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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 Pleasants 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
Pleasants 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 0-14 296
Premium Child Age 18 353
Premium Adult Individual Age 21 387
Premium Adult Individual Age 27 406
Premium Adult Individual Age 30 439
Premium Adult Individual Age 40 495
Premium Adult Individual Age 50 692
Premium Adult Individual Age 60 1,051
Premium Couple 21 775
Premium Couple 30 879
Premium Couple 40 990
Premium Couple 50 1,384
Premium Couple 60 2,103
Couple+1 child, Age 21 1,071
Couple+1 child, Age 30 1,176
Couple+1 child, Age 40 1,287
Couple+1 child, Age 50 1,681
Couple+2 children, Age 21 1,368
Couple+2 children, Age 30 1,472
Couple+2 children, Age 40 1,583
Couple+2 children, Age 50 1,977
Couple+3 or more Children, Age 21 1,664
Couple+3 or more Children, Age 30 1,769
Couple+3 or more Children, Age 40 1,880
Couple+3 or more Children, Age 50 2,274
Individual+1 child, Age 21 684
Individual+1 child, Age 30 736
Individual+1 child, Age 40 791
Individual+1 child, Age 50 988
Individual+2 children, Age 21 980
Individual+2 children, Age 30 1,032
Individual+2 children, Age 40 1,088
Individual+2 children, Age 50 1,285
Individual+3 or more children, Age 21 1,277
Individual+3 or more children, Age 30 1,329
Individual+3 or more children, Age 40 1,384
Individual+3 or more children, Age 50 1,581
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