Share
Medicine Status
my Blue Access WV EPO Silver 2400 - 2 Free PCP Visits
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.

my Blue Access WV EPO Silver 2400 - 2 Free PCP Visits

Overview
Back to Top

my Blue Access WV EPO Silver 2400 - 2 Free PCP Visits 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 Wirt 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
Back to Top
Issuer
Highmark Blue Cross Blue Shield West Virginia
Plan ID
31274WV0500003
Coverage area
Wirt 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
$2,400
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 $750 Copay after deductible
Inpatient Facility Visit 30% Coinsurance after deductible
Inpatient Physician Visit 30% 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) $2,400
Medical Maximum Out Of Pocket (Individual) $7,800
Medical Deductible (Family) $4,800
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 0-14 405
Premium Child Age 18 483
Premium Adult Individual Age 21 529
Premium Adult Individual Age 27 555
Premium Adult Individual Age 30 601
Premium Adult Individual Age 40 677
Premium Adult Individual Age 50 946
Premium Adult Individual Age 60 1,437
Premium Couple 21 1,059
Premium Couple 30 1,202
Premium Couple 40 1,354
Premium Couple 50 1,892
Premium Couple 60 2,875
Couple+1 child, Age 21 1,464
Couple+1 child, Age 30 1,607
Couple+1 child, Age 40 1,759
Couple+1 child, Age 50 2,297
Couple+2 children, Age 21 1,870
Couple+2 children, Age 30 2,013
Couple+2 children, Age 40 2,164
Couple+2 children, Age 50 2,702
Couple+3 or more Children, Age 21 2,275
Couple+3 or more Children, Age 30 2,418
Couple+3 or more Children, Age 40 2,569
Couple+3 or more Children, Age 50 3,108
Individual+1 child, Age 21 935
Individual+1 child, Age 30 1,006
Individual+1 child, Age 40 1,082
Individual+1 child, Age 50 1,351
Individual+2 children, Age 21 1,340
Individual+2 children, Age 30 1,411
Individual+2 children, Age 40 1,487
Individual+2 children, Age 50 1,756
Individual+3 or more children, Age 21 1,745
Individual+3 or more children, Age 30 1,817
Individual+3 or more children, Age 40 1,892
Individual+3 or more children, Age 50 2,162
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