Capital Blue Cross

Health Insurance Coverage in Pennsylvania

Health Plan Overview

Insurance CompanyCapital Blue Cross
StatePennsylvania
Websitecapbluecross.com
Number of Hospitals in Network84
Number of Plans Offered7

Network Hospital Locations

Hospitals in Network (84)
Geisinger Community Medical CenterUPMC McKeesportGeisinger Bloomsburg HospitalPenn State Health Holy Spirit Medical CenterGeisinger Medical CenterUPMC JamesonKensington HospitalUPMC MercyLehigh Valley Hospital–Schuylkill S. Jackson StreetUPMC SomersetWVU Medicine Uniontown HospitalWashington HealthReading HospitalUPMC WilliamsportGeisinger Lewistown HospitalPenn Highlands HuntingdonUPMC CarlisleConemaugh Nason Medical CenterUPMC HamotUPMC HarrisburgUPMC LititzUPMC AltoonaGuthrie Robert Packer HospitalPenn Highlands DuBoisUPMC NorthwestPenn State Health St. Joseph Medical CenterLancaster General HospitalUPMC MemorialUPMC St. MargaretUPMC KaneUPMC PassavantMeadville Medical CenterUPMC Magee-Womens HospitalUPMC Bedford MemorialPottstown HospitalPhoenixville HospitalLehigh Valley Hospital - Cedar CrestPenn Highlands Mon ValleyUPMC GreeneUPMC Presbyterian ShadysideUPMC HorizonChester County HospitalPenn Highlands ConnellsvilleLehigh Valley Hospital - HazletonLehigh Valley Hospital-PoconoDoylestown HospitalPenn Presbyterian Medical CenterPennsylvania HospitalUPMC HanoverPenn State Health Milton S. Hershey Medical CenterMount Nittany Medical CenterGeisinger Wyoming Valley Medical CenterValley Forge Medical Center and HospitalEagleville HospitalEdgewood Surgical HospitalOSS Health Orthopaedic HospitalUPMC EastPenn State Health Hampden Medical CenterGeisinger Medical Center MuncyLehigh Valley Hospital–Dickson CityPenn State Health Lancaster Medical CenterGeisinger Jersey Shore HospitalUPMC MuncyConemaugh Meyersdale Medical CenterGuthrie Troy Community HospitalEndless Mountains Health SystemsPenn Highlands TyroneBarnes-Kasson County HospitalPenn Highlands BrookvilleUPMC ColeTitusville Area HospitalPenn Highlands ElkUPMC WellsboroConemaugh Miners Medical CenterUPMC Children's Hospital of PittsburghChildren's Hospital of PhiladelphiaSt. Christopher's Hospital for ChildrenMontgomery County Emergency Service, Inc.Pennsylvania Psychiatric InstituteLancaster Behavioral Health HospitalTower Behavioral HealthMalvern Behavioral HealthBerwick Psychiatric HospitalGeisinger Behavioral Health Center Northeast

Available Plans

Employer Group Self-Insured

1 plan

Health Maintenance Organization

1 plan

Medicare Advantage

3 plans

Medigap

1 plan

PPO

1 plan

Plan Details
Plan NamePlan Type
NAMedicare Advantage
NAMedicare Advantage
NAMedicare Advantage
NAHealth Maintenance Organization
NAEmployer Group Self-Insured
NAPPO
NAMedigap

Recent News

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State Leadership

Todd A. Shamash

President and CEO

Assumed the top leadership role in April of 2020, having previously served as Senior Vice President, General Counsel, and Corporate Secretary. Has been involved in strategic partnerships, overall performance, diversification strategy, subsidiary governance, finance, risk exposure, and growth since 2012. Appointed acting CEO effective upon Gary D. St. Hilaire's departure. Also serves as an appointee on the Pennsylvania Health Care Cost Containment Council and the Pennsylvania Health Insurance Exchange Authority, and as a board member of Whitaker Center for Science and the Arts. [1, 5]

Jennifer Chambers M.D. Mba Facp

SVP and Chief Medical Officer

Leads Clinical Strategy for Capital BlueCross and for Geneia. Areas of responsibility include Medical Affairs, Performance Improvement, Accreditation, Credentialing, Clinical Programs and Utilization Management. [1]

Patricia Higgins

SVP, Risk Management and Chief Compliance Officer

Background information not available in public scan.

Scott Frank

SVP and Chief Information Officer

Leads Capital BlueCross' Innovation and Technology areas, with a focus on Digital Solutions and improving the customer experience. Has over 25 years working in health care and insurance information technology, with extensive strategic planning, technical solutions, and transformational change experience. Prior to joining Capital BlueCross, worked at Aetna/Coventry Health Care and several integrated hospital systems. [1]

David B. Skerpon

SVP, Enterprise Marketing

Background information not available in public scan.

Frank Fernández

Senior Vice President of Government Programs

Background information not available in public scan.

Glenn Heisey

EVP & Chief Operating Officer

Background information not available in public scan.

Jack Jaroh

SVP, Commercial Group Sales

Background information not available in public scan.

Joel C. Hopkins

SVP & General Counsel

Background information not available in public scan.

Jodi Woleslagle

Senior Vice President of Human Resources

Background information not available in public scan.

T. Ralph Woodard

SVP & Chief Financial Officer

Background information not available in public scan.

Vicki Doulé

Lehigh Valley executive lead

Named head of Capital Blue Cross's Lehigh Valley operations in September 2023. Rejoined Capital Blue Cross after previously working there for 23 years from 1995 to 2018, where she was vice president of group sales. Also served as senior vice president of BSI Corporate Benefits. Has served in community volunteer roles in the Lehigh Valley, including board member and former chair at ArtsQuest. [4]

Jeremy Wigginton

Chief Medical Officer

Background information not available in public scan.

Greg Biesecker

Chief Government Programs Officer

Background information not available in public scan.

Debbie Rittenour

President of Vibra Health Plan, Senior Vice President of Government Programs at Capital BlueCross

Ms. Rittenour was also Senior Vice President of Government Programs at Capital BlueCross serving 21 counties in Central Pennsylvania, and was President of Vibra Health Plan, a Pennsylvania-based health insurance company. In this capacity, she led all government program product lines, including Medicare, the Affordable Care Act Program (ACA) and the Children's Health Insurance Program (CHIP). She has held leadership positions at Florida Blue, Harvard Pilgrim Health Care, Amerigroup and BlueCross and BlueShield of Tennessee. Ms. Rittenour is also on the board of eternalHealth, Inc. and serves as an advisor to several start-up companies. Ms. Rittenour holds a Bachelor of Science in Business Administration and a Master of Business Administration from Robert Morris University.