Inter-Plan Programs

Inter-Plan Programs

Highmark offers members the ability to access cost-effective health care even when they're outside their plan's service area.

Highmark's Inter-Plan Programs enable members of participating plans to get care from providers who are contracted with local Blue Cross and/or Blue Shield Licensee in that geographic area.

Inter-Plan Programs

Blue Distinction® Centers For Specialty Care Program


Blue Distinction® Centers are part of a national program recognizing hospitals that deliver safe, effective, high-quality specialty care. The program helps consumers find care while encouraging providers to improve care quality and delivery.

BlueCard® Information Center


The BlueCard® Program allows participating Blue Plan providers in every state to submit claims to their local Blue Plan for indemnity, PPO, and managed care patients who are enrolled in an out-of-area Blue Plan. Get information and tips to improve medical records processing.

Medical Policy and Prior Authorization Information For Out-Of-Area Members

Find an out-of-area Blue Plan's medical policy or general precertification/prior authorization information.

Medicare Advantage Pay-for-Fee Service (PFFS)

Find another Blue Plan's PFFS Terms and Conditions of Payment. You'll need the three letter alpha prefix from the member's identification card.

Additional Help?

If you are unable to find the information you need or want to understand our Inter-Plan Programs in detail, please refer to our Provider Manual.