mcdowell 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 0-14 430
Premium Child Age 18 513
Premium Adult Individual Age 21 562
Premium Adult Individual Age 27 589
Premium Adult Individual Age 30 638
Premium Adult Individual Age 40 719
Premium Adult Individual Age 50 1,004
Premium Adult Individual Age 60 1,527
Premium Couple 21 1,125
Premium Couple 30 1,277
Premium Couple 40 1,438
Premium Couple 50 2,009
Premium Couple 60 3,054
Couple+1 child, Age 21 1,555
Couple+1 child, Age 30 1,707
Couple+1 child, Age 40 1,868
Couple+1 child, Age 50 2,440
Couple+2 children, Age 21 1,986
Couple+2 children, Age 30 2,138
Couple+2 children, Age 40 2299
Couple+2 children, Age 50 2,870
Couple+3 or more Children, Age 21 2,416
Couple+3 or more Children, Age 30 2,568
Couple+3 or more Children, Age 40 2,729
Couple+3 or more Children, Age 50 3,301
Individual+1 child, Age 21 993
Individual+1 child, Age 30 1,069
Individual+1 child, Age 40 1,149
Individual+1 child, Age 50 1,435
Individual+2 children, Age 21 1,423
Individual+2 children, Age 30 1,499
Individual+2 children, Age 40 1,579
Individual+2 children, Age 50 1,865
Individual+3 or more children, Age 21 1,853
Individual+3 or more children, Age 30 1,929
Individual+3 or more children, Age 40 2,010
Individual+3 or more children, Age 50 2,296
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