CareConnect - Gate Keeper PPO
A Unique Plan for Groups in the PinnacleHealth ACA Network Area
(Available only for groups in Cumberland, Dauphin and Perry Counties)
Our CareConnect plan is a unique and sensible plan that connects you and your employees to the PinnacleHealth ACA Network
With CareConnect coverage, your employees’ Pinnacle Health PCP serves as the key coordinator to help bring about the highest quality and most cost-efficient health care. CareConnect members look first to their PCP for care and referrals when necessary. In turn, their PCP tracks care prescribed or delivered by specialists to gain a broader understanding of the member’s overall health care experience, which can significantly reduce costs. With CareConnect, your employees may self-refer, but out-pocket-expenses will be higher. When traveling, CareConnect members have the peace of mind of carrying the trusted BlueCard for access to a broad, reliable network of services when they first notify their PCP to help coordinate their care.
Our CareConnect programs include their own Rewards program which is designed with the goal of encouraging your employees to make better health care decisions and become savvy about health care spending.
CareConnect typically covers the services listed below Physician office visits for illness or injury Preventive care provided by your PCP including, but not limited to: routine physicals, well-baby care and childhood immunizations Maternity management and newborn care Annual gynecological exams, Pap tests and annual mammograms Disease management for asthma, diabetes, congestive heart failure and coronary artery disease 24-Hour Nurse Line Lab tests and x-rays Physical, occupational and speech therapy Home health care Skilled nursing facility Hospice care Outpatient and inpatient hospital services and procedures Emergency care Medical supplies and equipment Mental health care Substance abuse (drug and alcohol treatment)
* Subject to applicable contract terms and exclusions
CareConnect is issued by Capital Advantage Insurance Company®, a Capital BlueCross subsidiary
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 of 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 hand-in-hand with you to meet and exceed your goals and objectives. In addition to a robust selection of health coverage products - medical, dental, vision, prescription drug and more - we also provide you with the tools you need 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, our employer groups, meet your health coverage goals and objectives, we are also dedicated to your employees. We know how important health care services are to your employees and, of course, their families. To ensure they receive the most appropriate care, we offer many programs and services to help keep them healthy while making the management of their benefits as simple as possible.