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Of next injection: / Fax completed form to: 1-866-805-4150 toll free / / SECTION II Member Information Member Name: Plan Type: Member ID: Traditional Comprehensive PPO POS Member DOB: KHPC Special Care Sr. Blue HMO / / Sr. Blue PPO SECTION III Provider Information Required Requesting Provider Name: Address: Telephone #: Office Contact Name: Place of Service: MD Office Requesting Provider CBC # NPI # Fax #: Office Contact Telephon.

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-- In its continued effort to provide convenient, affordable access to healthcare, Capital BlueCross today launched a new and expanded Virtual Care app. The app allows members to visit a physician at any time, via their smart phone, computer or tablet.

It's easy to get a free insurance quote now. Capital BlueCross is a Pennsylvania health plan headquartered in the capital city of Harrisburg. An independent licensee of the BlueCross BlueShield Association, Capital BlueCross serves almost 1 million people in 21 central and Lehigh Valley counties.

Keep Your Lifestyle and Your Wallet Healthy with Discounts from Blue365® Looking for the latest wearable health tracker, a new weight loss program or a local gym with interesting classes? ... Blue365 offers discounts of up to 50% on health and wellness products and services, and it's available to all Florida Blue members.

Blue Cross Blue Shield does reimburse some members for their gym membership and some group fitness classes like yoga, pilates, spin, and more. The total reimbursement amount can be up to $150-200 per year.

Capital BlueCross is a Pennsylvania health plan headquartered in the capital city of Harrisburg. ... Capital BlueCross also provides health insurance and related products through its subsidiaries, which include Capital Advantage Assurance Company®, Capital Advantage Insurance Company,® and Keystone Health Plan® Central.

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The change, which won't take effect until April 1, 2002, will end a long-standing partnership between Capital Blue Cross, which provides coverage for hospital services in central Pennsylvania, and Highmark, which provides coverage of physician services in central Pennsylvania under the name Pennsylvania Blue Shield.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232