Chapter 2 - Product Information

This chapter outlines Highmark’s various product offerings including Medicare Advantage, Telemedicine, BlueCard, and other benefit and government programs.

Highmark and its affiliates operate health insurance plans in Delaware, New York, Pennsylvania, and West Virginia. Through its various product offerings, Highmark serves a wide array of large and small businesses, governmental agencies, individuals, and retirees.

Medicare is the federal health insurance program for people who are age 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or transplant, sometimes referred to as ESRD).

Highmark offers additional supplemental products including Medigap Blue, Signature 65, Highmark Healthy Kids (CHIP), Federal Employee Programs (FEP), and New York Medicaid and CHP.

Highmark members can also benefit from programs such as Baby Blueprints, Blues on Call, the Diabetes Prevention Program, Health Promotion programs, Health Spending Accounts, MyCare Navigator, and our patient review tool Patient Experience Review.

Advancements in technology have allowed visual communication and information exchange at a distance to meet the needs of our patient community. Highmark is integrating the use of this technology to provide care despite geography, weather, transportation, and availability of specialists.

BlueCard® is a national program that enables members of one Blue Plan to obtain health care service benefits while traveling or living in another Blue Plan’s service area. This unit describes the BlueCard Program and its advantages, and provides information to make filing claims easy.

Disclaimers

All revisions to this Highmark Provider Manual (the “manual” or “Highmark Provider Manual”) are controlled electronically. All paper copies and screen prints are considered uncontrolled and should not be relied upon for any purpose.