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Capital Blue Cross Basic (PPO) — CAPITAL ADVANTAGE INSURANCE COMPANY | Simplivera
Capital Blue Cross Basic (PPO)
CAPITAL ADVANTAGE INSURANCE COMPANY
Local PPO
New for 2026
MOOP (in-network)
—
MOOP (combined)
—
Part C+D premium
$2/mo
Part D premium
$2/mo
Plan information
Contract / Plan / Segment
H3923 / 048 / 002
Part D drug coverage
Included ($2/mo)
Other segments for this plan:
Segment 003
Segment 005
Service area
PA
: 5 counties
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