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PPO Choice

The Preferred Provider Organization (PPO) Choice product fully covers your employees and their dependents. This product has a unique network design that provides members with an opportunity to choose a lower level of out of pocket costs by using selected facilities and professional providers in the following four counties:

Adams Berks Lancaster York

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.

Why Choose CBC?
Employee Benefits
  • 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.

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    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.

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  • 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.