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General

Frequently Asked Questions


General

When is Capital BlueCross closed for holidays?
How do I contact Capital BlueCross with my questions?
What if I have questions about applying for coverage & benefits?
I do not have health insurance. How do I apply for coverage?
What is a Provider?
What is a Member?
What is a Broker?
What is an Employer?
What is a Primary Care Physician?
Where can I find a list of available doctors?

When is Capital BlueCross closed for holidays?

Capital BlueCross observes eight company holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the day after Thanksgiving Day, the day before or after Christmas Day and Christmas Day. A complete listing for this year is available online.



How do I contact Capital BlueCross with my questions?

You may call Customer Service at 800.962.2242 Monday through Friday 8 a.m. to 6 p.m. EST. You may also visit our Allentown or Harrisburg offices Monday through Friday, 8 a.m. and 4:30 p.m. or e-mail us with your questions, and we'll get back to you.



What if I have questions about applying for coverage & benefits?

Please call our Customer Service Department at 800.962.2242.



I do not have health insurance. How do I apply for coverage?

If you know the product in which you would like to enroll, complete the Individual Accounts Subscriber Application for Enrollment. Do not send any money; you will be billed when your application is processed. If you need a copy of this form, please call 800.962.2242. If you do not know which coverage you'd like, please request our Individual Accounts packet that provides an overview, including rates, of the options we offer individuals and their families.



What is a Provider?

A provider is a hospital, health care facility, physician or other medical professional that provides health care services.



What is a Member?

A member is an individual who currently has health insurance coverage from Capital BlueCross.



What is a Broker?

A salesperson who has obtained a state license to sell and service contracts of multiple health plans or insurers, and who is ordinarily considered to be an agent of the buyer, not the health plan or insurer.



What is an Employer?

An Employer is a business or organization that contracts with Capital BlueCross to provide health insurance coverage for its employees.



What is a Primary Care Physician?

A duly licensed doctor of medicine or osteopathy who has a contract with Capital BlueCross. The PCP is the initial point of contact responsible for the member's health care. The PCP is also responsible for referring a member to a specialist within the network, when necessary.



Where can I find a list of available doctors?

A list of available doctors/professionals in addition to available hospitals and facilities can be found in the Find a Doctor section of our web site.