Share
Medicine Status
CareSource Marketplace Low Premium Silver Dental and Vision
Healthcare.gov Individual Medical Plan Finder
Contents
Explore
Search
Medicine Status
More
About Medicine Status
Copyright © 2020 MedicineStatus.com and Spring Launch Media LLC. All Rights Reserved.

All content on this website ("the Site") is the property of Spring Launch Media LLC. The collection and assembly of content on this Site are the exclusive property of Spring Launch Media LLC and are protected by copyright and other intellectual property laws. MedicineStatus.com does not provide medical advice, diagnosis, or treatment, and urges you to consult with a qualified medical provider for diagnosis, treatment, and for answers to your medical questions. MedicineStatus.com does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information disclosed. MedicineStatus.com does not assume any responsibility for any aspect of medical care administered based on the contents provided on this Site. The contents of MedicineStatus.com, such as text, images, graphics, or other material are solely for informational purposes. MedicineStatus.com does not recommend or endorse any specific provider, opinions, procedures, or other information on the Site. Rely on any information provided by MedicineStatus.com or displayed on this Site solely at your own risk. Consult a healthcare professional before taking any drug, choosing or changing any course of treatment.

CareSource Marketplace Low Premium Silver Dental and Vision

Overview
Back to Top

CareSource Marketplace Low Premium 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 Logan 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
Back to Top
Issuer
CareSource West Virginia Co.
Plan ID
50328WV0020021
Coverage area
Logan 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 96.38%
Premium Child Age 0-14 409
Premium Child Age 18 488
Premium Adult Individual Age 21 534
Premium Adult Individual Age 27 560
Premium Adult Individual Age 30 606
Premium Adult Individual Age 40 683
Premium Adult Individual Age 50 955
Premium Adult Individual Age 60 1,451
Premium Couple 21 1,069
Premium Couple 30 1,213
Premium Couple 40 1,366
Premium Couple 50 1910
Premium Couple 60 2,902
Couple+1 child, Age 21 1,478
Couple+1 child, Age 30 1,622
Couple+1 child, Age 40 1,775
Couple+1 child, Age 50 2,319
Couple+2 children, Age 21 1,887
Couple+2 children, Age 30 2,031
Couple+2 children, Age 40 2,184
Couple+2 children, Age 50 2,728
Couple+3 or more Children, Age 21 2,296
Couple+3 or more Children, Age 30 2,440
Couple+3 or more Children, Age 40 2,593
Couple+3 or more Children, Age 50 3,137
Individual+1 child, Age 21 943
Individual+1 child, Age 30 1,015
Individual+1 child, Age 40 1,092
Individual+1 child, Age 50 1,364
Individual+2 children, Age 21 1,352
Individual+2 children, Age 30 1,425
Individual+2 children, Age 40 1,501
Individual+2 children, Age 50 1,773
Individual+3 or more children, Age 21 1,761
Individual+3 or more children, Age 30 1,834
Individual+3 or more children, Age 40 1,910
Individual+3 or more children, Age 50 2,182
Reference
Back to Top

  • 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