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my Blue Access WV EPO Bronze 7900
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my Blue Access WV EPO Bronze 7900

Overview
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my Blue Access WV EPO Bronze 7900 is an individual health health plan issued by Highmark Blue Cross Blue Shield West Virginia 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 EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Highmark Blue Cross Blue Shield West Virginia
Plan ID
31274WV0500001
Coverage area
Marshall County, West Virginia
Phone
Local Phone: 1-888-601-2109
Toll-Free: 1-888-601-2109
TTY: 1-888-601-2109
Plan type
EPO
Coverage type
Medical deductible
$7,900
Out-of-pocket maximum
$7,900
Generic drug co-pay
No Charge after Deductible
Preferred brand drug co-pay
No Charge after Deductible
Primary care physician visit cost
No Charge after Deductible
Specialist doctor visit cost
No Charge after Deductible
Doctor Visits
Primary Care Visit No Charge after Deductible
Specialist Visit No Charge after Deductible
Emergency Room Visit No Charge after Deductible
Inpatient Facility Visit No Charge after Deductible
Inpatient Physician Visit No Charge after Deductible
Prescription Drugs
Generic Drugs No Charge after Deductible
Preferred Brand Drugs No Charge after Deductible
Non-preferred Brand Drugs No Charge after Deductible
Specialty Drugs No Charge after Deductible
Medical Deductible
Medical Deductible (Individual) $7,900
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $15,800
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 100.00%
Premium Child Age 0-14 299
Premium Child Age 18 356
Premium Adult Individual Age 21 391
Premium Adult Individual Age 27 409
Premium Adult Individual Age 30 443
Premium Adult Individual Age 40 499
Premium Adult Individual Age 50 698
Premium Adult Individual Age 60 1,061
Premium Couple 21 782
Premium Couple 30 887
Premium Couple 40 999
Premium Couple 50 1,396
Premium Couple 60 2,122
Couple+1 child, Age 21 1,081
Couple+1 child, Age 30 1,186
Couple+1 child, Age 40 1,298
Couple+1 child, Age 50 1,695
Couple+2 children, Age 21 1,380
Couple+2 children, Age 30 1,485
Couple+2 children, Age 40 1,597
Couple+2 children, Age 50 1,994
Couple+3 or more Children, Age 21 1,679
Couple+3 or more Children, Age 30 1,784
Couple+3 or more Children, Age 40 1,896
Couple+3 or more Children, Age 50 2,294
Individual+1 child, Age 21 690
Individual+1 child, Age 30 742
Individual+1 child, Age 40 798
Individual+1 child, Age 50 997
Individual+2 children, Age 21 989
Individual+2 children, Age 30 1,042
Individual+2 children, Age 40 1,097
Individual+2 children, Age 50 1,296
Individual+3 or more children, Age 21 1,288
Individual+3 or more children, Age 30 1,341
Individual+3 or more children, Age 40 1,397
Individual+3 or more children, Age 50 1,595
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