Share
Medicine Status
CareSource Marketplace Standard 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 Standard Silver Dental and Vision

Overview
Back to Top

CareSource Marketplace Standard 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 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
Back to Top
Issuer
CareSource West Virginia Co.
Plan ID
50328WV0020023
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 96.53%
Premium Child Age 0-14 354
Premium Child Age 18 422
Premium Adult Individual Age 21 463
Premium Adult Individual Age 27 485
Premium Adult Individual Age 30 525
Premium Adult Individual Age 40 591
Premium Adult Individual Age 50 827
Premium Adult Individual Age 60 1257
Premium Couple 21 926
Premium Couple 30 1,051
Premium Couple 40 1,183
Premium Couple 50 1,654
Premium Couple 60 2514
Couple+1 child, Age 21 1,280
Couple+1 child, Age 30 1,405
Couple+1 child, Age 40 1,538
Couple+1 child, Age 50 2,008
Couple+2 children, Age 21 1,634
Couple+2 children, Age 30 1,759
Couple+2 children, Age 40 1,892
Couple+2 children, Age 50 2363
Couple+3 or more Children, Age 21 1,989
Couple+3 or more Children, Age 30 2,114
Couple+3 or more Children, Age 40 2,246
Couple+3 or more Children, Age 50 2,717
Individual+1 child, Age 21 817
Individual+1 child, Age 30 879
Individual+1 child, Age 40 946
Individual+1 child, Age 50 1,181
Individual+2 children, Age 21 1,171
Individual+2 children, Age 30 1,234
Individual+2 children, Age 40 1,300
Individual+2 children, Age 50 1,535
Individual+3 or more children, Age 21 1,526
Individual+3 or more children, Age 30 1,588
Individual+3 or more children, Age 40 1,654
Individual+3 or more children, Age 50 1,890
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