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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 Pendleton 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
Pendleton 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 0-14 285
Premium Child Age 18 340
Premium Adult Individual Age 21 372
Premium Adult Individual Age 27 390
Premium Adult Individual Age 30 423
Premium Adult Individual Age 40 476
Premium Adult Individual Age 50 665
Premium Adult Individual Age 60 1,011
Premium Couple 21 745
Premium Couple 30 846
Premium Couple 40 952
Premium Couple 50 1,331
Premium Couple 60 2,023
Couple+1 child, Age 21 1,030
Couple+1 child, Age 30 1,131
Couple+1 child, Age 40 1,238
Couple+1 child, Age 50 1,616
Couple+2 children, Age 21 1,316
Couple+2 children, Age 30 1,416
Couple+2 children, Age 40 1,523
Couple+2 children, Age 50 1,902
Couple+3 or more Children, Age 21 1,601
Couple+3 or more Children, Age 30 1,701
Couple+3 or more Children, Age 40 1,808
Couple+3 or more Children, Age 50 2,187
Individual+1 child, Age 21 658
Individual+1 child, Age 30 708
Individual+1 child, Age 40 761
Individual+1 child, Age 50 951
Individual+2 children, Age 21 943
Individual+2 children, Age 30 993
Individual+2 children, Age 40 1,046
Individual+2 children, Age 50 1,236
Individual+3 or more children, Age 21 1,228
Individual+3 or more children, Age 30 1,278
Individual+3 or more children, Age 40 1,332
Individual+3 or more children, Age 50 1,521
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