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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 Mason 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
Mason 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 0-14 334
Premium Child Age 18 399
Premium Adult Individual Age 21 437
Premium Adult Individual Age 27 458
Premium Adult Individual Age 30 496
Premium Adult Individual Age 40 558
Premium Adult Individual Age 50 780
Premium Adult Individual Age 60 1,186
Premium Couple 21 874
Premium Couple 30 992
Premium Couple 40 1,117
Premium Couple 50 1,561
Premium Couple 60 2,373
Couple+1 child, Age 21 1,208
Couple+1 child, Age 30 1,326
Couple+1 child, Age 40 1,451
Couple+1 child, Age 50 1,896
Couple+2 children, Age 21 1,543
Couple+2 children, Age 30 1,661
Couple+2 children, Age 40 1,786
Couple+2 children, Age 50 2,230
Couple+3 or more Children, Age 21 1,877
Couple+3 or more Children, Age 30 1,995
Couple+3 or more Children, Age 40 2,120
Couple+3 or more Children, Age 50 2,565
Individual+1 child, Age 21 771
Individual+1 child, Age 30 830
Individual+1 child, Age 40 893
Individual+1 child, Age 50 1,115
Individual+2 children, Age 21 1,106
Individual+2 children, Age 30 1,165
Individual+2 children, Age 40 1,227
Individual+2 children, Age 50 1,449
Individual+3 or more children, Age 21 1,440
Individual+3 or more children, Age 30 1,499
Individual+3 or more children, Age 40 1,562
Individual+3 or more children, Age 50 1,784
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