Commercial group: Producer webinars for 2025 will kick off in February
Please join us for our first producer webinar of 2025 on Wednesday, February 26 at 10:00 AM. Our chief medical officer, Jeremy Wigginton, will join us to talk about total cost of care.
Details and registration information will be shared in the coming week.
Unlock success with Medicare-focused training from Capital Blue Cross
At Capital Blue Cross, we understand the vital role you play in helping clients navigate their Medicare options. To support your continued success, we’re offering a series of exclusive training sessions designed specifically for our Medicare-certified agents. Here’s what you can look forward to when you reserve your spot:
These sessions are tailored to highlight Capital Blue Cross tools, resources, and strategies that empower you to provide top-tier service and grow your business. Whether it’s leveraging all the resources available on our producer portal, a demo on how to accurately complete a Medicare Supplement application, or showcasing innovative member benefits, these trainings are designed to set you apart.
Don’t miss your chance to gain these valuable insights! Thank you for choosing Capital Blue Cross as your trusted partner. Together, we’re making a difference for Medicare beneficiaries in our communities.
Group Administrator's Manual
The Capital Blue Cross Group Administrator’s Manual helps group leaders administer their healthcare benefit programs. The manual offers guidance on enrollment, billing, ID cards, obtaining services, and additional resources, including contacts and frequently used forms.
The manual is subject to change as revisions to Capital Blue Cross contracts, policies, and/or procedures occur. 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.
Duplicate or corrected 1095-B tax document requests
Capital mailed the required 1095-B tax document to:
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).
Should a subscriber require a duplicate/replacement Form 1095-B they should log in to their secure account and can view and print their form under Tax Forms > Manage My Information. Subscribers can also contact Member Services by calling the phone number on the back of their ID card.
If the member identifies a need for an update or correction to the information found on the 1095-B, they should contact their employer to follow established processes that provides Capital with updated information by March 3, 2025. If the member is enrolled in an individual account product that was not purchased on the Pennsylvania State Exchange (PENNIE), an updated enrollment application should be submitted to Capital Blue Cross by March 3, 2025.
1095-B Forms are only issued to subscribers. If the subscriber is enrolled through a group, the group does not receive copies of their employees’ 1095-B forms. Groups do not receive any listings, reports, or any other documentation specific to the 1095-B forms issued to their employees.
Individuals or groups should contact their tax adviser with any tax-related questions.
Employer group customer invoices are available online. Customers can view and pay their invoice using our employer toolkit.
Capital Blue Cross offers customers simple and secure options to pay their invoices so that they may choose what works best for them.
Electronic check — Groups pay their invoice online by making one-time or recurring payments. This is controlled by the group.
Bill payer — Works with most banks and credit unions to receive payments through a remittance network. Groups must be enrolled in their bank’s program.
Group Check It Out — Available to fully insured and small group ASO customers. Capital deducts payments from the group’s bank account when the group completes an enrollment form on our website.
Corporate Check It Out — Automated payment option for ASO groups to deduct monthly administrative and claim fees from the group’s bank account. Groups need to complete a form to enroll. If the group has multiple subgroups, a form is needed for each subgroup that uses different banking information. An ASO large group (100+) paperwork checklist is available.
Payment by check — Payment should include the check with the group/subgroup ID and the invoice number on the check, as well as the return payment portion of the statement. Do not send other correspondence with the payment to the remittance box.
Payment Processing PO Box 371482 Pittsburgh, PA 15250-7482
Capital’s group customers are reminded to pay the premiums as reflected on the invoice. Please encourage them not to calculate adjustments for pending benefit or enrollment changes that were still in process at the time of invoice generation. Applicable adjustments will be reflected on a future invoice.
February is National Children's Dental Health Month
The American Dental Association celebrates National Children’s Dental Health Month to reinforce the importance of regular dental care to prevent common issues like gum disease, which if left untreated can lead to more serious and costly health complications later in life. Frequent visits to the dentist from a young age teach children the importance of maintaining oral hygiene, instilling habits that last a lifetime.
Did you know Capital Blue Cross offers a variety of dental plans for your groups? We have dental PPO plans with varying benefit levels to choose from. Capital Dental PPO plans offer:
One of the largest national dental PPO networks with providers in all 50 states.
No claim forms to file.
Enhanced dental benefits for members with certain health conditions.
Teledentistry services.
No waiting periods.
Capital's Dental EPO plan offers:
One of the largest national dental PPO networks with providers in all 50 states.
Fixed fees so members know the cost beforehand when seeing an in-network dentist.
Benefits for in-network providers only.
And our Select Plan offers:
The choice of an in-network primary care dentist of the member's choosing to coordinate care.
Fixed fees so members know costs beforehand.
No annual deductible, annual maximums, or waiting periods.
Reach out to your account executive if you have questions.
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.
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.
