Efficient Coordination and High-Quality Health Care
With Point-of-Service (POS) coverage, your employees’ PCP serves as the key coordinator to help bring about the highest quality and most cost-efficient health care. Capital BlueCross POS 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 a POS plan, your employees may self-refer, but members will have higher out-of-pocket expense. When traveling, POS 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. Members who choose a PCP from the Capital BlueCross network realize the greatest cost benefits.
POS 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
POS 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
We'll work hand-in-hand with you to exceed your health care goals and objectives. From traditional health plans to cost-sharing options to leverage employee participation, we've got you covered with medical, dental, vision, and prescription drug plans. And we provide the wellness tools you need to educate and encourage your employees to live healthier lives with healthier decision-making, while keeping your bottom line in check.
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.