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For Individuals

Special Care

Special Care is a limited benefit low-cost health care program that provides affordable coverage for hospital, doctor and other professional health care services with no deductibles.


Hospitalization coverage is issued by Capital BlueCross while doctor and other professional health care coverage is issued by Capital Advantage Insurance Company, a wholly owned subsidiary of Capital BlueCross.

 Benefit Highlights

Your eligibility for Special Care is based on your family's pretax income from the previous year and the number of family members living in your home (including yourself, your spouse and your dependent children under age 26). Only the contractholders income and their spouse's income are considered.

NOTE: If you have children at home under the age of 19 they may qualify for Free or Low-cost health care through Pennsylvania’s Children’s Health Insurance Program, CHIP.  To learn more visit our CHIP page.   

Number of
family members
Income limit*
One $22,340
Two $30,260
Three $38,180
Four $46,100
Five $54,020
Six $61,940
Number of
family members
Income limit*
Seven $69,860
Eight $77,780
Nine $85,700
Ten $93,620
Eleven $101,540
Twelve** $109,460

* Income limits are subject to change.
** Income limits are higher for families with more than 12 members ($7,920 for each additional person).

*You must have Adobe Reader installed on your computer in order to view and print PDF files. If you do not, you may download the free program at

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Health care benefit programs issued or administered by Capital BlueCross and/or its subsidiaries, Capital Advantage Insurance Company®, Capital Advantage Assurance Company® and Keystone Health Plan® Central. Independent licensees of the BlueCross BlueShield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital BlueCross in its capacity as administrator of programs and provider relations for all companies.
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