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my Blue Access WV EPO Silver 0
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my Blue Access WV EPO Silver 0

Overview
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my Blue Access WV EPO Silver 0 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
31274WV0500004
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
$0
Out-of-pocket maximum
$7,800
Generic drug co-pay
$5
Preferred brand drug co-pay
$30
Primary care physician visit cost
$40
Specialist doctor visit cost
$90
Doctor Visits
Primary Care Visit $40
Specialist Visit $90
Emergency Room Visit $1,400
Inpatient Facility Visit $3900 Copay per Day
Inpatient Physician Visit 40% Coinsurance after deductible
Prescription Drugs
Generic Drugs $5
Preferred Brand Drugs $30
Non-preferred Brand Drugs 35%
Specialty Drugs 50%
Medical Deductible
Medical Deductible (Individual) $0
Medical Maximum Out Of Pocket (Individual) $7,800
Medical Deductible (Family) $0
Medical Maximum Out Of Pocket (Family) $15,600
Drug Deductible
Drug Deductible (Individual) $0
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $0
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 401
Premium Child Age 18 479
Premium Adult Individual Age 21 524
Premium Adult Individual Age 27 549
Premium Adult Individual Age 30 595
Premium Adult Individual Age 40 670
Premium Adult Individual Age 50 937
Premium Adult Individual Age 60 1,424
Premium Couple 21 1,049
Premium Couple 30 1,191
Premium Couple 40 1,341
Premium Couple 50 1,874
Premium Couple 60 2,848
Couple+1 child, Age 21 1,450
Couple+1 child, Age 30 1,592
Couple+1 child, Age 40 1,742
Couple+1 child, Age 50 2,275
Couple+2 children, Age 21 1,852
Couple+2 children, Age 30 1,993
Couple+2 children, Age 40 2144
Couple+2 children, Age 50 2,677
Couple+3 or more Children, Age 21 2,253
Couple+3 or more Children, Age 30 2,395
Couple+3 or more Children, Age 40 2,545
Couple+3 or more Children, Age 50 3,078
Individual+1 child, Age 21 926
Individual+1 child, Age 30 996
Individual+1 child, Age 40 1072
Individual+1 child, Age 50 1,338
Individual+2 children, Age 21 1,327
Individual+2 children, Age 30 1,398
Individual+2 children, Age 40 1,473
Individual+2 children, Age 50 1,739
Individual+3 or more children, Age 21 1,728
Individual+3 or more children, Age 30 1,799
Individual+3 or more children, Age 40 1,874
Individual+3 or more children, Age 50 2,141
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