For groups of 51-99 employees
Enjoy the peace of mind that comes from PPO Choice Select—a health plan accepted by most doctors and hospitals with extra savings when employees get care from certain healthcare providers. Employees can easily locate both Choice 1 and Choice 2 providers using MyCare Finder at CapitalBlueCross.com.
$ Choice 1 providers result in the lowest out-of-pocket costs for employees:
UPMC Central PA's robust provider network is the anchor of our Choice 1 option. For the lowest cost share, employees can select providers from among UPMC Central PA's many settings and Specialties.
$$ Choice 2 providers result in higher out-of-pocket costs for employees:
Employees have the freedom to select any provider in our PPO network. Many providers from local health systems - including Penn Sate Health and WellSpan Health - are available with Choice 2.
$$$ Out-of-Network providers result in the highest out-of-pocket costs for employees.
D = no charge after deductible.
D/20% = Deductible applies first, then 20% coinsurance.
D/$ = Deductible applies first, then a copay.
2025 plans
Plan |
HRA option |
Deductible1 |
Coinsurance |
Out-of-pocket max |
PCP |
Specialist |
Emergency room |
PPO Choice Select 1000/0/20 |
No |
C1 - $1,000
C2 - $2,000
|
C1 – 0%
C2 – 20%
|
$8,550 |
C1 - $20
C2 - $40
|
C1 - $40
C2 - $60
|
$250 |
PPO Choice Select 3000/0/20 |
No |
C1 - $3,000
C2 - $6,000
|
C1 – 0%
C2 – 20%
|
$8,550 |
C1 - $20
C2 - $40
|
C1 - $40
C2 - $60
|
$250 |
PPO Choice Select 6000/0/20 |
No |
C1 - $6,000
C2 - $9,000
|
C1 – 0%
C2 – 20%
|
$9,100 |
C1 - $20
C2 - $40
|
C1 - $40
C2 - $60
|
$250 |
QHDHP PPO Choice Select 2000/0/02 |
No |
C1 - $2,000
C2 - $4,000
|
C1 – 0%
C2 – 20%
|
$7,000 |
C1 - D
C2 - D/20%
|
C1 - D
C2 - D/20%
|
D/$250 |
QHDHP PPO Choice Select 3500/0/02 |
No |
C1 - $3,500
C2 - $7,000
|
C1 – 0%
C2 – 20%
|
$7,500 |
C1 - D
C2 - D/20%
|
C1 - D
C2 - D/20%
|
D/$250 |