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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 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
31274WV0490001
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
$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 0-14 253
Premium Child Age 18 303
Premium Adult Individual Age 21 331
Premium Adult Individual Age 27 347
Premium Adult Individual Age 30 376
Premium Adult Individual Age 40 424
Premium Adult Individual Age 50 592
Premium Adult Individual Age 60 900
Premium Couple 21 663
Premium Couple 30 753
Premium Couple 40 848
Premium Couple 50 1,185
Premium Couple 60 1,801
Couple+1 child, Age 21 917
Couple+1 child, Age 30 1,007
Couple+1 child, Age 40 1,102
Couple+1 child, Age 50 1,439
Couple+2 children, Age 21 1,171
Couple+2 children, Age 30 1,261
Couple+2 children, Age 40 1,356
Couple+2 children, Age 50 1,693
Couple+3 or more Children, Age 21 1,425
Couple+3 or more Children, Age 30 1,515
Couple+3 or more Children, Age 40 1,610
Couple+3 or more Children, Age 50 1,947
Individual+1 child, Age 21 585
Individual+1 child, Age 30 630
Individual+1 child, Age 40 678
Individual+1 child, Age 50 846
Individual+2 children, Age 21 839
Individual+2 children, Age 30 884
Individual+2 children, Age 40 932
Individual+2 children, Age 50 1,100
Individual+3 or more children, Age 21 1,093
Individual+3 or more children, Age 30 1,138
Individual+3 or more children, Age 40 1,186
Individual+3 or more children, Age 50 1,354
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