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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 Wetzel 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
Wetzel 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 0-14 341
Premium Child Age 18 407
Premium Adult Individual Age 21 446
Premium Adult Individual Age 27 467
Premium Adult Individual Age 30 506
Premium Adult Individual Age 40 570
Premium Adult Individual Age 50 796
Premium Adult Individual Age 60 1,210
Premium Couple 21 892
Premium Couple 30 1,012
Premium Couple 40 1,140
Premium Couple 50 1,593
Premium Couple 60 2,421
Couple+1 child, Age 21 1,233
Couple+1 child, Age 30 1,353
Couple+1 child, Age 40 1,481
Couple+1 child, Age 50 1,934
Couple+2 children, Age 21 1,574
Couple+2 children, Age 30 1695
Couple+2 children, Age 40 1,822
Couple+2 children, Age 50 2,275
Couple+3 or more Children, Age 21 1,915
Couple+3 or more Children, Age 30 2,036
Couple+3 or more Children, Age 40 2,163
Couple+3 or more Children, Age 50 2,616
Individual+1 child, Age 21 787
Individual+1 child, Age 30 847
Individual+1 child, Age 40 911
Individual+1 child, Age 50 1,137
Individual+2 children, Age 21 1,128
Individual+2 children, Age 30 1,188
Individual+2 children, Age 40 1,252
Individual+2 children, Age 50 1,479
Individual+3 or more children, Age 21 1,469
Individual+3 or more children, Age 30 1,529
Individual+3 or more children, Age 40 1,593
Individual+3 or more children, Age 50 1,820
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