The truth about highmark bcbs health insurance coverage

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All Rights Reserved. More information will be provided to employees throughout the fall and will be shared during online and in-person presentations, as well. As Penn State transitions to Highmark for , faculty and staff will not see changes to medical plan designs — which include copays, deductibles, and coinsurance -- or contribution percentages employees covered by a collective bargaining agreement should refer to their applicable contract.

The shift to Highmark Blue Shield will provide employees access to more providers and partnerships, as well as a dedicated concierge customer service team focused on assisting employees with health care questions and issues and helping to maximize their benefits.

The concierge customer service team is available immediately. We are confident that this new partnership positions us to continue offering our employees the excellent medical and prescription drug benefits they depend upon now and will offer them positive health care experiences.

Other employee benefits not related to medical or prescription insurance coverage, such as dental, vision, optional life insurance, long-term disability, and accidental death and dismemberment benefits, will not be impacted by the transition to Highmark.

Comprehensive information, including answers to frequently asked questions, is available on the Penn State Human Resources website. Employees who have additional questions can call HR Services at In addition to the community and provider partnerships Highmark Blue Shield has today, all benefits-eligible employees can access the Penn State concierge customer service team at to navigate their entire health care journey and maximize their benefits.

Penn State is self-insured, which means the University and its employees together cover the full cost of employee health care and prescription drugs each year.

As a nurse, Burns supported patients filing insurance claims with Medicare, Medicaid, and private insurance companies as well as responding to billing questions from confused patients.

Since becoming an agent, she has worked with some of the largest and most reputable insurance carriers and agencies in the nation, and she has built a large and loyal clientele by way of her commitment to transparency and personalized service. Updated: May 22, Reviewed by: Tammy Burns. How Is Highmark Rated? Is Highmark Good Health Insurance? What we like about Highmark health insurance plans: The drawbacks of Highmark health insurance plans: You can see specialists without obtaining referrals Some plans provide dental and vision coverage Free preventive care visits Coverage is only available in four states Only exclusive provider organization EPO options are available No coverage for seeing out-of-network providers.

Highmark Health Insurance Plan Options. Overall rating: 4. Financial strength: 4. Tammy Burns. You can see specialists without obtaining referrals Some plans provide dental and vision coverage Free preventive care visits. Coverage is only available in four states Only exclusive provider organization EPO options are available No coverage for seeing out-of-network providers. Financial strength rating: 4.

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However, the doctor and hospital network can be more limiting than Original Medicare. The provider network is typically larger than a Medicare Advantage network. Highmark sells dental insurance standalone, so having a Highmark health policy is not required to obtain coverage. Depending on the level of coverage you obtain, major services like root canals, crowns and other oral surgeries can be partially, if not completely covered.

On many Highmark health plans, extra benefits can include: You can shop for individual health plans on the Highmark website and enroll online or over the phone by calling An insurance broker licensed with Highmark can also talk through your options and help you apply for a plan.

You can also complete this form to have a Highmark representative contact you about their health plans. If you live in Pennsylvania, there are three satellite locations in Pittsburgh, Johnstown and Erie you can visit in person. Filing a claim with Highmark will depend on your state and location.

Highmark also recommends that you ask your provider to handle claim filings, which will help ensure faster payment. Here are the claim contacts based on region:. When considering a health plan from Highmark, keep these factors in mind before you decide on a plan:.

The views and opinions expressed are those of the authors and do not necessarily reflect the official policy or position of HealthCareInsider. Wikimedia Foundation, January 25, Accessed February 17, We do not sell insurance products, but there may be forms that will connect you with partners of healthcare. You may submit your information through this form, or call to speak directly with licensed enrollers who will provide advice specific to your situation. Read about your data and privacy.

Our mission is to provide information that will help everyday people make better decisions about buying and keeping their health coverage. Our editorial staff is comprised of industry professionals and experts on the ACA, private health insurance markets, and government policy.

Learn more about our content. Buscar: Search. Skip to content. Advertiser Disclosure. Colleen McGuire HealthCare Writer Colleen McGuire is an independent consultant who has spent most of her career writing about healthcare and the health insurance industry. Next Steps. Why Trust Our Content? Company Overview. Learn More Highmark plans differ by state and even by county in Pennsylvania. Was this article helpful?

Thanks for your feedback! If you're new to health insurance, sign up for our healthcare newsletter to help you along every step of the way. Inaccurate Hard To Understand Other. Share this article. Article Sources. About Colleen McGuire Colleen McGuire is an independent consultant who has spent most of her career writing about healthcare and the health insurance industry.

Related Articles. Updated: July 15th, By Elizabeth Llorente. As a Highmark member, you can easily find a provider to help you if you are traveling and need urgent care. The little BCBS emblem on your insurance card will be easily recognized by providers everywhere!

As part of the BCBS system, your employees can get specialized care at some of the finest hospitals in the United States. Highmark members can get care at hospitals like Cleveland Clinic or Johns Hopkins. This means that you can use practically any provider in southwestern Pennsylvania. And if you need prescription medication, Highmark has contracts with pharmacies all over the United States. Highmark Group Health offers several plans to employers.

These products limit the network of providers in the Pittsburgh area. All hospitals, doctors, and facilities in the Allegheny Health Network are included in that network.

Like many group health insurance companies, Highmark also offers group vision , dental , and pharmacy plans. If you purchase your group health insurance with Highmark, you may be able to purchase these additional insurance products at a discounted rate. From its online member portal to integrated HSAs and HRAs to a dedicated service team, Highmark is committed to taking good care of its members. Another great component that Highmark offers is dedicated customer service providers for larger groups.

This guarantees a team of individuals who are assigned to service your group exclusively. Highmark is well-known for its contribution to the Pittsburgh region. Giving millions of dollars to charitable causes each year, Highmark is committed to improving the health and wellness of Western Pennsylvania. The Highmark Foundation offers grants to organizations that are making investments in prevalent health issues in our area.

This funding focuses on initiatives that address chronic illnesses, including heart disease, cancer, obesity, diabetes, stroke, and arthritis.

This organization also makes contributions in areas related to family health. An extraordinary program that Highmark provides for the Pittsburgh region is known as The Caring Place. Founded in , The Caring Place is a center for grieving children, adolescents, and parents who have lost an immediate family member. Seeing a gap in care for families and especially children suffering this kind of loss, Highmark helped to form this healing place.

Your employee benefits advisor should have several tools to help you manage your group health insurance costs. As the second or third highest operating expense after payroll, most employers are eager to maintain or lower their group health insurance premiums. So, what are those tools that can help you control your costs? Creative solutions that include higher deductible health plans, limiting your provider network, utilizing HSAs or HRAs, or even self-funding are all potential ways to take control of your group health plan.

And these are just the tip of the iceberg when it comes to establishing a long-term plan to manage your group health insurance. I have been in the group health industry for more than 25 years and would love to share my insight and expertise. Baily Insurance is an independent insurance agency offering a comprehensive suite of insurance solutions to protect you from the unexpected.

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