DEPENDABLE HEALTH INSURANCE YOU CAN REALLY AFFORD

The COVID-19 Pandemic has changed everyone’s lives. You’re faced with challenges now that you may never have imagined before. At CareSource, we believe you shouldn’t have to worry about getting quality health care too. That’s why we offer affordable individual and family Marketplace plans tailored for any budget.

Our plans are simple and affordable with coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. All plans include pediatric dental and vision. You can choose to include the optional adult dental, vision, and fitness benefits where available. So, if you need health insurance this open enrollment period, CareSource can help. We’ve been helping our members through uncertain times for over 30 years.

CARESOURCE MARKETPLACE PLANS COVER ESSENTIAL HEALTH BENEFITS

With CareSource’s Marketplace plans, you’ll get dependable, affordable health insurance that covers what you need, when you need it. All of CareSource’s Marketplace plans are Affordable Care Act (ACA) compliant with all of the protections afforded by the ACA and coverage for all essential health benefits including pediatric dental and vision. If your plans aren’t ACA compliant, you might not have the coverage you need.

 

Pregnancy, maternity & newborn care

 

Prescription drugs

 

Outpatient care

 

Emergency services

 

Hospitalization

 

Mental health & substance use disorder services

 

Rehabilitative/habilitative services & devices

 

Laboratory services

 

Preventive & wellness services

 

Pediatric services, including dental & vision

 

Pregnancy, maternity & newborn care

 

Prescription drugs

 

Outpatient care

 

Emergency services

 

Hospitalization

 

Mental health & substance use disorder services

 

Rehabilitative/habilitative services & devices

 

Laboratory services

 

Preventive & wellness services

 

Pediatric services, including dental & vision

Optional adult dental, vision and fitness benefit plans are also available.

EXTRA WAYS TO SAVE MONEY

Over 70% of people who enroll in a CareSource Health Insurance Marketplace plan also qualify for a government-funded subsidy that substantially lowers the overall cost of the plan. When you enroll, you’ll see if you qualify. Eligibility for these funds is determined by the Health Insurance Marketplace, and not by CareSource. There are two ways in which the funds are distributed:

Advance Premium Tax Credit (APTC)
Tax credit based on income levels, to lower monthly premium payments. This can be used no matter what plan you enroll in.
Cost-Sharing Reduction (CSR)
CSRs are discounts or “extra savings” that lower the amount you have to pay for deductibles, copayments, and coinsurance. CSRs only apply to Silver plans, so if you qualify for a CSR, you must enroll in a Silver plan to get it.


Service Area

*New counties for 2021

CareSource Marketplace plans are available statewide in West Virginia:

Barbour, Berkeley, Boone, Braxton, Brooke, Cabell, Calhoun, Clay, Doddridge, Fayette, Gilmer, Grant, Greenbrier, Hampshire, Hancock, Hardy, Harrison, Jackson, Jefferson, Kanawha, Lewis, Lincoln, Logan, Marion, Marshall, Mason, McDowell, Mercer, Mineral, Mingo, Monongalia, Monroe, Morgan, Nicholas, Ohio, Pendleton, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Taylor, Tucker, Tyler, Upshur, Wayne, Webster, Wetzel, Wirt, Wood, and Wyoming.

CareSource 2021 West Virginia Marketplace Covered Counties

Service Area

*New counties for 2021

CareSource Marketplace plans are available statewide in West Virginia:

Barbour, Berkeley, Boone, Braxton, Brooke, Cabell, Calhoun, Clay, Doddridge, Fayette, Gilmer, Grant, Greenbrier, Hampshire, Hancock, Hardy, Harrison, Jackson, Jefferson, Kanawha, Lewis, Lincoln, Logan, Marion, Marshall, Mason, McDowell, Mercer, Mineral, Mingo, Monongalia, Monroe, Morgan, Nicholas, Ohio, Pendleton, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Taylor, Tucker, Tyler, Upshur, Wayne, Webster, Wetzel, Wirt, Wood, and Wyoming.

CareSource 2021 West Virginia Marketplace Covered Counties


Marketplace Plan Benefits


Marketplace Plans

Marketplace plans are separated into metal level categories of Gold, Silver, and Bronze. The metal level categories are based on how you and CareSource share the cost of your health care. Note that many CareSource members are also eligible for helpful government subsidies, which will lower your cost for health care.


Are You a Member?

Get quick access to prescription coverage, find a doctor or health care provider, use health and educational tools, and discover what you can do with your My CareSource® Account.


SHOPPING FOR 2020 MARKETPLACE COVERAGE?

If you have had a qualifying Life Event within the last 60 days, the Health Insurance Marketplace will grant you a Special Enrollment period.

Qualifying life events include, but are not limited to:

  • Getting married
  • Having a baby
  • Moving outside your insurer’s coverage area
  • Becoming a U.S. citizen
  • Leaving incarceration
  • Having a change in income or household status that affects eligibility for advance premium tax credits or cost-sharing reductions if you are already enrolled in coverage through the Marketplace
  • Adopting a child or placing a child for adoption or foster care
  • Losing other qualifying health coverage due to losing job-based coverage, divorce, COBRA expiration, aging off a parent’s plan, losing eligibility for Medicaid or CHIP (Children’s Health Insurance Plan) and similar circumstances

To find out if you are eligible for a Special Enrollment Period, give us a call at 1-844-539-1733 (TTY: 711).

SHOP PLANS