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Members

Welcome to Special Care for Individuals

Basic hospital issued by Capital BlueCross, Medical surgical and Major Medical issued by Capital Advantage Insurance Company, a subsidiary of Capital BlueCross. Independent licensees of the Blue Cross and Blue Shield Association.

Special Care Income Levels
Income limits are subject to change

 

Family Size

One Person

Two People

Three People

Four People

Five People

Six People

Maximum Yearly Income

$22,980

$31,020

$39,060

$47,100

$55,140

$63,180

 

You have selected a plan that gives you one of the largest provider networks in Central Pennsylvania and the Lehigh Valley. You have the freedom to choose the provider you want to see. However, you maximize your benefits and have the lowest out-of-pocket costs when you use a participating provider. You also have access to providers outside our 21-county service area through the BlueCard® network.

Your Special Care plan covers preventive care and other important health care services. You do not need a referral to see a specialist; however, some services require preauthorization.

Refer to your contract for a detailed description of all benefits, limitations, definitions of terms and exclusions that apply to your plan.

To learn more about Special Care plan, download these enrollment materials.

Benefits:

Other Important Documents:

Pay My Premium

Click here to enjoy the convenience and timeliness of paying your premium online. (Note: Your balance is the amount now due on your scheduled monthly premium and any past due amount(s). Your payment may require up to 48 hours of standard processing Monday through Thursday; payment activity Friday through Sunday will be posted the next business day, excluding holidays.)

Provider Directory

Search the Online Provider Directory to find our most current provider information. If you have questions about a provider, please call the toll-free number on the back of your ID card.

You may also contact Customer Service at 1.800.962.2242 (TTY/TDD1.800.242.4816), Monday through Friday, 8:00 a.m. to 6:00 p.m. EST.


* You'll need software, like Adobe Reader, installed on your computer to view and print PDF files. You can find and download Adobe's free reader at www.adobe.com.