PPO + Rewards
The PPO + Rewards product is a combination of our PPO (Preferred Provider Organization) and our VBB (Value Based Benefits) products.
Typical of a PPO plan, members see the physician of their choice, use the hospitals of their choice, and enjoy flat-rate copayments for routine office visits. The VBP portion of the programs, allows members to focus on living healthy by making better lifestyle choices, and managing their chronic conditions. By doing so, members are given a reward upon completion of program activities.
By choosing this product, you will have all the benefits of a PPO member including, Live Healthy, 24/7 Nurse Line, and access to Search & Save Center as well as the necessary tools to manage your VBB program activities.
Only groups headquartered in the above mentioned counties may purchase this plan.
Participating facilities and professional providers in Capitals’ 21-county service area are divided into two groups. A third group consists of non-participating providers:
- The Choice 1 group includes selected CBC participating providers as well as out-of-area BCBSA contracted (BlueCard) providers. Member cost sharing is at its lowest level for Choice 1 providers.
- The Choice 2 group includes the remaining CBC network providers. Members will incur a higher cost share if they choose to use these providers.
- The third group is non-participating providers. It is likely that members will incur the highest cost share if they choose non-participating providers.
PPO membership brings the value-added benefits of Capital BlueCross' unique mix of wellness programs, including Live Healthy, 24/7 Nurse Line, and access to Search & Save Center.
PPO typically covers these services Physician office visits for illness or injury Preventive care (routine physical exams, annual gynecological exams, annual mammograms [women age 40 and over], childhood immunizations) Maternity and newborn care Disease management for asthma, diabetes, congestive heart failure and coronary artery disease Lab tests and x-rays Physical, occupational and speech therapy Home health care Skilled nursing facility Hospice care Outpatient and inpatient hospital services Emergency care Medical supplies and equipment Behavioral health services Substance abuse (drug and alcohol treatment)
* Subject to applicable contract terms and exclusions
PPO is issued by Capital Advantage Insurance Company®, or Capital Advantage Assurance Company®, Capital BlueCross subsidiaries.
Service + Innovation + Variety + Flexibility + Value = Capital BlueCross!
We have provided the people of our 21-county service area with maximum value in health insurance products since 1938. Our members in Central Pennsylvania and the Lehigh Valley know our reputation for excellence in customer service and our commitment to offering a wide variety of easy-to-use, comprehensive and innovative health-care products for employer groups and our members.
Benefits for You
You have our commitment to work with you to not only meet but exceed your goals and objectives. In addition to a robust selection of health coverage products - medical, dental, vision, prescription drug and more - we provide you with the tools to help your employees live healthier lives and to make managing your employees' benefits as simple as possible.
Benefits for Your Employees
Not only are we committed to helping you meet your health coverage goals and objectives, we are dedicated to your employees. We know how important health care services are to your employees and their families. To ensure they receive the most appropriate care, we offer many programs and services to keep them healthy while making the management of their benefits as easy as possible.