Health Insurance and Prescription Drug plans
Health Insurance and Rx Plan Options
ÐÔÊÀ½ç´«Ã½ offers two health insurance plans to benefits-eligible employees, spouse/ domestic partner and/ or eligible dependents. 2026 plans are effective 1/1/2026 - 12/31/2026.
Traditional PPO Plan
- Benefit summary - PPO Plan
- Summary of Benefits and Coverage (SBC) - PPO Plan
- Preventive care covered 100% (In-network 100%, out-of-network 80%)
- Does not provide access to any specialized account
- Capital Blue Cross PPO Benefit Booklet
Qualified High Deductible Health Plan (QHDHP)
- Benefit summary - QHDHP
- Summary of Benefits and Coverage (SBC) - QHDHP
- Preventive care covered 100% (In-network 100%, out-of-network 80%)
- Capital Blue Cross QHDHP Benefit Booklet
- Provides access to a Health Savings Account (HSA)
Enrollment
Qualifying life event? New hire? Click here for information on how to enroll.
Carrier Information
Health Insurance: Capital Blue Cross
- Website:
- Member Welcome Flyer
- Phone: 800-216-9741
- BlueCard - Across the country and around the world... Capital Blue Cross has got you covered. One card gives you access everywhere.
- Traveling within the United States
- International travel (more info. at )
- MyCare Finder - Use Plan Name "PPO" regardless of the plan you are enrolled in!
- Find doctors - Search by name, specialty or location to find the right care at the right place for your needs. See real patient ratings and reviews, too.
- Compare Costs - Save money by comparing costs of services you need based on your plan status.
- Treatment Timelines - Learn more about the services you need, including treatment timelines with cost estimates and savings opportunities for the many steps along the way - from evaluation to recovery.
- SBC Uniform Glossary of Terms - Learn the difference between the terms deductible, premium, copay & more!
- Explanation of EOB - Learn how to understand your claims and read your Explanation of Benefits (EOB)! Click on the examples below.
- Stay connected with Capital's Loop app
- Benefits 101 Flyer
Prescription Drugs - OptumRx Administered by RxBenefits
- Website:
- Website:
- OptumRx Formulary
- OptumRx Member Launch Kit - PPO
- OptumRx Member Launch Kit - QHDHP
- RXBenefits Phone: 800.334.8134
- Customer Care: customercare@rxbenefits.com
- RxBenefits Welcome Packet