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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 Wayne 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
Wayne 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 0-14 434
Premium Child Age 18 518
Premium Adult Individual Age 21 567
Premium Adult Individual Age 27 594
Premium Adult Individual Age 30 644
Premium Adult Individual Age 40 725
Premium Adult Individual Age 50 1,013
Premium Adult Individual Age 60 1,540
Premium Couple 21 1,134
Premium Couple 30 1,288
Premium Couple 40 1,450
Premium Couple 50 2,026
Premium Couple 60 3,080
Couple+1 child, Age 21 1,568
Couple+1 child, Age 30 1,722
Couple+1 child, Age 40 1,884
Couple+1 child, Age 50 2,460
Couple+2 children, Age 21 2,003
Couple+2 children, Age 30 2,156
Couple+2 children, Age 40 2,318
Couple+2 children, Age 50 2,895
Couple+3 or more Children, Age 21 2,437
Couple+3 or more Children, Age 30 2,590
Couple+3 or more Children, Age 40 2,752
Couple+3 or more Children, Age 50 3,329
Individual+1 child, Age 21 1,001
Individual+1 child, Age 30 1,078
Individual+1 child, Age 40 1,159
Individual+1 child, Age 50 1,447
Individual+2 children, Age 21 1,435
Individual+2 children, Age 30 1,512
Individual+2 children, Age 40 1,593
Individual+2 children, Age 50 1,881
Individual+3 or more children, Age 21 1,869
Individual+3 or more children, Age 30 1,946
Individual+3 or more children, Age 40 2,027
Individual+3 or more children, Age 50 2,315
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