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CareSource Marketplace Standard Silver
Healthcare.gov Individual Medical Plan Finder
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CareSource Marketplace Standard Silver

Overview
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CareSource Marketplace Standard 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
50328WV0010023
Coverage area
Pleasants County, West Virginia
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
HMO
Coverage type
Medical deductible
$5,700
Out-of-pocket maximum
$7,700
Generic drug co-pay
$15
Preferred brand drug co-pay
$45
Primary care physician visit cost
$15
Specialist doctor visit cost
$40
Doctor Visits
Primary Care Visit $15
Specialist Visit $40
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 $15
Preferred Brand Drugs $45
Non-preferred Brand Drugs 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $5,700
Medical Maximum Out Of Pocket (Individual) $7,700
Medical Deductible (Family) $11,400
Medical Maximum Out Of Pocket (Family) $15,400
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 0-14 309
Premium Child Age 18 369
Premium Adult Individual Age 21 404
Premium Adult Individual Age 27 424
Premium Adult Individual Age 30 459
Premium Adult Individual Age 40 517
Premium Adult Individual Age 50 723
Premium Adult Individual Age 60 1,098
Premium Couple 21 809
Premium Couple 30 918
Premium Couple 40 1,034
Premium Couple 50 1446
Premium Couple 60 2,197
Couple+1 child, Age 21 1,119
Couple+1 child, Age 30 1,228
Couple+1 child, Age 40 1,344
Couple+1 child, Age 50 1,755
Couple+2 children, Age 21 1429
Couple+2 children, Age 30 1,538
Couple+2 children, Age 40 1,654
Couple+2 children, Age 50 2,065
Couple+3 or more Children, Age 21 1,738
Couple+3 or more Children, Age 30 1,847
Couple+3 or more Children, Age 40 1,963
Couple+3 or more Children, Age 50 2,375
Individual+1 child, Age 21 714
Individual+1 child, Age 30 769
Individual+1 child, Age 40 827
Individual+1 child, Age 50 1,032
Individual+2 children, Age 21 1,024
Individual+2 children, Age 30 1,078
Individual+2 children, Age 40 1,136
Individual+2 children, Age 50 1,342
Individual+3 or more children, Age 21 1,333
Individual+3 or more children, Age 30 1,388
Individual+3 or more children, Age 40 1,446
Individual+3 or more children, Age 50 1,652
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