QHP Index

Platinum Zero $5 Generic Drugs

Platinum · HMO · CareSource · West Virginia

At age 40 it costs between $1,595.89 and $1,985.13 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 ID50328WV0010034
InsurerCareSource
Metal levelPlatinum
Plan typeHMO
Standardised designDesign 1 — a plan CMS defined the benefits of, so it can be compared like for like
Deductible (individual)$0
Deductible (family)$0
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$5,200
Family maximum$10,400
Primary care visit$10
Specialist visit$20
Emergency room$100
Inpatient stay$350 Copay per Stay
Generic drugs$5
Preferred brand drugs$10
Specialty drugs$150
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-230-2099 · TTY 1-800-982-8771

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.

CountyAt 21At 30At 40At 50At 60
Berkeley County $1,248.74$1,417.32 $1,595.89$2,230.24 $3,389.07
Grant County $1,248.74$1,417.32 $1,595.89$2,230.24 $3,389.07
Hampshire County $1,248.74$1,417.32 $1,595.89$2,230.24 $3,389.07
Hardy County $1,248.74$1,417.32 $1,595.89$2,230.24 $3,389.07
Jefferson County $1,248.74$1,417.32 $1,595.89$2,230.24 $3,389.07
Mineral County $1,248.74$1,417.32 $1,595.89$2,230.24 $3,389.07
Morgan County $1,248.74$1,417.32 $1,595.89$2,230.24 $3,389.07
Pendleton County $1,248.74$1,417.32 $1,595.89$2,230.24 $3,389.07
Brooke County $1,370.56$1,555.59 $1,751.58$2,447.83 $3,719.71
Hancock County $1,370.56$1,555.59 $1,751.58$2,447.83 $3,719.71
Marshall County $1,370.56$1,555.59 $1,751.58$2,447.83 $3,719.71
Ohio County $1,370.56$1,555.59 $1,751.58$2,447.83 $3,719.71
Barbour County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Doddridge County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Gilmer County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Harrison County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Lewis County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Marion County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Monongalia County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Pocahontas County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Preston County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Randolph County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Taylor County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Tucker County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Upshur County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Webster County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Wetzel County $1,408.64$1,598.80 $1,800.24$2,515.82 $3,823.04
Boone County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Braxton County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Calhoun County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Clay County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Fayette County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Greenbrier County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Kanawha County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Lincoln County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Logan County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
McDowell County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Mercer County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Mingo County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Monroe County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Nicholas County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Raleigh County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Roane County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Summers County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Wyoming County $1,446.71$1,642.01 $1,848.89$2,583.82 $3,926.36
Jackson County $1,530.46$1,737.08 $1,955.93$2,733.41 $4,153.68
Pleasants County $1,530.46$1,737.08 $1,955.93$2,733.41 $4,153.68
Ritchie County $1,530.46$1,737.08 $1,955.93$2,733.41 $4,153.68
Tyler County $1,530.46$1,737.08 $1,955.93$2,733.41 $4,153.68
Wirt County $1,530.46$1,737.08 $1,955.93$2,733.41 $4,153.68
Wood County $1,530.46$1,737.08 $1,955.93$2,733.41 $4,153.68
Cabell County $1,553.31$1,763 $1,985.13$2,774.21 $4,215.68
Mason County $1,553.31$1,763 $1,985.13$2,774.21 $4,215.68
Putnam County $1,553.31$1,763 $1,985.13$2,774.21 $4,215.68
Wayne County $1,553.31$1,763 $1,985.13$2,774.21 $4,215.68

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.