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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 Marshall 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
Marshall 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 0-14 290
Premium Child Age 18 346
Premium Adult Individual Age 21 379
Premium Adult Individual Age 27 397
Premium Adult Individual Age 30 430
Premium Adult Individual Age 40 485
Premium Adult Individual Age 50 677
Premium Adult Individual Age 60 1,030
Premium Couple 21 759
Premium Couple 30 861
Premium Couple 40 970
Premium Couple 50 1,355
Premium Couple 60 2,060
Couple+1 child, Age 21 1,049
Couple+1 child, Age 30 1,151
Couple+1 child, Age 40 1,260
Couple+1 child, Age 50 1,646
Couple+2 children, Age 21 1,339
Couple+2 children, Age 30 1,442
Couple+2 children, Age 40 1,550
Couple+2 children, Age 50 1,936
Couple+3 or more Children, Age 21 1,630
Couple+3 or more Children, Age 30 1,732
Couple+3 or more Children, Age 40 1,841
Couple+3 or more Children, Age 50 2,226
Individual+1 child, Age 21 669
Individual+1 child, Age 30 721
Individual+1 child, Age 40 775
Individual+1 child, Age 50 968
Individual+2 children, Age 21 960
Individual+2 children, Age 30 1,011
Individual+2 children, Age 40 1,065
Individual+2 children, Age 50 1,258
Individual+3 or more children, Age 21 1,250
Individual+3 or more children, Age 30 1,301
Individual+3 or more children, Age 40 1,356
Individual+3 or more children, Age 50 1,548
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