Provider Networks
For Assistance Contact Capital Blue Cross (CBC) 1-833-584-1828 Available 24/7
Contact Capital Blue Cross (CBC) at 1-833-584-1828 with medical benefit-related questions. Capital can determine if a provider is Tier 1 or 2, or answer other questions about the provider networks.
Employees have access to medical benefits information via My Health Toolkit. For mobile access, download the free app via the App Store or Google Play. From a laptop or desktop computer click here.
- Select Create An Account within the Member Login section.
- Enter your member ID.
- Follow the instructions to create your profile.
Tier 1 Providers
Most convenient and cost-effective provider option.
The primary care physicians and specialists in Tier 1 deliver to you and your family, the most convenient and cost-effective provider option. The providers included in Tier 1 follow high quality protocols driven by advanced clinical initiatives that have been shown to improve medical outcomes and reduce health-related costs.
For employees using the Tier 1 Network co-pays and out-of-pocket expenses are reduced. The vast majority of services are available; however, if a service is not available within the Tier 1 Network, employees may access additional networks at the Tier 2 benefit level.
The Tier 1 Network includes all providers utilized by Penn Medicine Lancaster General Health, as well as, the University of Pennsylvania Health System and the Children’s Hospital of Philadelphia as well as independent specialists. Please refer to the list of Tier 1 providers.
Where do I find care at a Lancaster General Health Tier 1 Provider?
This simple tool can help you find the most appropriate Lancaster General Health Tier 1 Provider based on your location.
Tier 2 Providers
Tier 2 is a network of providers located both inside (PHC) and outside (Capital Blue Cross) Lancaster County
Employees also have access to additional providers that include the Tier 2 network link below:
Where do I find care?
Access Shopping for Care from your computer:
- Visit the My Health Toolkit site.
- Log in to your account, select Resources, and then choose Find Care.
-
Or take it with you:
- Log in to the My Health Toolkit app from your mobile device.
- Select Find Care.
Learn More About My LG Health Insurance Card
Click on the red dots to learn more about your LG health insurance card!
CBC PPO Select Card
Covered family members can also use the subscriber's card, or you can forward them their own digital copy of it.
Your member ID contains a set of letters and numbers that are unique to you.
Visit our main website for additional information and to log in to your My Health Toolkit account.
A network of providers in Lancaster county not participating with the Eliance network.
This is the network you will use if you are outside of Lancaster County.
This is the Tier 1 provider network.
CBC HDHP Consumer Card
Covered family members can also use the subscriber's card, or you can forward them their own digital copy of it.
Your member ID contains a set of letters and numbers that are unique to you.
Visit our main website for additional information and to log in to your My Health Toolkit account.
A network of providers in Lancaster county not participating with the Eliance network.
This is the network you will use if you are outside of Lancaster County.
This is the Tier 1 provider network.
Back of Cards
Claims address: this is where your providers office should be submitting all medical claims to.
Phone numbers of insurance vendors for you or your providers office to reach out to with any questions.
FAQs
Unsure if a provider is Tier 1 or Tier 2?
To determine if a provider is Tier 1 or Tier 2... Log in to your My Health Toolkit, select Resources, and then choose Find Care. You can also call Capital Blue Cross (CBC) at 1-833-584-1828.
Who is Capital Blue Cross and what can they help me with?
Capital Blue Cross (CBC) is the third-party plan administrator of health benefits for Penn Medicine Lancaster General Health. Plan participants have access to care from the largest provider network in the nation. Captial Blue Cross (CBC) representatives can assist with claim questions, provider network questions and more.
How do I pay the least out of pocket?
Services rendered under the Tier 1 benefit will provide you with the greatest coverage and least out of pocket expenses.
Can I access my insurance information online?
Yes! Employees have access to medical benefits information via My Health Toolkit. For mobile access, download the free app via the App Store or Google Play. From a laptop or desktop computer click here.
- Select Create An Account within the Member Login section.
- Enter your member ID.
- Follow the instructions to create your profile.
To access My Health Toolkit and view claims information, print or order ID Cards, find forms, shop for care and more click here.
- View claims information
- Print or order ID Cards
- Access insurance-related forms
Note: A $5,000 copayment will be applied for non-life threatening inpatient visits at the following hospitals: Penn State Milton S. Hershey Medical Center, WellSpan York Hospital, Well Span Ephrata Community Hospital, Reading Hospital, UPMC Lititz, Penn State Health St. Joseph Medical Center, UPMC Harrisburg, Lebanon VA Medical Center, Nemours Children’s Hospital, WellSpan Good Samaritan Hospital and Penn State Health Lancaster Medical Center.