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Highmark members services

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Use our Provider Search Tool to search for in-network doctors, hospitals, urgent care centers, freestanding diagnostic centers, and more. You can also take our Doctor Match Quiz to get connected with a doctor who suits your personal style, find top-quality specialty care, compare hospitals, and, for those who may be traveling, search for in-network doctors across the country and around the world. Healthy Living is just a deal away. Join Blue and start saving today!

Get quick, convenient access to your health plan through the Highmark Plan app. Once you register for an account, you can view your virtual member ID card, track your recent claims activity, and find in-network care nearby.

The Highmark Care Cost Estimator helps you find the best value for medical procedures. Contact your local store for payment information. See store locations. We offer a range of health insurance plans to fit your needs and budget. Most appointments take 1 hour. However, you may need more or less time depending on your specific needs. In our stores, licensed associates offer personalized assistance to people searching for the right health insurance policy — for themselves or for their families.

Since the first Highmark Direct health insurance store location opened in , more than , people have visited our stores. We offer a personalized way to shop for health insurance; Here are some of the services that our Highmark Direct health insurance stores offer:. For information regarding health insurance plans offered by Highmark, prior to visiting your local Highmark Direct health insurance store, please visit Discover Highmark.

At DiscoverHighmark. We offer many convenient options in-store to help answer your customer service questions:. All of the details of what you need to bring to a consultation are included on our " What to Bring " page. We are unable to accept payments over the phone or cash. We have 13 Highmark Direct health insurance stores located throughout Pennsylvania. At all locations, excluding Williamsport, Dickson City and Bartonsville locations, our stores are open Monday through Saturday from 9 am to 6 pm.

Visit our store locator for addresses, phone numbers, and directions. PPO plans do not require members to receive initial care through a primary care physician. You can decide for yourself where to obtain care. You can use network providers, including specialists, and receive a higher level of coverage, or go to out-of-network providers and receive a lower level of coverage — and pay more -- for covered services.

The choice is yours. Once you enroll, you can review your benefit booklet online at the My Benefits page on the website. You will also have to pay for all of your medical expenses. For more information regarding penalties, please visit Healthcare.

In addition to avoiding penalties and paying for all of your health care expenses, one of the smartest things you can do is to protect yourself and your family with the right health insurance coverage, even if you are healthy. And what about staying healthy? Regular check-ups, vision care, maternity care and well-child care visits are important ways to take care of yourself and your family.

Some individuals get health insurance coverage for themselves and their families through their employer as part of their benefits package. Other individuals and families purchase coverage directly from a health insurance company. When you go to a health care provider, your health insurance identification ID card shows the provider which plan you have and the payment you are expected to make for the service.

The provider then sends a claim a bill for the services provided to your insurance company, and, if the service is covered, the insurance company pays the provider for the service. You will receive an Explanation of Benefits EOB statement from the insurance company that tells you the amount the insurance company paid for the service and any remaining amount that you owe the provider.

If you did not pay at the time you received care, you will receive a bill from the provider for the amount you owe. In addition to your premium , the amount you pay each month for your health insurance, you may have to share the costs of the services you receive. For example, if the health insurance company pays 80 percent of the cost for a service, you would pay 20 percent coinsurance.

The health insurance company pays the remaining cost. Can be before or after deductible. A Preferred-Provider Organization PPO gives you access to a network of participating doctors, hospitals and other health care providers. If you receive care from a network provider, you pay a lower share of the cost. You can also choose to go to a doctor or hospital out of the network and pay a higher share of the cost for your care.

You do not need to have a primary care physician to coordinate your care. Your HSA can be used to fund your out-of-pocket medical expenses using tax-free dollars. A provider is any doctor, specialist, hospital or rehabilitation facility, for example, where you get health care. They also file claims for you. Out-of-network providers do not have an agreement with a health plan.

When selecting a health care coverage plan, you will want to research specific details about the plans you are considering, including:. Covered services — Most plans cover doctor visits, hospital stays, surgery and emergency care. But if you want coverage for prescription drugs, vision or behavioral health, make sure the plan offers it.

Deductible — How much of your health care expenses are you responsible for paying before the plan begins to cover your care? If you are covering family members too, do you need to meet more than one deductible? Or do expenses for all covered family members count toward a single deductible? Cost-sharing — What portion of the cost for services is paid by the plan and how much will you be responsible for?

Are those costs within your budget? If you use providers outside of the network, how much more will you pay for care? Preventive care — This usually includes yearly check-ups, mammograms, Pap tests, prostate exams, immunizations and well-child visits. What kind of preventive care is covered? Are there limitations on that care, such as the number of visits per year? Maximums — Are there limits on how much the plan will pay for your care? Health Savings Account — To enjoy the tax advantages of a Health Savings Account, should you consider enrolling in a qualified high-deductible health plan?

There are lots of things you can do to improve your health, become an educated health care consumer and help control health care costs. With more providers than competitive plans, chances are good that your current physician and hospital are part of our extensive provider network.

Find a Doctor, Hospital or Medical Provider to see if your provider is in our network. Your PPO Plan has you covered no matter where you are. As a Highmark member, you enjoy all the services of BlueCard Worldwide. Your coverage travels with you through a worldwide network of care providers. For more details, please ask your local Highmark Direct health insurance store associate.

To help make health insurance more affordable, the government offers two types of financial help to eligible households - depending on your household income and other factors.

If you qualify, a Premium Tax Credit may be applied in advance to lower what you pay in monthly premiums on any Health Insurance Marketplace plan. The amount of a Premium Tax Credit is based mostly on family size and income.

Cost-Sharing Reductions CSR will lower your out-of-pocket costs that you may pay at the time of service for doctor's visits, lab tests, drugs and other covered services. You can only get these savings if you enroll in a Marketplace Silver Metal Level plan. Visit your local Highmark Direct store or Healthcare. If your plan does not have set copays, services will be subject to your in-network deductible. This does not include any services not covered by your plan.

Your premium depends on the plan you select. Your premium is the amount you pay each month for your health insurance. A Highmark Direct health insurance store licensed associate will be able to walk you through plan options to help you understand your benefits and find a plan that fits your needs.

Your deductible or coinsurance depends on the plan you select. Your copay, if any, depends on the plan you select and if you are seeing your primary care physician or a specialist.

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Highmark members services Do I need to make an appointment? See store locations. Would servicex like to view these online or infocenter humana military an appointment? You will receive an Explanation of Benefits EOB statement from the insurance company that tells you the amount the insurance company paid for the service and any remaining amount that you owe the provider. You will also have to highmark members services for all of your medical servicws. You do not need to have a primary care physician to coordinate your care. Your premium depends on the plan you select.
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Highmark members services How much time should I expect to spend at my appointment? What can I do at a Highmark Direct health insurance store? Whether managing your claims or making informed health care decisions; Highmark can help article source easy-to-use online tools. Current and potential Highmark plan members meet one-on-one with a store associate to: Learn about highmark members services options Compare and shop for highmrk Enroll in a plan Make payments Receive help with health care tasks, such as scheduling appointments, finding a provider and transferring medical records Resolve medical billing issues Engage in other store services You also can attend free programs and higbmark on healthy living and Medicare. Do you accept payments at your stores?

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