However, this does not influence our evaluations. Our opinions are our own. Here is a list of our partners and here's how we make money. Highmark is a member of the Blue Cross Blue Shield family, which includes 34 independent companies that together form the third-largest provider  KFF. Accessed Nov 18, View all sources of Medicare Advantage plans. Highmark Medicare Advantage plans vary in terms of structure, costs and benefits available.
Plan offerings include the following types:. A health maintenance organization, or HMO , generally requires that you use a specific network of doctors and hospitals. You may need a referral from your primary doctor to see a specialist, and out-of-network benefits are usually limited. Preferred provider organization, or PPO , plans provide the most freedom, allowing you to see any provider that accepts the insurance. You can seek out-of-network care, although it may cost more than seeing an in-network doctor.
Special needs plans, or SNPs, restrict membership to people with certain diseases or characteristics. Hence, the benefits, network and drug formularies are tailored to the needs of those members. Highmark offers one type of SNP:. For example, if you live in Erie, Pennsylvania, you have these two options from Highmark:. Premiums, deductibles, covered drugs, costs for each tier and pharmacy arrangements all differ by plan. Highmark Medicare Advantage offers members access to dental , vision and hearing benefits.
Many of its plans offer other benefits, as well. Here are a few standouts:. Fitness benefits: Many plans include the SilverSneakers fitness program, which gives members access to a large network of gyms and fitness facilities as well as local classes and events. Home health benefits: Members have access to a free House Call Visit, in which a licensed health professional comes to your home to perform a health check.
Social connection. Highmark offers some members access to the Blue Neighbors program, in which people can request that a volunteer call or visit, or participate in virtual events like bingo or trivia games.
Call the number on their member ID card from 8 a. Request a call from a Highmark Medicare Advisor. Connect with Highmark on Twitter or Facebook. Highmark Medicare Advantage plans are available in four states � Delaware, New York, Pennsylvania and West Virginia � and about , people are enrolled in Highmark plans as of October Highmark is tied with a few other health insurance companies for seventh place in terms of market share, and it saw the most Medicare Advantage growth in among the Blues plans, adding 78, new members for the plan year  The Chartis Group.
View all sources. Costs for Medicare Advantage plans will depend on your plan, geographic location and health needs. Of all the Blues, Highmark has the highest-priced Medicare Advantage plan in Other out-of-pocket costs to consider include:. Whether the plan covers any part of your monthly Medicare Part B premium. Whether your medical providers are in-network or out-of-network or how often you may go out of network for care.
Whether you require extra benefits and whether the plan charges for them. You can select by insurance carrier to see only UnitedHealthcare plans or compare across carriers.
Average star rating, weighted by enrollment: 4. All Medicare Advantage plans are evaluated on health plan measures, and Medicare Advantage plans that include prescription drug coverage are also evaluated on drug plan measures.
Based on the most recent year of data and weighted by enrollment, Highmark Medicare Advantage plans get an average rating of 4. For comparison, the average star rating for plans from all providers in is 4. Of the Highmark Medicare Advantage contracts with star ratings in , two-thirds are rated 5 out of 5 and the other third are rated 4. There are no contracts rated lower than 4 stars. To get an overall star rating, the CMS ranks contracts on 40 different plan factors.
Here are the measures for which Highmark contracts scored an average of 4. Diabetes care � blood sugar controlled. Getting appointments and care quickly. Health plan: Members choosing to leave the plan. Plan makes timely decisions about appeals. Health plan: Call center � foreign language interpreter and TTY availability.
Drug plan: Call center � foreign language interpreter and TTY availability. Drug plan: Members choosing to leave the plan. Medicare plan finder price accuracy. Medication adherence for hypertension RAS antagonists.
Highmark contracts struggled in a few of the categories measured. AM Best is a credit rating agency that specializes in the insurance industry.
An A rating in this category indicates that AM Best believes Anthem has an excellent ability to meet its ongoing insurance obligations. In its U. Medicare Advantage Study � the eighth it's done so far � J. Power measured member satisfaction with Medicare Advantage plans based on six factors: coverage and benefits, provider choice, cost, customer service, information and communication, and billing and payment.
On these measures, Highmark scored points out of 1, and came in third out of the top nine Medicare Advantage providers and just above the industry average  J. Power Finds. Learn more about our international solutions and our international territory licensees. International Solutions. Blue Cross Blue Shield Global. These companies are approved licensees of select Blue Cross Blue Shield products for territories outside the United States.
BCBS Companies. International Solutions and Licensees. Blue Cross and Blue Shield of Alabama. Blue Cross Blue Shield of Arizona. Arkansas Blue Cross and Blue Shield. Blue Cross Blue Shield of Georgia. Blue Cross and Blue Shield of Hawaii. Blue Cross and Blue Shield of Illinois. Wellmark Blue Cross and Blue Shield. Blue Cross and Blue Shield of Kansas.
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Highmark Blue Shield Northeastern NY is a trusted name in health insurance for over 70 years. Blue Shield offers a full range of insured, self-insured, and government programs and . For Highmark Blue Cross Blue Shield/KHPW Plans not purchased on the Health Insurance Marketplace please call to request a copy. For Highmark Health Insurance . An independent licensee of the Blue Cross Blue Shield Association, Highmark Inc., together with its Blue-branded affiliates, collectively comprise the fourth-largest overall Blue Cross Blue .