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CareSource Marketplace Low Deductible Silver Dental and Vision
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CareSource Marketplace Low Deductible Silver Dental and Vision

Overview
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CareSource Marketplace Low Deductible Silver Dental and Vision 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 Marshall 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
50328WV0020025
Coverage area
Marshall 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 96.68%
Premium Child Age 0-14 315
Premium Child Age 18 376
Premium Adult Individual Age 21 412
Premium Adult Individual Age 27 432
Premium Adult Individual Age 30 467
Premium Adult Individual Age 40 526
Premium Adult Individual Age 50 736
Premium Adult Individual Age 60 1,118
Premium Couple 21 824
Premium Couple 30 935
Premium Couple 40 1,053
Premium Couple 50 1,472
Premium Couple 60 2,237
Couple+1 child, Age 21 1,139
Couple+1 child, Age 30 1,251
Couple+1 child, Age 40 1,369
Couple+1 child, Age 50 1788
Couple+2 children, Age 21 1,455
Couple+2 children, Age 30 1,566
Couple+2 children, Age 40 1,684
Couple+2 children, Age 50 2,103
Couple+3 or more Children, Age 21 1,770
Couple+3 or more Children, Age 30 1,881
Couple+3 or more Children, Age 40 1,999
Couple+3 or more Children, Age 50 2,418
Individual+1 child, Age 21 727
Individual+1 child, Age 30 783
Individual+1 child, Age 40 842
Individual+1 child, Age 50 1,051
Individual+2 children, Age 21 1,043
Individual+2 children, Age 30 1,098
Individual+2 children, Age 40 1,157
Individual+2 children, Age 50 1,367
Individual+3 or more children, Age 21 1,358
Individual+3 or more children, Age 30 1,414
Individual+3 or more children, Age 40 1,473
Individual+3 or more children, Age 50 1,682
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