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my Blue Access WV Major Events EPO 7900
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my Blue Access WV Major Events EPO 7900

Overview
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my Blue Access WV Major Events EPO 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 Ritchie 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
31274WV0490001
Coverage area
Ritchie 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 0-14 268
Premium Child Age 18 320
Premium Adult Individual Age 21 351
Premium Adult Individual Age 27 368
Premium Adult Individual Age 30 398
Premium Adult Individual Age 40 448
Premium Adult Individual Age 50 627
Premium Adult Individual Age 60 953
Premium Couple 21 702
Premium Couple 30 797
Premium Couple 40 897
Premium Couple 50 1,254
Premium Couple 60 1,906
Couple+1 child, Age 21 971
Couple+1 child, Age 30 1,066
Couple+1 child, Age 40 1,166
Couple+1 child, Age 50 1,523
Couple+2 children, Age 21 1,240
Couple+2 children, Age 30 1,334
Couple+2 children, Age 40 1,435
Couple+2 children, Age 50 1,792
Couple+3 or more Children, Age 21 1,508
Couple+3 or more Children, Age 30 1,603
Couple+3 or more Children, Age 40 1,704
Couple+3 or more Children, Age 50 2,060
Individual+1 child, Age 21 620
Individual+1 child, Age 30 667
Individual+1 child, Age 40 717
Individual+1 child, Age 50 896
Individual+2 children, Age 21 888
Individual+2 children, Age 30 936
Individual+2 children, Age 40 986
Individual+2 children, Age 50 1,164
Individual+3 or more children, Age 21 1,157
Individual+3 or more children, Age 30 1,204
Individual+3 or more children, Age 40 1,255
Individual+3 or more children, Age 50 1,433
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