What insurance is Capital Blue?
Asked by: Charlie Prosacco | Last update: February 11, 2022Score: 4.5/5 (33 votes)
Capital BlueCross is a Pennsylvania health plan headquartered in the capital city of Harrisburg. An independent licensee of the BlueCross BlueShield Association, Capital BlueCross serves almost 1 million people in 21 central and Lehigh Valley counties.
Is BCBS a Capital Blue?
We're a Harrisburg, Pa. ... Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley.
Is Capital Blue a good insurance?
On a scale of 100, Capital BlueCross' ACSI score was 78, the highest among other health insurance companies tracked by the index. Capital BlueCross exceeded the average score of health insurance companies by eight points, and exceeded the lowest scoring health insurer by 13 points.
Is Capital Blue Cross a PPO?
PPO members have access to VirtualCare (for only a $5 copay, or less) and wellness programs, including Healthy Blue Rewards and more. Our products have pediatric vision and pediatric dental services embedded.
Where is Capital Blue Cross accepted?
The Capital Blue Cross service area includes the Adams, Berks, Centre, Columbia, Cumberland, Dauphin, Franklin, Fulton, Juniata, Lancaster, Lebanon, Lehigh, Mifflin, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Union and York counties.
How Insurance Works
Does Capital Blue Cross cover ambulance?
Capital covers emergent and non-emergent ground ambulance services provided by a state licensed ambulance provider. All ambulance services are subject to the criteria set forth in the Medical Policy.
Does UPMC take Capital Blue?
All UPMC in central Pa. locations accept most major health insurances, including Aetna, Capital Blue Cross, Highmark, and UPMC Health Plan.
What does PPO 1500 mean?
PPO - $1,500 Deductible. PersonalBlue lets you find the best plan for you and your budget. The $1,500 deductible option means your health plan benefits kick in after you pay $1,500 out of your own pocket.
Whats better PPO or HMO?
HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.
Is Capital Blue Cross the same as Independence Blue Cross?
Capital Blue Cross was awarded Best Places to Work in Pennsylvania in 2018, 2019 and 2020. Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association.
Does Capital Blue Cross cover breast pumps?
Ever since the Affordable Care Act was passed, most insurance providers have been covering breast pumps. And that includes Capital Blue in PA as well as AmeriHealth Caritas.
What is out-of-pocket maximum?
In 2022, the upper limits are $8,700 for an individual and $17,400 for a family. ... In 2014, it was just $6,350 for an individual, but by 2023, it will have increased by more than 43%. Many health plans, however, have out-of-pocket maximums that are well below the highest allowable amounts.
Is Highmark and Capital Blue The Same?
The change, which won't take effect until April 1, 2002, will end a long-standing partnership between Capital Blue Cross, which provides coverage for hospital services in central Pennsylvania, and Highmark, which provides coverage of physician services in central Pennsylvania under the name Pennsylvania Blue Shield.
Does Capital Blue Cross cover Lasik?
Our members get preferred pricing on LASIK through QualSight. As a BlueCross member, you can save big on LASIK. Save as much as 40 to 50 percent off the national average price for traditional LASIK. You'll save on other procedures too.
Are all Blue Cross Blue Shield the same?
“In California, Anthem Blue Cross and Blue Shield are actually different companies and are competitors. In most other states, they are the same company and formed an association, the Blue Cross Blue Shield Association.
What is PPO insurance?
A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.
Why would a person choose a PPO over an HMO?
Advantages of PPO plans
A PPO plan can be a better choice compared with an HMO if you need flexibility in which health care providers you see. More flexibility to use providers both in-network and out-of-network. You can usually visit specialists without a referral, including out-of-network specialists.
Can I have both HMO and PPO?
Yes, you can have two health insurance plans. Having two health insurance plans is perfectly legal, and many people have multiple health insurance policies under certain circumstances.
Is Kaiser PPO?
Your Preferred Provider Organization (PPO) Plan with Kaiser Permanente is not just health coverage — it's a partnership in health. You can choose any licensed physician to provide care nationwide. Online features let you manage most of your care around the clock.
What PPO 500?
With Shared Cost Blue PPO 500, members have a fixed copay for some services, like doctor visits, prior to meeting the deductible. For less common services, individuals pay 100% of costs of most covered services until the deductible of $500 for individuals or $1,000 for families has been reached.
Is a high deductible plan better than PPO?
With an HDHP, you will pay less money each month for premiums, but you will pay more out-of-pocket for medical expenses before your insurance begins to pay for care. ... With a PPO, you pay more money each month but have lower out-of-pocket costs for medical services and may be able to access a wider range of providers.
What does HDHP stand for?
High Deductible Health Plan (HDHP) A plan with a higher deductible than a traditional insurance plan. The monthly premium is usually lower, but you pay more health care costs yourself before the insurance company starts to pay its share (your deductible).
Does Magee take Highmark insurance?
Highmark accepts coverage terms for UPMC-Magee.
Does UPMC accept Highmark PPO Blue?
UPMC provides most Highmark members with full, in-network access to UPMC hospitals, doctors, and services and accepts most major insurers, including Aetna, Cigna, Highmark, United Healthcare, and UPMC Health Plan.
How much does UPMC for You cost?
A Health Care Concierge will provide personal service when and where you need it, at no cost to you.