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For groups of 1-50 employees

With Convenience PPO, we've built a tiered-network product that provides both quality care and low costs while preserving choice for employees.  Convenience PPO can deliver savings of up to 8% over standard PPO plan designs.

$ Choice 1 providers result in the lowest out-of-pocket costs for employees:

  • Penn Medicine Lancaster General Health.
  • St. Luke’s University Health Network
  • WellSpan Health

$$ choice 2 providers result in higher out-of-pocket costs for employees:

Includes all remaining in-network providers not designated as Choice 1 along with Out-of-area BlueCard providers.

$$$ Out-of-Network providers result in the highest out-of-pocket costs for employees.

Employees can easily locate both Choice 1 and choice 2 providers using MyCare Finder at CapitalBlueCross.com.


D/$ = Deductible applies first, then a copay.

2027 plans

Plan Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
Platinum Convenience PPO 0/0/151

C1 - $0

C2 - $3,500

C1 – 0%

C2 – 20%

$5,000

C1 - $15

C2 - $30

C1 - $30

C2 - $45

$250
Gold Convenience PPO 1000/0/201

C1 - $1,000

C2 - $2,000

C1 – 0%

C2 – 20%

$11,100

C1 - $20

C2 - $40

C1 - $40

C2 - $60

D/$350
Gold QHDHP Convenience PPO 2500/0/152

C1 - $2,500

C2 - $5,000

C1 – 0%

C2 – 20%

$6,000

C1 - D/$15

C2 - D/$30

C1 - D/$30

C2 - D/$45

D/$250
Silver Convenience PPO 5500/0/301

C1 - $5,500

C2 - $11,000

C1 – 0%

C2 – 20%

$12,000

C1 - $30

C2 - $60

C1 - $60

C2 - $80

D/$350

2026 plans

2026 plans

Plan Deductible Coinsurance Out-of-pocket max PCP Specialist Emergency room
Gold Convenience PPO 1000/0/201

C1 - $1,000

C2 - $2,000

C1 – 0%

C2 – 20%

$11,100

C1 - $20

C2 - $40

C1 - $40

C2 - $60

D/$350
Gold QHDHP Convenience PPO 2500/0/152

C1 - $2,500

C2 - $5,000

C1 – 0%

C2 – 20%

$6,000

C1 - D/$15

C2 - D/$30

C1 - D/$30

C2 - D/$45

D/$250
Silver Convenience PPO 4500/0/301

C1 - $5,500

C2 - $11,000

C1 – 0%

C2 – 20%

$12,000

C1 - $30

C2 - $60

C1 - $60

C2 - $80

D/$350

1The prescription drug plan is Rx 0, which does not require any deductible on prescription drugs -- only fixed copays.

2This plan includes a prescription drug plan with an integrated medical/Rx deductible. After the deductible is met, copays apply. The deductible on the family High Deductible Health Plan is not embedded.