Welcome
Overview

We offer affordable Medicare Advantage and Medicare Supplement plan options. Whether you're looking for a plan to help cover the costs of coinsurance, copayments or deductible costs, or a medical plan that includes prescription drug coverage, we can help. As a trusted health insurance company for more than 75 years, we are committed to providing excellent value and service. Capital BlueCross is an independent licensees of the BlueCross BlueShield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley.

Next Section Overview
Do you reside in our service area?

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Service Area
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It appears you live in our service area. Please take a look at our plans. If, at any time, you'd like to speak to someone, click "Need Help?" in the upper-right corner of your screen.

SeniorBlue® PPO

A PPO, or Preferred Provider Organization, is a health care plan in which members are free to choose doctors, specialists, and hospitals. You do not need to coordinate your care through a Primary Care Physician (PCP).

SeniorBlue® PPO

You may select from two SeniorBlue PPO plan options. Office visits to your family doctor are covered at a low co-payment for both options. We provide reimbursement for all covered benefits, as long as they are medically necessary. With the exception of emergency and urgent care, it may cost more to get care from out-of-network providers.

Next Section Overview
Do you reside in our service area?

First, let's make sure we're able to serve you. Please enter your ZIP code.

Service Area
Hmm....

I'm not sure you live in our service area. Please call (800) 990-4201 to find out. You are also welcome to take a look around and learn more about what we offer.

Great! It appears that you do.

It appears you live in our service area. Please take a look at our plans. If, at any time, you'd like to speak to someone, click "Need Help?" in the upper-right corner of your screen.

SeniorBlue® HMO

An HMO, or Health Maintenance Organization, is a type of health care plan which requires use of a specific group of medical professionals. A family doctor or Primary Care Physician (PCP) is the member's point of contact and coordinates any specialized care.

SeniorBlue® HMO

You can select from three SeniorBlue® HMO plan options. The chart below shows the differences between these plan options. With Option 3, you can enjoy this coverage for $0 a month in plan premiums. With all options, there is NO deductible for in-network services. For a detailed list of benefits, please refer to the SeniorBlue® HMO Summary of Benefits.

  Option 1 Option 2
  In Network Out of Network In Network Out of Network
Monthly Premium $191.90 $72.40
Combined Deductible $250 $495
Primary Care Physician Office Visits $12 copay 30% $15 copay 30%
Specialty Office Visits / Urgent Care $25 copay 30% $35 copay 30%
Inpatient Hospital Stay $100 per day for days 1-5 30% $175 per days for days 1-5 30%
Outpatient Surgery $100 30% $175 30%
Emergency Care
(Copayment waived if admitted)
$65 $65 $65 $65
Labs Covered at 100% 30% Covered at 100% 30%
X-Rays Outpatient X-Ray $20 30% Outpatient X-Ray $25 30%
Diagnostic Radiology (not including X-rays) $100 30% $125 30%
Diabetes Self-Monitoring Training and Supplies No copay 30% No copay 30%
Hearing Services
($400 allowance every 3 years for hearing aids)
$20 for hearing exam 30% non-covered non-covered
Routine Vision 1 annual eye exam $20 copay 30% $20 copay 30%
Routine Dental Services $10 copay
(includes: cleaning, one set of 2 bitewing x-rays, oral exam)
30% Not covered Not covered
Silver&Fit Fitness Benefit Included 50% Included 50%
Durable Medical Equipment 20% Coinsurance 30% 20% Coinsurance 30%
Prescription Drug Benefits Enroll Enroll
  Option 1 Option 2 Option 3
Monthly Premium $167.50 $117.50 $0
In-Network Deductible $0 $0 $0
Primary Care Physician Office Visits $10 copay $10 copay $10 copay
Specialist Office Visits / Urgent Care $20 copay $25 copay $30 copay
Inpatient Hospital Stay $35 per day for days 1-5 $75 per day for days 1-5 $150 per day for days 1-5
Outpatient Surgery $75 $100 $150
Emergency Care
(Copay waived if admitted)
$50 $65 $65
Labs Covered at 100% Covered at 100% Covered at 100%
X-Rays Outpatient X-Rays $0 Outpatient X-Rays $25 Outpatient X-Rays $50
Diagnostic Radiology (not including X-rays) $75 copay $100 copay $150 copay
Diabetes Self-Monitoring Training and Supplies Covered at 100% Covered at 100% Covered at 100%
Hearing Services $20 copayment each per exam and fitting
($400 allowance every 3 years for hearing aids)
$20 copayment each per exam and fitting
($400 allowance every 3 years for hearing aids)
Not covered
Routine Vision $20 copay
1 annual eye exam
$20 copay
1 annual eye exam
Not covered
Routine Dental Services $10 copay
(includes: cleaning, one set of 2 bitewing x-rays, oral exam)
$10 copay
(includes: cleaning, one set of 2 bitewing x-rays, oral exam)
Not covered
Silver&Fit® Fitness Benefit Included Included Included
Durable Medical Equipment 20% Coinsurance 20% Coinsurance 20% Coinsurance
Prescription Drug Benefits Enroll Enroll Enroll

Updated March 25, 2015
Y0016_15_061 Pending