my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision
Gold · PPO · Highmark Blue Cross Blue Shield West Virginia · West Virginia
At age 40 it costs between $866.41 and $1,077.72 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 | 31274WV0630002 |
|---|---|
| Insurer | Highmark Blue Cross Blue Shield West Virginia |
| Metal level | Gold |
| Plan type | PPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| Adult dental included | Yes |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 98.04% |
| 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 | $677.94 | $769.46 | $866.41 | $1,210.80 | $1,839.93 |
| Grant County | $677.94 | $769.46 | $866.41 | $1,210.80 | $1,839.93 |
| Hampshire County | $677.94 | $769.46 | $866.41 | $1,210.80 | $1,839.93 |
| Hardy County | $677.94 | $769.46 | $866.41 | $1,210.80 | $1,839.93 |
| Jefferson County | $677.94 | $769.46 | $866.41 | $1,210.80 | $1,839.93 |
| Mineral County | $677.94 | $769.46 | $866.41 | $1,210.80 | $1,839.93 |
| Morgan County | $677.94 | $769.46 | $866.41 | $1,210.80 | $1,839.93 |
| Pendleton County | $677.94 | $769.46 | $866.41 | $1,210.80 | $1,839.93 |
| Brooke County | $744.08 | $844.53 | $950.93 | $1,328.93 | $2,019.43 |
| Hancock County | $744.08 | $844.53 | $950.93 | $1,328.93 | $2,019.43 |
| Marshall County | $744.08 | $844.53 | $950.93 | $1,328.93 | $2,019.43 |
| Ohio County | $744.08 | $844.53 | $950.93 | $1,328.93 | $2,019.43 |
| Barbour County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Doddridge County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Gilmer County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Harrison County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Lewis County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Marion County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Monongalia County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Pocahontas County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Preston County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Randolph County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Taylor County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Tucker County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Upshur County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Webster County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Wetzel County | $764.75 | $867.99 | $977.35 | $1,365.84 | $2,075.53 |
| Boone County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Braxton County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Calhoun County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Clay County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Fayette County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Greenbrier County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Kanawha County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Lincoln County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Logan County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| McDowell County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Mercer County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Mingo County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Monroe County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Nicholas County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Raleigh County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Roane County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Summers County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Wyoming County | $785.41 | $891.44 | $1,003.75 | $1,402.74 | $2,131.60 |
| Jackson County | $830.89 | $943.06 | $1,061.88 | $1,483.97 | $2,255.04 |
| Pleasants County | $830.89 | $943.06 | $1,061.88 | $1,483.97 | $2,255.04 |
| Ritchie County | $830.89 | $943.06 | $1,061.88 | $1,483.97 | $2,255.04 |
| Tyler County | $830.89 | $943.06 | $1,061.88 | $1,483.97 | $2,255.04 |
| Wirt County | $830.89 | $943.06 | $1,061.88 | $1,483.97 | $2,255.04 |
| Wood County | $830.89 | $943.06 | $1,061.88 | $1,483.97 | $2,255.04 |
| Cabell County | $843.29 | $957.13 | $1,077.72 | $1,506.12 | $2,288.69 |
| Mason County | $843.29 | $957.13 | $1,077.72 | $1,506.12 | $2,288.69 |
| Putnam County | $843.29 | $957.13 | $1,077.72 | $1,506.12 | $2,288.69 |
| Wayne County | $843.29 | $957.13 | $1,077.72 | $1,506.12 | $2,288.69 |
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.