Is Highmark Blue Shield the same as Blue Cross Blue Shield?
Since Highmark licenses with Blue Cross Blue Shield, they provide many of the same benefits. At the same time, it operates as an independent company and only operates in Delaware, West Virginia, and Pennsylvania. As a company, Highmark also operates other health-related businesses, such as optometrist outlets.
What is Highmark Community Blue Flex PPO?
Community Blue Flex PPO is a tiered benefit design that maintains choice and gives you a greater opportunity for cost savings by offering two levels of in-network benefits: Enhanced Value Benefits and Standard Value Benefits. At both benefit levels, you receive high-quality care.
What areas does Highmark Blue Shield Cover?
Coverage in 31 states and 1 territory, including Florida, California, the Carolinas, New York, Texas, Puerto Rico and more. No matter where you are, emergency and urgent care are always covered at the highest level of coverage.
Does UPMC accept Highmark PPO Blue?
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.
What is BCBS Community Blue?
The Community Blue PPO plan offers members the flexibility to see any provider throughout the U.S. without a referral, with lower out-of-pocket costs when you use in-network providers. The plan is administered by Blue Cross Blue Shield of Michigan (BCBSM).
What is a flex PPO plan?
Flex Net is a managed indemnity plan that combines both traditional fee-for-service coverage and managed care. Members pay a set percentage of the doctor’s or other provider’s allowable fee for each service performed, plus there are review processes so that expenditures and utilization can be managed efficiently.
Is Highmark part of BCBS?
We are among the top 10 largest health insurers in the United States and are the fourth-largest Blue Cross and Blue Shield-affiliated company. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.
What region do I live in PA?
Pennsylvania, officially the Commonwealth of Pennsylvania, is a state in the Mid-Atlantic region in the northeast of the United States; it features a 43 mi (70 km) short shoreline at Lake Erie. Pennsylvania borders New York in the north and northeast.
Where can I go with Highmark Blue Shield?
Highmark members receive fast access to Hersheypark Stadium concerts. The Highmark Blue Shield Concert Series continues this summer at Hersheypark Stadium in Hershey. Try the Healthy Ride bike sharing program in Pittsburgh.
What kind of health insurance does Highmark offer?
You can count on Highmark for high-quality and affordable health plans through the Affordable Care Act (ACA). We make finding an Individual & Family plan simple. The Children’s Health Insurance Program (CHIP) provides comprehensive health coverage to Pennsylvania children who are under the age of 19, regardless of household income.
What is the NAIC code for Highmark freedomblue?
If the enrollment source Plan Code on the member’s identification card is 363 or 378, the member is a Highmark member and the West Virginia provider should bill MSBCBS under NAIC code 54828. The alpha prefix for Highmark FreedomBlue members is HKS or FEM for enrollment source Plan Code 363 and HKR or FER for enrollment source Plan Code 378.
What is the alpha prefix for Highmark freedomblue?
The alpha prefix for Highmark FreedomBlue members is HKS or FEM for enrollment source Plan Code 363 and HKR or FER for enrollment source Plan Code 378. Please refer to the chart below for West Virginia providers to use when billing electronic FreedomBlue claims: