Information on this website is issued by Highmark Blue Cross Blue Shield on behalf of these companies, which serve the 29 counties of western Pennsylvania. Highmark Senior Health Company is a PPO plan with a Medicare contract. Full Payer List. Highmark currently serves 5.2 million members. As a result, beginning in 2016, providers will be submitting migrated member claims to Highmark. Together with its Blue-branded affiliates, Highmark Inc. is collectively the fourth largest overall Blue Cross and Blue Shield- affiliated organization in the country based on capital. Resources. Highmark Health is an independent licensee of the Blue Cross Blue Shield Association. 5am to 11pm. or 100% over ideal weight or a body mass index (BMI) of at least 40 or a BMI of 35 with comorbidities. Penn State has partnered with Highmark Blue Shield for employee medical and prescription benefits starting on Jan. 1, 2023, replacing Aetna and CVS Caremark. Section 2 Quick Reference Directory of Pennsylvania Blue Shield 2 Regional Provider Relations offices Pennsylvania Blue Shield Eastern Region Office . Select Language; Select Language; Check Application Status Highmark, Inc. is among the top 10 largest health insurers in the United States. M. members covered. We're 37,000 employees strong and proud to be serving millions of customers across the U.S. every day. Faculty and staff medical plan designs and contribution percentages will remain unchanged in 2023. We are committed to providing outstanding services to our applicants and members. Founded in 1977, this company's original name reflects the limited service area it has in parts of Pennsylvania, Delaware, and West Virginia. Enter your zip code, click on the plan name and select Provider/Pharmacy Directory, then click Download. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender . The Blue Cross Blue Shield Association is an . This will ensure that the care our members receive while living and traveling outside of the Highmark service area is medically necessary and managed as consistently as it is within . Freedom Blue PPO lets you choose where you receive your care, throughout the Freedom Blue PPO network and the combined Blue Plan Medicare Advantage PPO networks that span counties in 41 states and Puerto Rico, or out of the network anywhere you may travel. Take I-81 N to the Wertzville Road exit. . Mailing Address. 82 Highmark Blue Shield jobs available in Pennsylvania on Indeed.com. If you experience difficulties or need additional information, please contact 1.800.676.BLUE. Highmark is your partner in good health - at the doctor's office, at work, and throughout the community. Highmark Inc. is an independent licensee of the Blue Cross Blue Shield Association. Need Help? However, Blue Cross Blue Shield Association data reveals that childbirth complications are prominent in Philadelphia, especially for Black women. 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. Pennsylvania Help Center: Important contact information for Independence Blue Cross, Highmark Inc. and Capital BlueCross. To reach Highmark Blue Shield Customer Service by telephone, call 1-800-345-3806. While you are responsible for 100% of your costs until your selected deductible is met, your coverage pays 100% after coinsurance and copayment maximums are met. Contact Us. Information on this website is issued by Highmark Blue Cross Blue Shield on behalf of these companies, which serve the 29 counties of western Pennsylvania and 13 counties in northeast and north central Pennsylvania. Page 1 of 82 jobs. You may already be aware; Blue Cross of Northeastern PA has now become part of Highmark BCBS. Pennsylvania Blue Cross Plan. 107. For Central PA: Insurance or benefit administration may be provided by or through Highmark Blue Shield, Highmark Select Resources, Highmark Benefits Group or Highmark Health Insurance Company, which serve the 21 counties of Central Pennsylvania. Pennsylvania Highmark Blue Cross Blue Shield Health insurance policies are available at extremely affordable rates. Monday-Friday: 9:00 am - 7:00 pm Saturday: 9:00 am - 2:00 pm Sunday: Closed (TTY/TDD:711) Central PA: (855) 865-4326 Western PA: (855) 865-4325 Northeast PA: (855) 865-0316 Delaware: (855) 329-1759 West Virginia: (855) 329-1759 REQUEST A CALL Find out More. $ 382. P.O. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Welcome to Highmark Health a national, blended health organization passionately delivering on our mission: To create a remarkable health experience, freeing people to be their best. Outside the United States. We are committed to providing outstanding services to our applicants and members. Welcome Highmark Providers. How can I reach Customer Service by U.S. Mail? Highmark Blue Shield serves the 21 counties of . Mr. Jerrad Tuite Ms. Margie Loritz, Compliance Analyst Additional Contact. Highmark (412) 221-7770 Bridgeville, Pennsylvania 15017 Video Offered View Raquel Diaz Guerrero Psychiatrist, M.D. The organization is comprised of more than 1,600 employed physicians and advanced practice clinicians, a regional behavioral health organization, a home care . Highmark Inc. is a national, diversified health care partner based in Pittsburgh that serves members across the United States through its businesses in health insurance, dental insurance, vision care and reinsurance. Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross Blue Shield Association and serves the 29 counties of western Pennsylvania and 13 counties in northeast Pennsylvania. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Central Region - shown in gray above: includes the 21 counties of central Pennsylvania and the Lehigh Valley. PLEASE NOTE: The file format mandated by CMS for the MRF files is JSON (JavaScript Object Notation), which can be downloaded and read using a JSON viewer. Call and talk with a Highmark licensed representative for help with non-Medicare plans or enrollment. Northeastern Region - shown in yellow above: includes the 13 counties in northeastern Pennsylvania. Highmark BCBS Shared Cost Plans BCBS Shared Cost plans provide coverage with low monthly premiums. We offer thousands of health plans underwritten by more than 180 of the nation's health . If you require special assistance, including . 2. HIGHMARK BLUE SHIELD jobs in Pennsylvania. M+. or 100% over ideal weight or a BMI of at least 40 kg/m2 or a BMI of 35 kg/m2 with ANY ONE or more of the following comorbidities: Health benefits or health benefit administration may be provided by or through Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Senior Health Company, Highmark Senior Solutions Company, or Highmark Health Insurance Company, all of which are independent licensees of the Blue Cross Blue Shield Association. As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Enrollment in Highmark ChoiceCompany depends on contract renewal. Highmark Blue Shield covers 21 counties of central Pennsylvania . . HIGHMARK COMMERCIAL MEDICAL POLICY - PENNSYLVANIA. Highmark Inc. or certain of its affiliated Blue companies serve Blue Cross Blue Shield members in the 29 counties of western Pennsylvania, 13 counties in northeast Pennsylvania, the . All claims for these services will be submitted on the 1500 claim form for all appropriate . As our current members renew their individual or group contracts for health care coverage in 2016, they will be presented with a new Highmark branded ID card. Highmark Choice Company is an HMO-POS plan with a Medicare contract. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Member Site - Registration Language Assistance Got a Question? Highmark is one of the leading Medicare health insurance companies in America. Even if you have insurance coverage in Pennsylvania, you may still be covered to attend rehab in another state. 5am to 3am. If you are a Highmark plan member with questions about your coverage, call the member service number on the back of your insurance card (hours vary depending on plan). Apply to Custodian, Barista, Senior Customer Service Representative and more! Products Offered: Medicare Advantage Medicare Supplement Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. EFT. Turn right on to Wertzville Road. CLAIM.MD Pittsburgh, PA 15253-9801 PO Box 890089 Camp Hill, Pa. 17089-0089 Highmark Blue Cross Blue Shield Western Region Office Suite 1819 Fifth Avenue Place Pittsburgh, Pa. 15222-3099 Precertification offices The . Provider Number. Hours of operation are 8:00 a.m. to 4:30 p.m. EST. Effective November 1, 2020, Highmark is expanding our prior authorization requirements for outpatient services to include those services provided by out-of-area providers participating with their local Blue Plan. If you require special assistance, including accommodations for disabilities or limited English proficiency . Call Provider Services at 1-844-325-6251, Monday-Friday, 8 a.m.-5 p.m. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. 5am to 9pm. If you require special assistance, including accommodations for disabilities or limited English proficiency, please call us at 1-800-876-7639 or . Alternately, you can e-mail highmarkseniormarkets@highmark.com or acasalessupport@highmark.com. "Compassion Mental Health Services is pleased to announce Dr. Raquel Diaz Guerrero. In the remainder of Pennsylvania, we do business as Highmark Blue Shield. Blue Cross Blue Shield Highmark Login will sometimes glitch and take you a long time to try different solutions. For the best performance and security, always keep your web browser up-to-date. Located across Pennsylvania, our Highmark Direct stores help you navigate the ins and outs of the health insurance market. Individual & Family Medicare Employer Producer Browse Plans Shop Pay Bills Find a Doc or Rx CHIP Talk to an Expert We're changing the meaning of health in your neighborhood. Major Events Blue PPO Catastrophic Plans Health of America: Addressing maternal health disparities. Highmark Inc. ("Highmark") was created in 1996 by the consolidation of Pennsylvania Blue Shield and Blue Cross of Western Pennsylvania. With Security Blue HMO-POS, you get covered care from its large network of providers in 28 counties in western Pennsylvania. If you require special assistance, including accommodations for disabilities or limited English proficiency, please . Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States.
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