Advantage Members

Welcome to your Medicare Advantage plan from Capital Blue Cross

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Get the most out of your benefits in a few easy steps.

  1. Create your secure account. Register for a secure account and you can view your benefits, claims, balances, and ID card online. Already have a secure account? Sign in and take a look around to get more familiar with your plan.
  2. Find providers in your network. Search for healthcare providers, hospitals, labs, pharmacies, and urgent care centers in your network.
  3. Schedule your annual wellness visit. Contact your healthcare provider or Primary Care Provider (PCP) to schedule your annual wellness visit.
  4. Learn about your prescription drug coverage. View your plan’s covered drugs, compare drug prices at in-network pharmacies, and learn more about mail order pharmacies.
  5. Complete your Health Risk Assessment (HRA). Your HRA allows us to better understand your healthcare needs and ensures that you have access to the support, services, and medications you may need to stay healthy.
  6. Sign up for Capital Blue Cross Loop. Get personalized text messages to help you reduce healthcare costs, get updates on your plan, and receive reminders about preventive exams and vaccines.

Learn more about your benefits.

Dental, vision, and hearing benefits

Find out what you can save with your dental, vision, and hearing benefits.

Additional benefits

Information on additional benefits you may have like Capital Blue Cross VirtualCare, over-the-counter benefits, transportation services, healthy food and produce, and more.

Health and wellness

Resources for health coaching, healthy aging, medical care at home, diabetes programs, fitness programs through Blue365® and SilverSneakers®, and Your Rewards program.

Terms to know

Get familiar with common insurance terms using our glossary.

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Questions? We’re here to help.

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Contact our Member Services team

Our Member Services team can answer your insurance coverage questions, help you find a provider, review your claims, and more.

Visit our Capital Blue Cross Connect health and wellness centers

Schedule an appointment with a certified health coach or nutritionist. Or sit down with a licensed Capital Blue Cross Medicare Advantage representative and learn about your specific healthcare coverage.

Send a confidential email from your secure account

Keep your information confidential by logging in to your secure account to send us an email.

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Updated 9 января 2024 г.

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Medicare 101

Capital Blue Cross is a HMO, PPO Plan with a Medicare Contract. Enrollment in Capital Blue Cross depends on contract renewal. Care management services for certain products are provided by WellSpan Health.

® Central, a Medicare Advantage organization with a Medicare contract. Enrollment in BlueJourney Alliance (HMO SNP) depends on contract renewal. These plans are available to people meeting certain eligibility requirements, including verification that you have a qualifying specific severe or disabling chronic condition, or for 90 days or longer, have had or are expected to need the level of services provided in a long-term care (LTC) skilled nursing facility (SNF), a LTC nursing facility (NF), a SNF/NF, an intermediate care facility for individuals with intellectual disabilities (ICF/IDD), or an inpatient psychiatric facility, or that that your condition makes it likely that either the length of stay or the need for an institutional level of care would be at least 90 days.

You must be enrolled in Medicare Part B (Medical Insurance) and be entitled to Medicare Part A (Hospital Insurance) to enroll in this plan.

Members may enroll in the plan only during specific times of the year. Contact the plan for more information. The benefit information provided is a brief summary, not a complete description of benefits. Call member services for more information. You must continue to pay your Medicare Part B premium. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium, and/or copayments/coinsurance may change on January 1 of each year.

Healthcare benefit programs issued or administered by Capital Blue Cross and/or its subsidiaries, Capital Advantage Insurance Company ® , Capital Advantage Assurance Company ® , and Keystone Health Plan ® Central. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies.

© 2024 Capital Blue Cross All Rights Reserved.