Expanded_bronzePPOHSA Eligible

my Blue Access WV PPO Bronze 0 HSA

Highmark Blue Cross Blue Shield West Virginia

Starting at

$862

/month before subsidy

Key facts

my Blue Access WV PPO Bronze 0 HSA is a 2027 Expanded_bronze PPO health insurance plan from Highmark Blue Cross Blue Shield West Virginia, sold on the ACA Marketplace in West Virginia under plan ID 31274WV0560011. The monthly premium starts at $862 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $11,700 ($23,400 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
31274WV0560011
Plan year
2027
State
West Virginia
Metal level
Expanded_bronze
Plan type
PPO
HSA-eligible
Yes

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$11,700

Family: $23,400

Coinsurance

50%

You pay after deductible

Network Type

PPO

WVN001

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$75.00
Specialist Visit$75.00
Urgent Care$100.00
Emergency Room$2,750.00

Prescription Drugs

Generic Drugs$15.00
Brand Name Drugs$250.00
Specialty Drugs50.00%
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
4.0overall
Medical care

How well doctors manage and coordinate care

Member experience

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$3,760

your estimated cost

Deductible
$0
Copays
$3,700
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$1,820

your estimated cost

Deductible
$0
Copays
$1,400
Coinsurance
$400

A simple fracture

ER visit + follow-up

$1,600

your estimated cost

Deductible
$0
Copays
$1,000
Coinsurance
$600
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Official Plan Documents
Published by Highmark Blue Cross Blue Shield West Virginia. These are the authoritative source for coverage details.
Who This Plan Is Best For

Review the plan details above to determine if this plan fits your healthcare needs and budget.

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,837/month

Annual Premium

$10,344

OOP Maximum

$11,700

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $11,700 total. Then insurance covers everything else for the year.

More plans from Highmark Blue Cross Blue Shield West Virginia in West Virginia

View all Marketplace plans in West Virginia

Frequently asked questions about my Blue Access WV PPO Bronze 0 HSA

How much does my Blue Access WV PPO Bronze 0 HSA cost per month?

my Blue Access WV PPO Bronze 0 HSA from Highmark Blue Cross Blue Shield West Virginia starts at $862 per month before any subsidy in West Virginia. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for my Blue Access WV PPO Bronze 0 HSA?

The individual medical deductible is $0. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for my Blue Access WV PPO Bronze 0 HSA?

The most you would pay in a year for covered in-network care is $11,700 for an individual and $23,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is my Blue Access WV PPO Bronze 0 HSA HSA-eligible?

Yes. my Blue Access WV PPO Bronze 0 HSA is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does my Blue Access WV PPO Bronze 0 HSA use?

my Blue Access WV PPO Bronze 0 HSA is a PPO plan. PPO plans let you see specialists without a referral and use out-of-network providers (at higher cost), offering the most flexibility.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.