Bronze Convenience PPO 9000/0/75 + HSA
Capital Advantage Assurance Company · 2027 plan year
BronzeHSA eligible
- Ind. deductible
- $9,000
- Family deductible
- Not listed
- Ind. OOP max
- $12,000
- Family OOP max
- Not listed
Compare with other Bronze 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 | $330 | $330 |
| 21 | $431 | $442 |
| 30 | $489 | $501 |
| 40 | $551 | $592 |
| 50 | $769 | $885 |
| 60 | $1,169 | $1,461 |
| 64 and over | $1,292 | $1,615 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Primary Care Visit to Treat an Injury or Illness | $75.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $100.00 |
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