If you want in-network access to Highmark's full provider network, you may wish to consider our Security Blue HMO-POS and Freedom Blue PPO Medicare Advantage products. PDF Get help with the ins and outs of your Freedom Blue PPO. Site Map. PPO Plan | Welcome to Blue Cross Blue Shield of Massachusetts As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. That's because Blue Plans across the country share their Medicare Advantage PPO Networks, so Highmark Freedom Blue PPO and Community Blue Medicare PPO members have the same coverage throughout the U.S. regardless of where they live. Highmark Senior Health Company is a PPO plan with a Medicare contract. Health benefits or health benefit administration may be provided by or through Highmark Senior Health Company. Highmark Blue Cross Blue Shield serves Medicare recipients in Pennsylvania with Medicare Advantage plans such as HMO's and PPO's. Highmark is the fourth-largest Blue Cross Blue Shield company in the United States. Our BlueMedicare PPO Plans. All policies can be purchased on a monthly basis and we help you understand your subsidy calculation . Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. www.highmark.com; Font size dropdown. No referrals to see in-network doctors. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Blue Edge Individual plans. Freedom Blue is a service mark of the Blue Cross and Blue Shield Association. The SBC shows you how you and the plan would share the cost for covered health care services. About Highmark Blue Cross Blue Shield Delaware Highmark Health provides high-quality, accessible, understandable and affordable health insurance for members. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. $ 26.00 Monthly Premium New York Counties Served Allegany Cattaraugus Chautauqua Erie Genesee Niagara Orleans Wyoming Basic Costs and Coverage Health Care Services and Medical Supplies MA plans require enrollees to choose a specific plan type, such as a health maintenance organization (HMO) plan, preferred provider organization (PPO) plan, private-fee-for-service (PFFS) plan, etc. As a company, Highmark also operates other . If you aren't clear about any of the underlined terms used in this form, see the Glossary. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Lab . Your Highmark PPO Blue Health Coverage You have access to the national Blue Cross Blue Shield network, which includes more than 96 percent of all U.S. hospitals and 92% of all U.S. doctors, including more than 1,500 health care facilities designated as Enrollment in Highmark Senior Health Company depends on contract renewal. H3916:001-0 Freedom Blue PPO Classic (PPO) H3916:002-0 Freedom Blue PPO Classic (PPO) H3916:005-0 Freedom Blue PPO Deluxe (PPO) H3916:012-0 Freedom Blue PPO Basic (PPO) H3916:015-0 Freedom Blue PPO Standard (PPO) H3916:018-0 Freedom Blue . PLANS NEW HIGHMARK BLUE CROSS BLUE SHIELD PLAN NETWORK CHANGES 2015 Plans for Large Groups (51+ employees) 2016 Plans for Large Groups (51+ employees) BlueCare PPO (FPLIC) PPOBlue (HBCBS) Highmark Blue Shield statewide facility network (which includes the First Priority Life facility providers) and PremierBlue Shield professional physician network Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Blue Shield's PPO plans offer valuable healthcare coverage combined with smart and flexible solutions to suit the . Highmark is available as Highmark Blue Cross Blue Shield in 29 counties of western Pennsylvania and as . Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Health benefits or health benefit administration may be provided by or through Highmark Senior Health Company. Highmark's mission is to be the leading health and wellness company in the communities we serve. Their commitment to excellent customer service gives members agency in their own health choices, creating opportunities for healthier lives. Medicare Advantage with Part D plan details and help for Highmark Blue Cross Blue Shield Freedom Nation (PPO) offered by Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark is a Pittsburgh-based Blue Cross Blue Shield (BCBS) licensee offering health insurance plans in Pennsylvania and surrounding states. Highmark's mission is to be the leading health and wellness company in the communities we serve. Highmark Blue Shield, Highmark Choice Company, Highmark Senior Health Company, and HM Health Insurance Company are independent licensees of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield MA plans include a wide range of additional services depending on where beneficiaries live. To enroll in the following plans, you need to be entitled to Medicare Part A, enrolled in Medicare Part B, and live in one of the above listed counties. Highmark Blue Cross Blue Shield West . Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Find top Family Physicians who accept Highmark Blue Cross Blue Shield Shared Cost 1500, a Multi-State Plan Near you in Meadville, PA. Book an appointment today! Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Therapeutic massage. Highmark Blue Cross Blue Shield Delaware - highmarkbcbsde.com 1 of 9 Highmark Blue Cross Blue Shield: PPO Coverage Period: 08/01/2016 - 07/31/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-800-241-5704 or visit us at www.highmarkbcbs.com. LEARN MORE. Provider Directory. Highmark BCBSWNY is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. Compare plan options and costs. Enrollment in Highmark Senior Health Company and Highmark Senior Solutions Company depends on contract renewal. Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. If you aren't clear about any of the underlined terms used in this form, see the Glossary. Personal customer service from our Health Care Concierge team. Highmark Blue Shield of Pennsylvania requires adherence and will only cover a medically necessary PAP device beyond the first three months of therapy when PAP use is greater than or equal to 4 hours per night on 70% of nights during a consecutive 30 day period during the first three months of therapy. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and the 13 counties of Northeastern PA. Highmark Choice Company, Highmark Senior Health Company, and Highmark Senior Solutions Company are Medicare Advantage plans with a Medicare contract. It was formed in 1977 and in the 1990s with the consolidation of two Pennsylvania Blue Cross Blue Shield partners, Highmark began its journey of covering individuals and families in multiple states. BCBS timely filing limit - Kansas. Blue Cross timely filing limit to submit an initial claims - Massachusetts. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Shield provides certain administrative communications for this company. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield of Western New York (BCBSWNY) is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. The SBC shows you how you and the plan would share the cost for covered health care services. Our vision is to ensure that all members of the community have access to affordable Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. Learn more. In WPA, members in high performing or tiered products such as Community Blue Flex or Connect Blue are already in a high-quality lower cost plan. Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield . Highmark Blue Cross Blue Shield: Major Events Blue PPO, a Community Blue Plan 7900 Coverage for: Individual/Family Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Economic Impact of Caregiving Learn how uncompensated care for loved ones with serious medical conditions is affecting caregivers and the U.S. economy. This allows all Blue Plan Medicare Advantage PPO patients to obtain in-network benefits when traveling or living in the service area of any other Blue Medicare . 76168DE0720001 my Blue Access Major Events PPO 8700 - 3 Free PCP Visits 21 $ 240.28 $ 246.29 76168DE0730001 my Blue Access PPO Premier Gold 0 21 $ 430.73 $ 441.50 76168DE0740002 my Blue Access PPO Premier Gold 0 + Adult Dental and Vision 21 $ 458.27 $ 469.73 HIGHMARK BLUE CROSS BLUE SHIELD DELAWARE Medicare Advantage with Part D plan details and help for Highmark Blue Shield Freedom Nation (PPO) offered by Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York. Enrollment in Highmark Senior Health Company depends on contract renewal. NOTE: Information about the cost of this plan (called the premium) will be provided separately. NOTE: Information about the cost of . The following Highmark Blue Cross Blue Shield of Western New Yo plans offer Medicare Advantage Prescription Drug plan coverage to New York residents. Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companies serve Blue Shield members in the 21 counties of central Pennsylvania. Highmark Blue Cross Blue Shield: my Blue Access PPO Bronze 3800 Coverage for: Individual/Family Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Insurance Plans We Offer: Medicare: We offer several Highmark Medicare Advantage plans (Part C) including Community Blue Medicare HMO, Community Blue Medicare PPO, Freedom Blue PPO, Security Blue HMO-POS, standalone prescription drug coverage (Blue Rx PDP, Part D) and Medicare supplemental insurance (Medigap Blue). A It is contracted to manage a network of dental providers for Highmark and Highmark Health Insurance Company. Highmark Senior Health Company is a PPO plan with a Medicare contract. - highmarkbcbswv.com How We Choose Our Doctors and Hospitals: All of our networks, including those used for our Marketplace Silver Plans, consist of a full range of primary care and . Highmark, Inc. is among the top 10 largest health insurers in the United States. What is PPO Blue? Freedom Blue PPO and Community Blue Medicare PPO members may see any Blue Cross and/or Blue Shield Medicare . Individual and family plans: Highmark offers a variety of health insurance . HMO, PPO, Medicare Advantage Plans: 90 Days from the DOS. Formulary Drug Details: Tier 1: Tier 2: Tier 3: Tier 4: Tier 5 • Preferred Pharmacy Cost-Sharing during initial coverage phase: $0.00 . of your Freedom Blue PPO. Highmark Blue Cross Blue Shield Freedom Nation (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna. $29. Highmark Senior Health Company is a PPO plan with a Medicare contract. Highmark Blue Shield also provides services in conjunction with Blue Cross of Northeastern Pennsylvania in northeastern Pennsylvania and Independence Blue Cross in southeastern Pennsylvania. In WPA, beginning on July 1 st 2019, all Highmark members in broad access products like PPO Blue and Blue Card will have full in-network access to all UPMC facilities and doctors. This plan allows you access to Blue Cross Blue Shield's nationwide network of providers. See cost-sharing for all pharmacies and tiers. As your local, authorized Highmark Licensed Medicare Advisor, We're ready to assist with anything from understanding your Medicare options to help with enrolling. Highmark Delaware's Comprehensive PPO plan provides the freedom of choice you experience with a Preferred Provider Organization (PPO) that allows you to receive both in-network and out-of-network benefits. How We Choose Our Doctors and Hospitals: All of our networks, including those used for our Marketplace Silver Plans, consist of a full range of primary care and specialist clinicians, and hospitals. Highmark Blue Shield: PPO Blue Coverage for: Individual/Family Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This is a 5-star Medicare Advantage plan with Part D (prescription drug) coverage. Highmark Blue Shield covers 21 counties of central Pennsylvania . Highmark offers Medicare and CHIP (Children's Health Insurance Plan). Verify eligibility via Highmark's NaviNet. Find participaing doctors and hospitals. Highmark Blue Shield provides certain administrative communications for this company. Highmark Senior Health Company Medicare PPO 12 15460 FreedomBlue PPO Highmark, Inc. EPO 41 54771 Community Blue Flex EPO Highmark, Inc. Fee for Service 34 54771 Highmark ClassicBlue Highmark, Inc. Medicaid HMO 25 54771 CHIP Highmark, Inc. Medicare HMO 15 54771 Community Blue Highmark, Inc. POS 33 54771 SelectBlue POS Highmark, Inc. PPO 32 54771 . 2020 Plan Documents Pre-Enrollment Checklist Summary of Benefits Evidence of Coverage, Annual Notice of Change and Multi-Language Insert The company operates as a not-for-profit health plan that is among the largest in the country. BCBSWNY complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Need Help? Highmark Senior Solutions Company and HM Health Insurance Company are independent licensees of the Blue Cross and Blue Shield Association. With the PPO plan, you have the option of selecting Blue Cross Blue Shield PPO network or out-of-network (non-preferred) providers. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. In Western Pennsylvania service area: . To contact us about Community Blue Medicare PPO, call 1-844-785-1787 (TTY users call 711), 8:00 a.m. to 8:00 p.m., seven days a week or visit . Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. The choice is always yours to make, but you may be responsible for much higher out-of-pocket costs when you seek care out of the PPO network. "In the coming months, the newly affiliated organization will be rebranded Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York," the two Blue Cross plans said. Highmark Senior Solutions Company is a PPO plan with a Medicare contract. Highmark Delaware's Comprehensive PPO plan provides the freedom of choice you experience with a Preferred Provider Organization (PPO) that allows you to receive both in-network and out-of-network benefits. This website works best with Internet Explorer 7 and above or Firefox 2.0 and above. Primary care doctor and telehealth visits. Medicare Advantage plans are an alternative . Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Stay in network — even when you're out of town. Select Language; Select Language; Check Application Status . At the same time, it operates as an independent company and only operates in Delaware, West Virginia, and Pennsylvania. The New Blue Medicare Sapphire card is an annual $500 debit card to help reduce out-of-pocket dental, vision or hearing expenses. Despite only offering health insurance in three states, the company has an affiliation with Blue Cross Blue Shield that may offer plan members a nationwide or regional network of doctors and other health providers. Legal Information. $0. Highmark is a charitable healthcare firm and combined Delivery Network sited in Pittsburgh, Pennsylvania, USA. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Browse the Highmark Blue Cross Blue Shield Freedom Nation (PPO) Formulary: This plan has 5 drug tiers. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Download the latest version to access the site. Highmark has a plan for a life like yours. Since Highmark licenses with Blue Cross Blue Shield, they provide many of the same benefits. marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Our vision is to ensure that all members of the community have access to affordable Highmark Blue Shield and Highmark Senior Health Company are independent licensees of the Blue Cross and Blue ShieldAssociation. The SBC shows you how you and the would share the cost for covered health care services. As a Highmark member, you have the same in-network benefits and low costs at home and Plan ID: H5526-020. Highmark Blue Cross is based out of Erie Pennsylvania and serves 21 counties throughout central PA and the Lehigh Valley. In addition to differing in terms of provider networks, Highmark's health plans vary in terms of benefits for deductibles, copayments, referral requirements, and out-of-pocket costs. Choose from ACA-qualified plans across Bronze, Silver, Gold and Platinum levels, as well as catastrophic coverage — all with the long-trusted coverage of health insurance leader, Blue Cross Blue Shield. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Enrollment in Highmark Senior Health Company depends on contract renewal. Dental, vision, hearing and OTC. Find top Family Physicians who accept Highmark Blue Cross Blue Shield Shared Cost 1500, a Multi-State Plan Near you in Johnstown, PA. Book an appointment today! PITTSBURGH — Highmark Blue Cross Blue Shield today announced lower premiums on almost all of its Medicare Advantage plans in advance of the 2016 Medicare annual election period (AEP), which begins on October 15.. Highmark has worked to ensure its members have affordable premiums and out-of-pocket costs. Indemnity: 1 year from the DOS. Enroll by December 15th 2021 for coverage to begin on January 1st 2022 or by January 15th 2022 for coverage to begin on February 1st 2022. Plan & Alpha Prefix Guide Below you will find a list of the 2015 BCNEPA plans with the corresponding Highmark Blue Cross Blue Shield plans for 2016. For assistance call 1-888-620-8988. In fact, premiums on almost all of Highmark's western Pennsylvania Medicare Advantage . Blue Cross Blue shield of Kansas timely filing limit for filing an claims: 15 months from the Date of service. It is one of the largest not-for-profit health insurance providers in the United States which controls many for-profit subsidiaries. This system evolved from the very first health plan provider in the country as well. The SBC shows you how you and the would share the cost for covered health care services. As members renew or enroll their individual or group contracts for health care coverage in 2016, they will be presented with a new Highmark-branded ID card. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Blue Shield also provides services in conjunction with Blue Cross of Northeastern Pennsylvania in northeastern Pennsylvania and Independence . Open Enrollment is Happening Now. As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield: PPO Blue Coverage for: Individual/Family Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Information on this website is issued by Highmark Blue Shield on behalf of these companies, which serve the 21 counties of central Pennsylvania and the Lehigh Valley as full-service health plans. CHIP through Highmark is only available in some parts of Pennsylvannia. 1 of 11 Highmark Blue Cross Blue Shield: Community Blue PPO Coverage Period: 01/01/2016 - 12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-866-594-1729 or visit us at www.highmarkbcbs.com. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Senior Health Company is a PPO plan with a Medicare contract. Available in central and western Pennsylvania, Highmark Blue Cross Blue Shield of PA offers a wide selection of Affordable Care Act (ACA) plans both on and off the health insurance exchange. Highmark Blue Shield health insurance plans are available through our website at the lowest available rates for residents in the 21 counties of Central Pennsylvania and the Lehigh Valley. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Yes. NOTE: Information about the cost of this plan (called the premium) will be . Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. This plan offers select insulin at a $35 copay. H3916_20_5543_M medicare.highmark.com. Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companies serve Blue Shield members in the 21 counties of central Pennsylvania. $49. We make it easy to compare affordable individual and family policies and buy quality Marketplace coverage. 2. Highmark serves 4.6 million health insurance members in Delaware, Pennsylvania, and West Virginia. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. All Highmark Blue Cross Blue Shield, Highmark Blue Shield, and/or Highmark West Virginia Blue Cross Blue Shield Medicare Advantage PPO Plans participate in reciprocal network sharing. This plan allows you access to Blue Cross Blue Shield's nationwide network of providers. Details drug coverage for Highmark Inc. Freedom Blue PPO ValueRx (PPO) in Pennsylvania. In this Highmark Medicare review, we'll cover the company's Medicare plan options including Advantage and Supplement. 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