Signature

Designed exclusively for you

Capital BlueCross and the Greater Lehigh Valley Chamber of Commerce formed an exclusive partnership to bring you price-advantaged, unique plan designs.

Plan options include deductibles ranging from $500 to $5,000, varying coinsurance fees and out-of-pocket maximums, as well as cost-effective copays.

Signature is only available to members of The Greater Lehigh Valley Chamber of Commerce or to those who plan to become a member. The exclusive product is designed to meet the needs of a small business and is also only available to groups with 5-99 employees1.

Signature Plan Options

Signature PPO 500/20/30

Summary of Cost Sharing - Medical Benefits

Office visit when provided by a Family Practitioner, General Practitioner, Internist or Pediatrician
$30 copay
Office visit when provided by all other professional providers
$50 copay
Urgent Care
$75 copay
Emergency Room
$250 copay after deductible
Deductible - Participating Providers 
(family is 2 times single)
$500
Deductible - Non-Participating Providers 
(family is 2 times single)
$15,000
Coinsurance - Participating Providers
20%
Out-of-Pocket Maximum - Participating Providers 
(family is 2 times single)
$1,000 coinsurance only; $7,900 overall OOP max
Out-of-Pocket Maximum - Non-Participating Providers 
(family is 2 times single)
$30,000

Signature Shared Deductible PPO 4000/0/30 - 500

Summary of Cost Sharing - Medical Benefits

Office visit when provided by a Family Practitioner, General Practitioner, Internist or Pediatrician
$30 copay
Office visit when provided by all other professional providers
$50 copay
Urgent Care
$75 copay
Emergency Room
$250 copay after deductible
Deductible - Participating Providers 
(family is 2 times single)
$4,000
Deductible - Non-Participating Providers 
(family is 2 times single)
$15,000
Coinsurance - Participating Providers
0%
Out-of-Pocket Maximum - Participating Providers 
(family is 2 times single)
$7,900 
Out-of-Pocket Maximum - Non-Participating Providers 
(family is 2 times single)
$30,000

Signature PPO 5000/0/30 Deductible First

Summary of Cost Sharing - Medical Benefits

Office visit when provided by a Family Practitioner, General Practitioner, Internist or Pediatrician
$30 copay
Office visit when provided by all other professional providers
$50 copay after deductible
Urgent Care
$75 copay
Emergency Room
$250 copay after deductible
Deductible - Participating Providers 
(family is 2 times single)
$5,000
Deductible - Non-Participating Providers 
(family is 2 times single)
$15,000
Coinsurance - Participating Providers
0%
Out-of-Pocket Maximum - Participating Providers 
(family is 2 times single)
$7,900 
Out-of-Pocket Maximum - Non-Participating Providers 
(family is 2 times single)
$30,000

Signature QHDHP PPO 3500/0/0

Summary of Cost Sharing - Medical Benefits

Office visit when provided by a Family Practitioner, General Practitioner, Internist or Pediatrician
Covered in full after deductible
Office visit when provided by all other professional providers
$50 copay after deductible
Urgent Care
$75 copay after deductible
Emergency Room
$250 copay after deductible
Deductible - Participating Providers 
(family is 2 times single)
$3,500 (non-embedded)
Deductible - Non-Participating Providers 
(family is 2 times single)
$15,000 (non-embedded)
Coinsurance - Participating Providers
0%
Out-of-Pocket Maximum - Participating Providers 
(family is 2 times single)
$6,650 (single amount embedded on the family plan) 
Out-of-Pocket Maximum - Non-Participating Providers 
(family is 2 times single)
$30,000 (single amount embedded on the family plan)

Signature QHDHP Valley Advantage EPO 3500/0/0

Summary of Cost Sharing - Medical Benefits

Office visit when provided by a Family Practitioner, General Practitioner, Internist or Pediatrician
Covered in full after deductible
Office visit when provided by all other professional providers
$50 copay after deductible
Urgent Care
$75 copay after deductible
Emergency Room
$250 copay after deductible
Deductible - Participating Providers 
(family is 2 times single)
$3,500 (non-embedded)
Deductible - Non-Participating Providers 
(family is 2 times single)
Not covered
Coinsurance - Participating Providers
0%
Out-of-Pocket Maximum - Participating Providers 
(family is 2 times single)
$6,650 (single amount embedded on the family plan) 
Out-of-Pocket Maximum - Non-Participating Providers 
(family is 2 times single)
Not covered

View complete plan designs   Ask questions or get a quote


1Pricing effective 01/01/2020. Groups may not move from or into this product suite off renewal. Groups selecting products from this suite may not elect other medical/drug products not within the suite.

Signature is issued by Capital Advantage Assurance Company®, a subsidiary of Capital BlueCross, independent licensees of the BlueCross BlueShield Association.