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Medical
With our medical plans you can access care in-network or out-of-network. We recommend accessing in-network care whenever possible, as it will be less expensive. The medical and prescription plans are administered by Capital BlueCross.
Get the most out of your benefits in a few easy steps.
1. Create your secure account.(https://www.capbluecross.com/UserSecurity/Registration/RegistrationStart.xhtml?utm_source=sfmc&utm_medium=email&utm_campaign=medicare-newsletter&utm_content=nmed-032023)
(https://www.capbluecross.com/UserSecurity/Registration/RegistrationStart.xhtml?utm_source=sfmc&utm_medium=email&utm_campaign=medicare-newsletter&utm_content=nmed-032023)Register for a secure account and you can view your benefits, claims, balances, and ID card online. Already have a secure account? Sign in (https://www.capbluecross.com/UserSecurity/Login.xhtml)and take a look around to get more familiar with your plan.
2. Find providers in your network.(https://capitalbluecross.healthsparq.com/healthsparq/public/#/one/insurerCode=CAPBC_I&locale=en_US&brandCode=CAPBC)
(https://capitalbluecross.healthsparq.com/healthsparq/public/#/one/insurerCode=CAPBC_I&locale=en_US&brandCode=CAPBC)Search for healthcare providers, hospitals, labs, pharmacies, and urgent care centers in your network.
3. Sign up for Capital Blue Cross Loop.(https://www.capbluecross.com/wps/portal/cap/home/explore/resource/loop)
(https://www.capbluecross.com/wps/portal/cap/home/explore/resource/loop)Get personalized text messages to help you save money on healthcare services, get updates on your plan, and receive reminders about preventive exams and vaccines.
4. Pay your bill
(https://www.capbluecross.com/wps/portal/cap/home/shop/individual/premium-payment)Pay your monthly premiums, set up autopay, and keep track of payments.
Medical & Prescription:
Capital BlueCross
1-877-395-8930
www.capbluecross.com(http://www.capbluecross.com/)
Click here (https://capitalbluecross.healthsparq.com/healthsparq/public/#/one/insurerCode=CAPBC_I&locale=en_US&brandCode=CAPBC)to search for an in-network medical provider.
To see which medications are covered, visit https://capbluecross.myprime.com/en/medicines.html#find-medicine (https://capbluecross.myprime.com/en/medicines.html#find-medicine)and choose the Advantage Small Group drug list.
Mail order pharmacy can help you save money by offering a 90-day supply of your medication for the cost of just two months. Sign in (https://capbluecross.myprime.com/en/sign-in.html)to learn more.
Download the app to:
• Check medical claims and account balances.
• View your plan benefits and coverage details (deductible, copays, out-of-pocket, etc.).
• View, share, and request member ID cards for yourself and covered dependents.
• Search for in‑network doctors, hospitals, and treatment costs, similar to the secure member portal tools.
• Access certain digital health and wellness tools tied to your plan (cost/quality tools, wellness programs, rewards, and VirtualCare/telehealth if included by the employer or product).
Apple download - click here (https://apps.apple.com/us/app/capital-blue-cross/id1519770924)
Google download - click here (https://play.google.com/store/apps/details?id=com.capbluecross.app.release&hl=en_US)
When you enroll in one of our healthcare plans, you have access to use VirtualCare through Capital BlueCross, which allows you to speak with a doctor 24/7 by phone, text, or video chat.
Learn more at https://www.capbluecross.com/wps/portal/cap/home/find/virtual-care.(https://www.capbluecross.com/wps/portal/cap/home/find/virtual-care)
Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_6fdcc551840a45419b32b0d1be1fd0be.pdf)for a list of common preventive care services covered by our medical plans.
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