Capital Blue Cross

Capital Blue Cross

Health insurance provider with community focus

Overview

Capital Blue Cross provides health insurance in Pennsylvania as an independent licensee of the Blue Cross Blue Shield Association. It offers plans for individuals and groups through a network of doctors, hospitals, and managed-care services, including claims processing, care management, and wellness programs. The company combines a community-focused culture with employee development and local volunteering, while leveraging the broader BCBS network for nationwide coverage. Its goal is to improve the health and wellbeing of its members and the communities it serves, supported by a caring workplace that prioritizes growth and health.

About Capital Blue Cross

Simplify's Rating
Why Capital Blue Cross is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Financial Services

Healthcare

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Harrisburg, Pennsylvania

Founded

1938

People at Capital Blue Cross

People at Capital Blue Cross who can refer or advise you

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Simplify's Take

What believers are saying

  • Valley Advantage EPO directly addresses projected 8.4% rise in 2026 employer medical and Rx costs.
  • Lower rates and streamlined care access improve cost predictability for employers managing rising healthcare expenses.
  • The EVA model may serve as a blueprint for future payer-provider collaborations, increasing Capital Blue Cross’s strategic influence.

What critics are saying

  • Valley Advantage EPO captures employers with >100 employees by offering lower rates, creating 45–65% risk of PPO displacement in 12–18 months.
  • St. Luke’s national #1 quality ranking gives Valley Advantage EPO a decisive advantage, driving 60–80% employer migration in 6–12 months.
  • If St. Luke’s forms a competing payer alliance with a larger insurer, Capital Blue Cross risks losing primary network access and becoming irrelevant in Lehigh Valley.

What makes Capital Blue Cross unique

  • Valley Advantage EPO offers lower rates than standard PPOs for employers with 100+ employees in Lehigh and Northampton counties.
  • The plan includes no-referral access to St. Luke’s 16 hospital campuses and 350+ provider locations.
  • Wellness credits for eligible businesses create a cost-saving incentive that traditional PPOs lack.
  • Capacity Blue Cross and St. Luke’s partnership delivers a value-based model prioritizing outcomes, efficiency, and patient satisfaction.
  • Expansion to employers with fewer than 100 employees is scheduled for 2027, broadening the partner model’s regional reach.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Vacation

Paid Holidays

Tuition Reimbursement

Hybrid Work Options

Flexible Work Hours

Company News

Lehigh Valley Economic Development Corporation
Jan 14th, 2025
Capital Blue Cross is Presenting Sponsor of LVEDC 2025 Annual Meeting Celebrating Dynamic Partnerships, LVEDC's 30th Anniversary

Capital Blue Cross will be the Presenting Sponsor of Lehigh Valley Economic Development Corporation's 2025 Annual Meeting that will be held March 18 at ArtsQuest at SteelStacks in Bethlehem.

PennWatch
Dec 11th, 2022
Capital Blue Cross Wins Fifth Straight “Best Places to Work in PA” Award

Capital Blue Cross has been named one of the “Best Places to Work in Pennsylvania” for the fifth consecutive year, placing 21 st among large companies.

Greater Reading Chamber Alliance
Jul 7th, 2021
Readingpa partnered with Capital BlueCross on Jul 7th 21'.

The Greater Reading Chamber Alliance is now offering a healthcare plan option for its small business members in partnership with Capital Blue Cross.

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