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.
© 2025 Capital BlueCross All Rights Reserved.
Our new Payment Center is now open!* See what’s new and set up your premium payment information today! *Not applicable for members with employer group coverage.
Required fields are noted with an asterisk *
You are not eligible to enroll with Capital Blue Cross. Please contact your local Blue's Plan.
Please complete this form once your contract has been executed.