my Blue Access WV PPO Standard Bronze 7500
Expanded Bronze · PPO · Highmark Blue Cross Blue Shield West Virginia · West Virginia
At age 40 it costs between $713.72 and $887.81 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 31274WV0560007 |
|---|---|
| Insurer | Highmark Blue Cross Blue Shield West Virginia |
| Metal level | Expanded Bronze |
| Plan type | PPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 Copay after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-888-601-2109 · TTY 1-888-601-2109 |
Where it is sold, and what it costs there
55 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Berkeley County | $558.47 | $633.86 | $713.72 | $997.43 | $1,515.69 |
| Grant County | $558.47 | $633.86 | $713.72 | $997.43 | $1,515.69 |
| Hampshire County | $558.47 | $633.86 | $713.72 | $997.43 | $1,515.69 |
| Hardy County | $558.47 | $633.86 | $713.72 | $997.43 | $1,515.69 |
| Jefferson County | $558.47 | $633.86 | $713.72 | $997.43 | $1,515.69 |
| Mineral County | $558.47 | $633.86 | $713.72 | $997.43 | $1,515.69 |
| Morgan County | $558.47 | $633.86 | $713.72 | $997.43 | $1,515.69 |
| Pendleton County | $558.47 | $633.86 | $713.72 | $997.43 | $1,515.69 |
| Brooke County | $612.96 | $695.71 | $783.36 | $1,094.75 | $1,663.57 |
| Hancock County | $612.96 | $695.71 | $783.36 | $1,094.75 | $1,663.57 |
| Marshall County | $612.96 | $695.71 | $783.36 | $1,094.75 | $1,663.57 |
| Ohio County | $612.96 | $695.71 | $783.36 | $1,094.75 | $1,663.57 |
| Barbour County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Doddridge County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Gilmer County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Harrison County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Lewis County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Marion County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Monongalia County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Pocahontas County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Preston County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Randolph County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Taylor County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Tucker County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Upshur County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Webster County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Wetzel County | $629.99 | $715.04 | $805.13 | $1,125.16 | $1,709.79 |
| Boone County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Braxton County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Calhoun County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Clay County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Fayette County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Greenbrier County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Kanawha County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Lincoln County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Logan County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| McDowell County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Mercer County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Mingo County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Monroe County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Nicholas County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Raleigh County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Roane County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Summers County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Wyoming County | $647.01 | $734.36 | $826.88 | $1,155.56 | $1,755.99 |
| Jackson County | $684.47 | $776.87 | $874.75 | $1,222.46 | $1,857.65 |
| Pleasants County | $684.47 | $776.87 | $874.75 | $1,222.46 | $1,857.65 |
| Ritchie County | $684.47 | $776.87 | $874.75 | $1,222.46 | $1,857.65 |
| Tyler County | $684.47 | $776.87 | $874.75 | $1,222.46 | $1,857.65 |
| Wirt County | $684.47 | $776.87 | $874.75 | $1,222.46 | $1,857.65 |
| Wood County | $684.47 | $776.87 | $874.75 | $1,222.46 | $1,857.65 |
| Cabell County | $694.69 | $788.47 | $887.81 | $1,240.72 | $1,885.39 |
| Mason County | $694.69 | $788.47 | $887.81 | $1,240.72 | $1,885.39 |
| Putnam County | $694.69 | $788.47 | $887.81 | $1,240.72 | $1,885.39 |
| Wayne County | $694.69 | $788.47 | $887.81 | $1,240.72 | $1,885.39 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.