Gold Simple PPO 0/0/30
Capital Advantage Assurance Company · 2027 plan year
Gold
- Ind. deductible
- No deductible
- Family deductible
- Not listed
- Ind. OOP max
- $9,000
- Family OOP max
- Not listed
Compare with other Gold plans in PA
Side by side: deductibles, out-of-pocket limits and copays.
More Capital Advantage Assurance Company plans in PA
Monthly premiums by age
Rating Area 6 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $539 | $539 |
| 21 | $704 | $722 |
| 30 | $800 | $820 |
| 40 | $900 | $968 |
| 50 | $1,258 | $1,447 |
| 60 | $1,912 | $2,390 |
| 64 and over | $2,113 | $2,642 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Primary Care Visit to Treat an Injury or Illness | $30.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 |
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