Save the date: Capitalize on Rx webinar — February 25, 9:30 AM ET
Capital Blue Cross doesn’t own drug manufacturers, pharmacies, or health systems — and we don’t answer to shareholders. That independence matters. It means our pharmacy strategy is designed with one priority in mind: the financial and health outcomes of the employers and members we serve.
Join us to learn how our approach brings greater transparency and confidence to pharmacy coverage. During this live session, we’ll cover:
Why conflict-of-interest-free PBM models matter when the goal is maximizing value for both businesses and employees.
How integrated medical and pharmacy benefits can drive meaningful savings and better health outcomes.
2026 employee wellness programs presented by our Health Promotion and Wellness team
New to 2026, we are pleased to offer multi-session wellness programs to our small and mid-market group customers. Please share these programs with your groups! We make it easy for them to pass along the details to employees with ready to copy/paste email templates in our digital promo guide and toolkit.
Programs include:
Register for Balance
Balance is a six-week program designed to help members manage stress and build mindfulness strategies for everyday life. Wednesdays, April 7-May 12, 12:00-1:00 PM ET
Register for Take Charge
Take Charge is a six-week program that will help members make the right lifestyle choices to prevent or manage diabetes. Mondays, July 6-August 10, 12:00-1:00 PM ET
Register for Empower
Empower is a six-week program that combines practical strategies with personalized planning to help members achieve their ideal weight. Wednesdays, October 7-November 11, 12:00-1:00 PM ET
The Capital Blue Cross group administrator’s manual helps group leaders administer their healthcare benefit programs. It offers guidance on enrollment, ID cards, billing and payment, and resources for assisting members understand and utilize their benefits.
The newest version will always be available on our website, which requires secure login for access. If someone’s responsibilities as Group Administrator change, please notify Capital to request access for the new Group Administrator.
The manual is subject to change as revisions to Capital contracts, policies, and/or procedures occur.
Capital mailed the required 1095-B tax document to the following:
All fully insured group subscribers.
Off-exchange individual subscribers.
On-exchange catastrophic subscribers.
PersonalBlue subscribers.
Small group ASO subscribers (small group ASO are those groups with 50 or fewer employees).
Capital also sent this information to the IRS to confirm MEC during the 2025 tax year.
Subscribers can access a duplicate/replacement Form 1095-B on their secure account under Manage My Information > Tax Forms.
If the member requires an update or correction to their1095-B, they should do one of the following:
If enrolled through an employer, all coverage updates and changes should be directed to the employer who should follow established processes to provide Capital with updated information. All required updates must be supplied to Capital by March 2.
If enrolled in an individual account product that was not purchased on Pennie, an updated enrollment application should be submitted to Capital no later than March 2.
Individuals or groups should contact their tax adviser with any tax-related questions.
Members' access to in-network dental providers continues to grow. We are pleased to share the addition of 15+ dental providers across nine counties in 2025.
Capital Blue Cross Dental PPO plans offer one of the largest national dental PPO networks with providers in all 50 states. There is no participation requirement for Capital’s dental plans and as an added bonus, new or renewing groups with medical and dental can get a one-month premium/administration holiday at enrollment and again at renewal.
Contact your Capital Blue Cross account executive to learn more about our network and benefits.
Capital Blue Cross Vision Advanced Plus is a new network designed to provide greater flexibility and access for custom large vision groups. This network includes both LensCrafters and Costco as in-network providers.
Vision Plus — Includes LensCrafters
Vision Advanced — Includes Costco
Vision Advanced Plus — Includes both LensCrafters and Costco
Reach out to your Capital sales executive to coordinate a quote for your commercial vision custom large group with 100+ enrolled employees.
Capital Blue Cross has adopted a team approach to support you, as we collaborate to enhance business relationships, foster your growth through education and incentives, and actively support the communities we serve. The commercial group teamthanks you for your commitment and hard work. Reach out whenever you need them.
From managers to broker resources and member service information, Capital has you covered. Producers for Individual and Medicare-focused clients, check out your agent guide when you need assistance.
Capital Blue Cross Dental℠ and Capital Blue Cross Vision℠ is issued by Capital Advantage Assurance Company®, a subsidiary of Capital Blue Cross. Independent licensees of the Blue Cross Blue Shield Association. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies.
Capital Blue Cross is an independent licensee 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.
