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

Overview
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CareSource Marketplace Low Premium 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 Marion 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
50328WV0010021
Coverage area
Marion County, West Virginia
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
HMO
Coverage type
Medical deductible
$6,400
Out-of-pocket maximum
$7,900
Generic drug co-pay
$20
Preferred brand drug co-pay
$50
Primary care physician visit cost
$25
Specialist doctor visit cost
$50
Doctor Visits
Primary Care Visit $25
Specialist Visit $50
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 $20
Preferred Brand Drugs $50
Non-preferred Brand Drugs 15% Coinsurance after deductible
Specialty Drugs 15% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $6,400
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $12,800
Medical Maximum Out Of Pocket (Family) $15,800
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 0-14 326
Premium Child Age 18 389
Premium Adult Individual Age 21 427
Premium Adult Individual Age 27 447
Premium Adult Individual Age 30 484
Premium Adult Individual Age 40 545
Premium Adult Individual Age 50 762
Premium Adult Individual Age 60 1,159
Premium Couple 21 854
Premium Couple 30 969
Premium Couple 40 1,091
Premium Couple 50 1,525
Premium Couple 60 2,318
Couple+1 child, Age 21 1,180
Couple+1 child, Age 30 1,296
Couple+1 child, Age 40 1,418
Couple+1 child, Age 50 1,852
Couple+2 children, Age 21 1,507
Couple+2 children, Age 30 1,622
Couple+2 children, Age 40 1,745
Couple+2 children, Age 50 2,179
Couple+3 or more Children, Age 21 1,834
Couple+3 or more Children, Age 30 1,949
Couple+3 or more Children, Age 40 2,071
Couple+3 or more Children, Age 50 2,505
Individual+1 child, Age 21 753
Individual+1 child, Age 30 811
Individual+1 child, Age 40 872
Individual+1 child, Age 50 1,089
Individual+2 children, Age 21 1,080
Individual+2 children, Age 30 1,138
Individual+2 children, Age 40 1,199
Individual+2 children, Age 50 1,416
Individual+3 or more children, Age 21 1,407
Individual+3 or more children, Age 30 1,464
Individual+3 or more children, Age 40 1,526
Individual+3 or more children, Age 50 1,742
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