Is Highmark Blue Shield part of Blue Cross?
Important Legal Information: Health care benefit programs are issued or administered by Highmark Blue Shield or Highmark Health Insurance Company, independent licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross Blue Shield plans.
How do I contact Highmark Blue Shield?
Call 1-877-298-3918 ® Highmark is a registered mark of Highmark, Inc. © 2022 Highmark Inc., All Rights Reserved ® Blue Shield and the Shield symbol are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.
Which Highmark Medicare Advantage plans are in-network?
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. Highmark Senior Health Company is a PPO plan with a Medicare contract.
What is the difference between community blue and Highmark senior health company?
Community Blue Medicare PPO is a plan with in- and out-of-network coverage. 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. Highmark Senior Health Company is a PPO plan with a Medicare contract.
Is Highmark considered Medicare?
Highmark Insurance Plans Our insurance options include: Medicare: For those 65 and older or otherwise Medicare eligible we offer several Highmark Medicare Advantage plans including private health insurance (Part C), standalone prescription drug coverage (Part D) and Medigap supplemental insurance.
Does Highmark require prior authorization?
Highmark now requires authorization numbers to ensure appropriate reimbursement. reimbursement. Denials of coverage of services may be issued based on medical necessity and/or appropriateness determinations.
How do I contact BCBS Highmark?
(800) 241-5704Highmark / Customer service
Is Highmark the same as Highmark Blue Shield?
About Highmark Inc. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.highmark.com.
How do I submit a prior authorization on NaviNet?
Providers that are not able to submit requests for precertification/prior authorization through our online utilization management request tool on NaviNet may call our Prior Authorization team at 1-800-664-2583, Monday through Friday, between 8 a.m. and 5 p.m., Eastern Time.
What is member Umi?
A unique alpha-numeric code, usually composed of a three- position alphabetical prefix and a nine-position number based on the member's Social Security number, or the Unique Member Identifier (UMI) which will be three-position alphabetical prefix and an up to fourteen-position number which identifies him or her as ...
What state is Highmark BCBS?
Coverage at home: Access to participating doctors and hospitals wherever you go in Pennsylvania, West Virginia, New York, Ohio and New Jersey. More choice through one of the largest Medicare Advantage PPO networks in the state. Over 34,000 doctors, specialists and hospitals in Pennsylvania and West Virginia.
What is the phone number for Blue Cross Blue Shield customer service?
(888) 630-2583Blue Cross Blue Shield Association / Customer service
Are anthem and Highmark the same?
Anthem, which unlike Highmark is publicly-traded, is the nation's largest Blue Cross and Blue Shield company operating health plans in 14 states. But Blue Cross and Blue Shield plans continue to form new alliances and partnerships with other such plans.
Who owns Highmark?
Highmark HealthHighmark / Parent organizationDescription: The integrated delivery network and its parent company Allegheny Health Network includes 8 hospitals; more than 2,100 affiliated physicians; 6 ambulatory surgery centers; a research institute; home and community based health services; a group purchasing organization; and three Health + Wellness Pavilions.
Who did Blue Cross Blue Shield merge with?
(NYSE: WLP), today announced that the Blue Cross and Blue Shield Association has granted unanimous approval of the transfer of WellPoint's Blue licenses in connection with the pending merger of the two companies.
Does UPMC accept Highmark in 2021?
UPMC provides most Highmark members with full, in-network access to UPMC hospitals, doctors, and services and accepts most major insurers, including Aetna, Cigna, Highmark, United Healthcare, and UPMC Health Plan.
ABOUT HIGHMARK BLUE CROSS BLUE SHIELD
Highmark Inc., doing business as Highmark Blue Cross Blue Shield, serves approximately 2.5 million members through the company's health care benefits business and hundreds of thousands of additional members through the BlueCard® program.
ABOUT ABOUT UNIONTOWN HOSPITAL
Uniontown Hospital is a compassionate, dedicated community hospital providing a full range of medical care to residents of Fayette County and the surrounding areas for more than a century.
What is a community blue PPO?
Community Blue Medicare PPO is a Medicare Advantage Preferred-Provider Organization plan that gives you coverage for every need— health, prescription drugs, routine dental, vision, hearing, and preventive care . Community Blue Medicare PPO includes a high value network of select providers, PLUS an enhanced service model to assist in finding doctors, making medical appointments and coordinating your health information between doctors and hospitals. With Community Blue Medicare PPO, you have access to a select network of community doctors and hospitals in 9 counties in western Pennsylvania and 34 counties in north east and central Pennsylvania. Plus you also have the additional freedom to travel across the United States and find in-network coverage.
Is Community Blue Medicare PPO in network?
Plus you also have the additional freedom to travel across the United States and find in-network coverage. Community Blue Medicare PPO is a plan with in- and out-of-network coverage.
Is Highmark a PPO?
Highmark Senior Health Company is a PPO plan with a Medicare contract. Enrollment in Highmark Senior Health Company depends on contract renewal.
What is a Medigap Blue plan?
Medigap Blue is a name Highmark uses for the Medicare Supplement Insurance plans they offer. Highmark Medigap Blue plans are available in Delaware, Pennsylvania and West Virginia.
How to shop for Medigap insurance?
A great way to shop for Medigap plans is with the help of a licensed insurance agent. Remember, basic plan benefits are standardized by the federal government, so each plan of the same letter will offer similar coverage no matter which insurance company is selling it.
Does Highmark offer a health insurance plan?
Highmark offers a benefits package called Whole Health Balance that may be added to a Medigap Blue plan for an additional premium. The Whole Health Balance package includes dental, hearing and vision coverage as well as a SilverSneakers fitness program membership.
Who sells Medicare Supplement Insurance?
Medicare Supplement Insurance is sold by private insurers like Highmark and other Blue Cross Blue Shield affiliates.
Can you charge higher premiums in Pennsylvania?
In Pennsylvania, insurers must offer all their available plans to those under 65 and are not allowed to charge higher premiums to those under 65 based on age alone.
Can insurance companies use medical underwriting to determine your Medigap premiums?
During this period, you have guaranteed issue rights. That means insurance companies are not allowed to use medical underwriting to determine your Medigap premiums.
Who is Highmark Blue Shield?
Important Legal Information: Health care benefit programs are issued or administered by Highmark Blue Shield or Highmark Health Insurance Company, independent licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross Blue Shield plans.
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