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BlueCare® HMO
First Priority Health®
If you favor a health care plan that works harder than any other at emphasizing preventive care and controlling health care costs, then you'll want to take a closer look at BlueCare HMO.

BlueCare HMO Plus
First Priority Health
BlueCare HMO Plus is our open access HMO plan offering the benefits of managed care while preserving the freedom to obtain health care service not coordinated by a Primary Care Physician (PCP).

BlueCare EPO
First Priority Life Insurance Company®
A preferred provider product with an exclusive network, BlueCare EPO is designed based on where you live and/or work. The preferred provider networks differ depending on the plan design of the product to ensure your coverage includes the most comprehensive provider network to meet your needs. There is no need to chooose a Primary Care Physician. Services may be subject to copayments, deductible and/or coinsurance. Coverage from non-preferred providers is only available in an emergency.

BlueCare QHD PPO
First Priority Life Insurance Company
Our new Qualified High Deductible PPO product is designed to be offered with a health savings account (HSA). This product offers care from health care providers in our preferred provider network at the highest level of benefits or care outside the network at a reduced level of coverage.

BlueCare PPO
First Priority Life Insurance Company
If you're looking for coverage that offers an impressive combination of choice and cost control features, then BlueCare PPO might be just the plan you had in mind.

BlueCare Traditional
First Priority Life Insurance Company
BlueCare Traditional offers quality medical coverage for hospitalization, medical and surgical services and major medical services. It also offers a wide choice of physicians, specialists and hospitals for your care.

BlueCare Comprehensive
First Priority Life Insurance Company
BlueCare Comprehensive covers it all. The plan consists of hospitalization, medical/surgical and even major medical coverage wrapped in one complete benefit package.

BlueCare Senior
Blue Cross of Northeastern Pennsylvania and Highmark Blue Shield
BlueCare Senior is the plan that will pay for covered services that Medicare does not pay. It also covers some or all of the deductible and coinsurance for covered services that Medicare does not pay.

BlueCare Direct Plans
First Priority Life Insurance Company ®
Imagine a health care coverage plan designed especially for individuals just like you. There is no need to imagine, thanks to our BlueCare Direct Plans. We take your overall health and wellness into account, which can save you money. The flexible plan designs offer several deductible options, so you can choose the plan that’s right for you and your budget.

BlueCare Assure
Blue Cross of Northeastern Pennsylvania and Highmark Blue Shield
Are you looking for individual health coverage but think you cannot afford a plan that’s right for you? Think again! If you are self-employed, retired, a recent college graduate or without health coverage for any reason, you can now have affordable, comprehensive health care coverage from the most trusted name in health care for over 70 years.

BlueCare Traditional Plans
Blue Cross of Northeastern Pennsylvania and Highmark Blue Shield
Our BlueCare Traditional plan offers the widest choice of physicians, specialists and hospitals of any plan we offer.

BlueCare Security
Blue Cross of Northeastern Pennsylvania and Highmark Blue Shield
Provides a basic plan of supplemental benefits that include hospitalization services not covered by Medicare and the 20% coinsurance for doctors' services.

Children's Health Insurance Program (CHIP)
First Priority Health
If your child is uninsured for health care, he or she may qualify for a special, state-supported program that will pay for selected medical services.

adultBasic
First Priority Health
adultBasic provides low-cost, quality health insurance to uninsured adults who meet certain income and other eligibility requirements.
If you've recently lost your job and need health care coverage, you have several options available.
Coverage with Spouse
If you need health care coverage and your spouse is eligible for coverage at his or her job, you may be entitled to coverage under his or her group plan. Ask your spouse to inquire with his or her employer.
COBRA
Employers with 20 or more employees are subject to federal COBRA regulations. If you were employed by a company with 20 or more employees, COBRA allows you to continue your health care coverage for up to 18 months. Upon timely notice from the employer, continuation coverage will be made available for employees and their dependents who are determined to be qualified beneficiaries. Under the federal law, you have 60 days to decide whether to continue coverage under your previous employer and then another 45 days to pay the retroactive premium. Please contact your previous employer for more information.
Mini-COBRA
Employers with 2-19 employees - effective July 10, 2009, a new Pennsylvania state law was enacted similar to the federal Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), known as Mini-COBRA (Act 2 of 2009). This new state law applies to small group employers defined as those that have 2 to 19 employees on a typical business day during the past year.

According to the law, small group employers must provide continuation health care coverage to qualified employees and dependents when they leave employment or when other qualifying events occur. You will have 30 days from the date you are notified by your employer to elect continuation coverage. Coverage will be effective the date of the qualifying event. In certain cases, as part of the federal American Recovery and Reinvestment Act of 2009 (ARRA), qualified employees will also be eligible to receive a subsidy health care credit totaling 65% of the monthly premium for coverage. Please contact your previous employer for more information.
Conversion Plans
If you were covered under a Blue Cross of Northeastern Pennsylvania group contract/policy for at least three months and are not eligible for other coverage (Medicare, Medicaid or another group plan), you are eligible for coverage under one of our individual conversion plans. You must enroll within 31 days after the termination of your group coverage.
Conversion plans are based on the group coverage plan in which you were previously enrolled. Call a BlueCare® Service Representative for more information, weekdays, 8 a.m. to 5 p.m.
Group Plan Individual Conversion Plan
BlueCare HMO/HMO Plus BlueCare HMO Individual Conversion 1-800-822-8753
BlueCare PPO/EPO/QHD PPO BlueCare PPO Individual Conversion 1-888-338-2211
BlueCare Traditional / Comprehensive BlueCare Cooperative 1-800-829-8599
Alternative Mechanism
If you are uninsured, you may qualify to enroll in a health care coverage plan through Blue Cross of Northeastern Pennsylvania, according to the Pennsylvania Alternative Mechanism statute. BlueCare Cooperative, our Alternative Mechanism plan, is a guaranteed issue health care coverage plan that offers continuous year-round open enrollment. This gives you the opportunity to apply for coverage at any time. For more information or to enroll, you can call 1-800-829-8599, weekdays, 8 a.m. to 5 p.m., or visit our website at http://www.bcnepa.com/ohpNonGroupCoop.aspx.
Individual Health Plans
Blue Cross of Northeastern Pennsylvania also offers a large portfolio of individual health plans that may suit your needs. Visit our website at http://www.bcnepa.com/ohpIndividualProducts.aspx for more information.
Broker Resource 570-586-1859
Emerson Reid 717-671-5833
Gannon Associates 570-265-3197
Hartman Employee Benefits 570-326-7241
Joyce Financial Group 570-603-7818
JRG Advisors 412-456-7000
Swift Kennedy 800-503-7750
URL Inc. 717-540-5690