Smiling Father and Daughter by Tree

Use this information to find a plan that’s right for a healthier you. Learn the key terms, compare options, and consider additional coverage for all your health and wellness needs.

Gold Simple PPO 0/0/25
Gold plans

Combined medical and prescription drug deductible

No deductible

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

None

Primary care

$25 copay

Specialist

$50 copay

Simple PPO 0/0/25 details

County of residence
  • Available in all counties except Lancaster
Exchange
  • Off Pennie
  • On Pennie
Gold PPO Choice 2000/0/30
Gold plan graphic

Combined medical and prescription drug deductible

Choice 1: $2,000 individual / $4,000 family

Choice 2: $4,000 individua l/ $8,000 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

Choice 1: none

Choice 2: 30%

Primary care

Choice 1: $30 copay

Choice 2: $50 copay

Specialist

Choice 1: $50 copay

Choice 2: $75 copay

PPO Choice 2000/0/30 details

County of residence
  • Only available in Lancaster county
Exchange
  • Off Pennie
  • On Pennie
Gold PPO 2150/10/20
Gold plan graphic

Combined medical and prescription drug deductible

$2,150 individual / $4,300 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

10%

Primary care

$20 copay

Specialist

$45 copay

PPO 2150/10/20 details

County of residence
  • Available in all counties except Lancaster
Exchange
  • Off Pennie
  • On Pennie
Gold Valley Advantage EPO 2150/10/20
capbluecross

Combined medical and prescription drug deductible

$2,150 individual / $4,300 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

10%

Primary care

$20 copay

Specialist

$45 copay

EPO 2150/10/20 details

County of residence
  • Lehigh
  • Northampton
Exchange
  • Off Pennie
  • On Pennie
Silver PPO Choice 3950/20/35
Silver plan

Combined medical and prescription drug deductible

Choice 1: $3,950 individual / $7,900 family

Choice 2: $8,550 individual / $17,100 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

Choice 1: 20%

Choice 2: None

Primary care

Choice 1: $35 copay

Choice 2: $65 copay

Specialist copay

Choice 1: $60 copay 

Choice 2: $85 copay 

PPO Choice 3950/20/35 details

County of residence
  • Only available in Lancaster county
Exchange
  • Off Pennie
Silver PPO Choice 4000/20/35
Silver plans

Combined medical and prescription drug deductible

Choice 1: $4,000 individual / $8,000 family

Choice 2: $8,550 individual / $17,100 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

Choice 1: 20%

Choice 2: None

Primary care

Choice 1: $35 copay

Choice 2: $65 copay

Specialist

Choice 1: $60 copay

Choice 2: $85 copay

PPO Choice 4000/20/35 details

County of residence
  • Only available in Lancaster county
Exchange
  • Off Pennie
  • On Pennie
Silver PPO 5950/20/40
capbluecross

Combined medical and prescription drug deductible

$5,950 individual / $11,900 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

20%

Primary care

$40 copayy

Specialist

$85 copay

PPO 5950/20/40 details

County of residence
  • Available in all counties except Lancaster
Exchange
  • Off Pennie
Silver Valley Advantage EPO 5950/20/40
Silver plan

Combined medical and prescription drug deductible

$5,950 individual / $11,900 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

20%

Primary care

$40 copay

Specialist

$85 copay

EPO 5950/20/40 details

County of residence
  • Lehigh
  • Northampton
Exchange
  • Off Pennie
Silver PPO 6000/20/40
Silver plan

Combined medical and prescription drug deductible

$6,000 individual / $12,000 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

20%

Primary care

$40 copay

Specialist

$85 copay

PPO 6000/20/40 details

County of residence
  • Available in all counties except Lancaster
Exchange
  • Off Pennie
  • On Pennie
Silver Valley Advantage EPO 6000/20/40
capbluecross

Combined medical and prescription drug deductible

$6,000 individual / $12,000 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

20%

Primary care

$40 copay

Specialist

$85 copay

EPO 6000/20/40 details

County of residence
  • Lehigh
  • Northampton
Exchange
  • Off Pennie
  • On Pennie
Bronze PPO Choice 7100/0/50
Bronze plan

Combined medical and prescription drug deductible

Choice 1: $7,100 individual / $14,200 family

Choice 2: $8,550 individual / $17,100 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

None

Primary care

Choice 1: $50 copay

Choice 2: $85 copay

Specialist

Choice 1: Paid in full after deductible

Choice 2: Paid in full after deductible

PPO Choice 7100/0/50 details

County of residence
  • Only available in Lancaster county
Exchange
  • Off Pennie
  • On Pennie
Bronze PPO 8000/0/50
Bronze plan

Combined medical and prescription drug deductible

$8,000 individual / $16,000 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

None

Primary care

$50 copay

Specialist

$85 copay

PPO 8000/0/50 details

County of residence
  • Available in all counties except Lancaster
Exchange
  • Off Pennie
  • On Pennie
Bronze Valley Advantage EPO 8000/0/50
Bronze plan

Combined medical and prescription drug deductible

$8,000 individual/ $16,000 family

Out-of-pocket max

$8,550 individual/ $17,100 family

Coinsurance

None

Primary care

$50 copay

Specialist

$85 copay

EPO 8000/0/50 details

County of residence
  • Lehigh
  • Northampton
Exchange
  • Off Pennie
  • On Pennie
Bronze HMO 8000/0/50
Bronze plan

Combined medical and prescription drug deductible

$8,000 individual/ $16,000 family

Out-of-pocket max

$8,550 individual/ $17,100 family

Coinsurance

None

Primary care

$50 copay

Specialist

$85 copay

HMO 8000/0/50 details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
Catastrophic PPO 8550/0/75
Catastrophic plan

Combined medical and prescription drug deductible

$8,550 individual / $17,100 family

Out-of-pocket max

$8,550 individual / $17,100 family

Coinsurance

None

Primary care

$75 copay - Deductible applies after third nonpreventive visit

Specialist

Paid in full after deductible

PPO 8550/0/75 details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
  • On Pennie
Catastrophic HMO 8550/0/75
Catastrophic plan

Combined medical and prescription drug deductible

$8,550 individual/ $17,100 family

Out-of-pocket max

$8,550 individual/ $17,100 family

Coinsurance

None

Primary care

$75 copay - Deductible applies after third nonpreventive visit

Specialist

Paid in full after deductible

HMO 8550/0/75 details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
Dental PPO Loyalty Plan
Dental icon

Routine dental check-up

0% adult/ $10 child

Deductible

$50 adult/ $75 child

Out-of-pocket max

$1,000 adult/ $350 child

PPO Loyalty plan details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
  • On Pennie
Dental PPO Care Plan
Dental Icon

Routine dental check-up

0% adult/ $10 child

Deductible

$50 adult/ $75 child

Out-of-pocket max

$750 adult/ $350 child

PPO Care plan details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
Dental PPO Standard Plan
Dental Icon

Routine dental check-up

0% adult/ $10 child

Deductible

$50 adult/ $75 child

Out-of-pocket max

$1,000 adult/ $350 child

PPO Standard plan details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
Dental PPO Premium Plan
Dental Icon

Routine dental check-up

0% adult/ $10 child

Deductible

$50 adult/ $75 child

Out-of-pocket max

$2,000 adult/ $350 child

PPO Premium plan details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
Dental Select Basic
Dental Icon

Routine dental check-up

$10 adult/ $10 child

Deductible

N/A

Out-of-pocket max

None adult/ $350 child

Select Basic plan details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
  • On Pennie
Vision Essential Plan
Vision icon

Routine eye exam

$10 copay

Lenses

$10 copay

Vision Essential plan details

County of residence
  • Available in all 21 counties
Exchange
  • Off Pennie
Plans
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