Gold PPO 2300/10/25

Capital Advantage Assurance Company · 2027 plan year

Gold
Ind. deductible
$2,300
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.

AgeIndividualIndividual + tobacco
Under 15$500$500
21$653$669
30$741$760
40$834$897
50$1,166$1,341
60$1,772$2,215
64 and over$1,959$2,449

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Primary Care Visit to Treat an Injury or Illness$25.00

Specialist

BenefitIn-network
Specialist Visit$50.00

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