Golden Rule Plan 80 – West Virginia Health Insurance Plan

A detailed comparison of the Golden Rule Plan 80 health insurance plan as offered in West Virginia is listed below for both Network and Non-Network coverage. This is a review of the coverage for this specific Golden Rule plan. However, GoHealthInsurance offers a large variety of health insurance options to fit your needs. If you wish, get a new Golden Rule health insurance quote for West Virginia now or view all of our Golden Rule health insurance quotes.

  Network Non-Network
Copay N/A N/A
OfficeVisit Office Visit - History & Exam (Primary Care or Specialist): You pay 20% after deductible Office Visit - History & Exam (Primary Care or Specialist): You pay 20% after deductible
Deductible false $10,000 (maximum 2 per family, per calendar year)
  • Deductible Credits: Up to a 50% reduction in your network deductible for each covered person (see brochure for details)
$10,000 (maximum 2 per family, per calendar year)
  • Deductible Credits: Up to a 50% reduction in your network deductible for each covered person (see brochure for details)
Coinsurance 20% 20%
Coinsurance Limit 20% to $15,000 20% to $15,000
Out-of-Pocket Maximum None None
Lifetime Maximum None None
Prescription Drugs You pay 20% after deductible - Preferred Price Card You pay 20% after deductible - Preferred Price Card
Emergency Room
  • Emergency Room Fees - Illness: You pay $100 copay if not admitted, then 20% after deductible
  • Emergency Room Fees - Injury: You pay 20% after deductible
  • Emergency Room Fees - Illness: You pay $100 copay if not admitted, then 20% after deductible
  • Emergency Room Fees - Injury: You pay 20% after deductible
  • Adult Preventative Care
  • Doctor Office Visit (adult, in-network): You pay $0
  • X-ray & lab (in conjunction with the preventive office visit, performed in the doctor office or a network facility): You pay $0
  • Preventive Mammogram, Pap Smear, PSA Screening (in-network
  • Doctor Office Visit (adult, in-network): You pay $0
  • X-ray & lab (in conjunction with the preventive office visit, performed in the doctor office or a network facility): You pay $0
  • Preventive Mammogram, Pap Smear, PSA Screening (in-network
  • Child Preventative Care
  • Doctor Office Visit (child, in-network): You pay $0
  • X-ray & lab (in conjunction with the preventive office visit, performed in the doctor office or a network facility): You pay $0
  • Child Immunizations (ages 0-18, in-network): You pay $0
  • Doctor Office Visit (child, in-network): You pay $0
  • X-ray & lab (in conjunction with the preventive office visit, performed in the doctor office or a network facility): You pay $0
  • Child Immunizations (ages 0-18, in-network): You pay $0
  • Lab / X-Ray X-ray & lab (performed in the doctor office or a network facility): You pay 20% after deductible X-ray & lab (performed in the doctor office or a network facility): You pay 20% after deductible
    Maternity Not covered Not covered
    Physical Therapy You pay 20% after deductible You pay 20% after deductible
    Home Health Care To qualify for benefits, home health care must be provided through a licensed home health-care agency. Subject to deductible and coinsurance, covered expenses for home health aide services are limited to seven visits per week and lifetime max of 365 visit To qualify for benefits, home health care must be provided through a licensed home health-care agency. Subject to deductible and coinsurance, covered expenses for home health aide services are limited to seven visits per week and lifetime max of 365 visit
    Mental Health Not covered Not covered
    Hospital Care Inpatient Expense Benefits -
    • Room & Board, Intensive Care Unit, Operating Room, Recovery Room, Prescription Drugs, Physician Visit, & Professional Fees of Doctors, Surgeons, Nurses: You pay 20% after deductible
    • Other Inpatient Services: Yo
    Inpatient Expense Benefits -
    • Room & Board, Intensive Care Unit, Operating Room, Recovery Room, Prescription Drugs, Physician Visit, & Professional Fees of Doctors, Surgeons, Nurses: You pay 20% after deductible
    • Other Inpatient Services: Yo
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