Ambetter Complete Gold + Vision + Adult Dental
Ambetter Health of Pennsylvania, Inc. · 2027 plan year
Gold
- Ind. deductible
- $1,450
- Family deductible
- $2,900
- Ind. OOP max
- $9,500
- Family OOP max
- $19,000
Compare with other Gold plans in PA
Side by side: deductibles, out-of-pocket limits and copays.
More Ambetter Health of Pennsylvania, Inc. plans in PA
Monthly premiums by age
Rating Area 8 — the lowest-priced of the 9 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $402 | $402 |
| 21 | $526 | $605 |
| 30 | $597 | $687 |
| 40 | $672 | $773 |
| 50 | $939 | $1,080 |
| 60 | $1,428 | $1,642 |
| 64 and over | $1,578 | $1,815 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Primary Care Visit to Treat an Injury or Illness | $15.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $35.00 |
Hospital
| Benefit | In-network |
|---|---|
| Urgent Care Centers or Facilities | $35.00 |
| Emergency Room Services | 20.00% Coinsurance after deductible |
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