What's Inside: Next in our Medicare Advantage producer training series: Get to know the producer portal | Save the date for our Pharmacy Trends webinar | New and improved VirtualCare experience for members arrives next week | Increased minimum deductible and maximum Out-of-Pocket (OOP) limits for 2025 Qualified High Deductible Health Plans (QHDHPs)
Next in our Medicare Advantage producer training series: Get to know the producer portal
The next session of our Medicare Advantage producer training series will cover everything you need to know about the producer portal. Register now to join us!
Plan to join us on Wednesday, July 24, from 1:00-1:30 PM ET for our Pharmacy Trends producer webinar. Gain insightful knowledge on our new strategic pharmacy roadmap, GLP-1 for weight loss and gene cell therapy strategies, biosimlar market positioning, and a new partnership with MagellanRX.
Watch your inbox in the coming weeks for an invitation to register.
New and improved VirtualCare experience for members arrives next week
Beginning next week, VirtualCarewill be available from the member's Capital Blue Cross secure account and from the Capital Blue Cross app. Features include an enhanced user experience, single sign-on technology, expanded translation services, and integration with Capital's care management services.
A preview of the new experience was presented in our VirtualCare producer webinar. If you missed it or need to revisit what you learned, check out the presentation and webinar recording. We also have a collateral to share with employer groups and members.
Increased minimum deductible and maximum Out-of-Pocket (OOP) limits for 2025 Qualified High Deductible Health Plans (QHDHPs)
Capital ensures that all of our 2025 standard QHDHP’s cost-sharing amounts meet these new requirements. For employers with customized plans, deductibles may need to be increased at their 2025 renewal if 2024 deductibles fall below these new minimums.
Also, the maximum OOP limit under the Affordable Care Act has decreased from $9,450 in 2024 to $9,200 in 2025. This may require a 2025 decrease in any customized OOP amounts to ensure that no individual member is required to meet more than $9,200 of in-network OOP expenses.
If a group offers Health Savings Accounts (HSAs), the IRS has adjusted those contributions for 2025 as well.
HSA plan type
Maximum contribution
Individual coverage
$4,300
Family coverage
$8,550
Catch-up contributions allowed for those 55-years of age and over
$1,000 (same as 2024)
Note that these maximums include contributions from all sources, including both employee and employer contributions.
Your producer relations team
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 Producer Relations team thanks you for your commitment and hard work. Reach out whenever you need them.
If you have any questions about content in this email, please contact your account executive.
This is a marketing email for producer use only. Replies to this mailbox are unmonitored. Contact us.
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.
