Capital Blue Cross (CBC):
1-833-584-1828

Provider Networks

For Assistance Contact Capital Blue Cross (CBC) 1-833-584-1828 Available 24/7

Contact Capital Blue Cross (CBC) at 1-833-584-1828 with any benefit-related questions. Capital can determine if a provider is Tier 1 or 2, or answer other questions about the provider networks.

Tier 1 Providers

Most convenient and cost-effective provider option.

The primary care physicians and specialists in Tier 1 deliver to you and your family, the most convenient and cost-effective provider option. The providers included in Tier 1 follow high quality protocols driven by advanced clinical initiatives that have been shown to improve medical outcomes and reduce health-related costs.

For employees using the Tier 1 Network co-pays and out-of-pocket expenses are reduced. The vast majority of services are available; however, if a service is not available within the Tier 1 Network, employees may access additional networks at the Tier 2 benefit level.

The Tier 1 Network includes all providers utilized by Penn Medicine Lancaster General Health, as well as, the University of Pennsylvania Health System and the Children’s Hospital of Philadelphia as well as independent specialists. Please refer to the list of Tier 1 providers.

Where do I find care?

This simple tool can help you find the most appropriate Lancaster General Health Tier 1 Provider based on your location.

Tier 2 Providers

Tier 2 is a network of providers located both inside (PHC) and outside (Capital Blue Cross) Lancaster County

Employees may access additional providers that include the following Tier 2 networks:

Learn More About My LG Health Insurance Card

Click on the red dots to learn more about your LG health insurance card!

CBC PPO Select Card

CBC Plan Card

Covered family members can also use the subscriber's card, or you can forward them their own digital copy of it.

Your member ID contains a set of letters and numbers that are unique to you.

Visit our main website for additional information and to log in to your My Health Toolkit account.

A network of providers in Lancaster county not participating with the Eliance network.

This is the network you will use if you are outside of Lancaster County.

This is the Tier 1 provider network.

CBC HDHP Consumer Card

CBC Plan Card

Covered family members can also use the subscriber's card, or you can forward them their own digital copy of it.

Your member ID contains a set of letters and numbers that are unique to you.

Visit our main website for additional information and to log in to your My Health Toolkit account.

A network of providers in Lancaster county not participating with the Eliance network.

This is the network you will use if you are outside of Lancaster County.

This is the Tier 1 provider network.

Back of Cards

CBC Back of Cards

Claims address: this is where your providers office should be submitting all medical claims to.

Phone numbers of insurance vendors for you or your providers office to reach out to with any questions.

FAQs

Unsure about if you fall under Tier 1 or Tier 2?

To determine if a provider is Tier 1 or Tier 2, or if you have other questions about the provider networks, please call Capital Blue Cross (CBC) at 1-833-584-1828 (24 hours a day/7 days a week).

Who is Capital and what can they help me with?

Capital is a third party service utilized by Lancaster General Health to assist you with your provider search and contact with questions about your insurance. You can reach them at 1-833-584-1828 (24 hours a day/7 days a week).

How do I pay the least out of pocket?

Services rendered under the Tier 1 benefit will provide you with the greatest coverage and least out of pocket expenses.

Can I access my insurance information online?

Yes! You can create an account on https://myhealthtoolkitcapital.com/web/public/brands/cbc/ to see your online account and access your electronic ID card. (*Not applicable to Horizon)

Log onto https://myhealthtoolkitcapital.com/web/public/brands/cbc/ to:

  • View claims information
  • Print or order ID Cards
  • Access insurance-related forms

Note: A $5,000 copayment will be applied for non-life threatening inpatient visits at the following hospitals: Penn State Milton S. Hershey Medical Center, WellSpan York Hospital, Well Span Ephrata Community Hospital, Reading Hospital, UPMC Lititz, Penn State Health St. Joseph Medical Center, UPMC Harrisburg, Lebanon VA Medical Center, Nemours Children’s Hospital and WellSpan Good Samaritan Hospital.

HTML Snippets Powered By : XYZScripts.com