If I Have Highmark Bcbs as Secondary Insurance do I Need to Enroll Again

Highmark Blue Shield will offer the following full-service health insurance programs in Cardinal Pennsylvania and the Lehigh Valley for effective dates beginning April ane, 2002. Click here to run into the counties included in Central Pennsylvania and the Lehigh Valley.

ClassicBlue Traditional ClassicBlue Comprehensive


Highmark Blue Shield offers two indemnity health insurance programs for individuals and families who don�t have group health coverage and aren�t eligible for Medicare. These programs are sometimes referred to as "fee-for-service" plans in that they pay a set up amount per health care service performed.
  • ClassicBlue Traditional provides coverage for most hospital and medical-surgical covered services. Major Medical covered care is subject to an almanac deductible and coinsurance.
  • ClassicBlue Comprehensive provides benefits at lxxx% of allowed charges after an annual programme deductible is met. You tin can choose from 2 program deductibles.

    Two ClassicBlue Comprehensive options are available for HIPAA eligible individuals to obtain coverage with no pre-existing condition waiting flow.

ClassicBlue advantages:
  • Bachelor to all Central Pennsylvania and Lehigh Valley residents, regardless of occupation or health status.
  • Provides a wide selection of Participating doctors and hospitals.
  • Selection is not limited to a managed care network.
  • No demand to select a primary care physician, no referrals required.
  • Coverage when you travel anywhere around the globe.
  • No claims to file when you employ Participating providers.
For more than information, call one-877-986-4571.

SpecialCare


Special Care is a low-cost plan that was initially developed by Highmark Blue Shield for Pennsylvania families and individuals who earn too much to qualify for Medical Assistance and who do non have access to grouping wellness insurance.

To qualify, your family�s annual income cannot exceed 185% of the Federal poverty guidelines. Also, you must be a Pennsylvania resident living in 1 of the 21 counties in Cardinal Pennsylvania and the Lehigh Valley served by Highmark Blue Shield. You may not exist enrolled in or eligible for any individual or governmental grouping or private health intendance program.

Parents may be eligible for Special Intendance even though their children are enrolled in BlueCHIP, The Caring Program or the Medical Assistance Healthy Beginnings program.

Special Care advantages:

  • Provides coverage for 21 inpatient infirmary days per do good period, emergency blow and medical treatment, surgery, maternity and newborn intendance, pediatric preventive services, diagnostic tests, radiation and chemotherapy too as other services.
  • Covered services are paid in full when performed at a Participating Special Care hospital and/or by a Highmark Blueish Shield Participating health care professional.
  • Discounts on prescription drugs at participating pharmacies.
For more information, call 1-877-986-4571.

Special Care is a service mark of Highmark Blueish Shield and the other Blue plans in Pennsylvania.

Special Care is non affiliated with "Special Care Inc.," a home health care company.

SpecialCare


MedigapBlue

Choose MedigapBlue - the Medicare Supplemental coverage from Highmark Blue Shield

Medicare was never meant to cover all wellness intendance costs. Information technology leaves gaps in the form of deductibles, coinsurance and copayments. Medicare Supplemental insurance, also called Medigap, is a blazon of wellness coverage that pays for some or all of the health care costs not covered by Medicare.

You lot need to be enrolled in both Part A and Office B of Medicare in order to enroll in MedigapBlue or any other Medigap plan.

There are ten standardized Medicare Supplemental policies that can be offered past insurance companies. The standardized benefits included in these ten plans are the same, no matter what insurance company offers them. But Highmark offers special services and programs that you might not get from other companies. Highmark offers six Medicare Supplemental plans: Plans A, B, C, E, H and I.

What you go when you choose MedigapBlue

  • The stability and dependability of an insurance leader: Highmark Blue Shield
  • Wide range of benefits and services covered depending on your needs (half dozen different plans to cull from)
  • Protection from hospital and medical expenses not covered by Medicare
  • Full liberty of using any doctors, specialists and hospitals y'all want
  • No referrals needed
  • Coverage when you travel
  • Potential savings with our Prescription Drug Discount - lowest possible cost on about brand name and generic drugs - available with all plans
  • Access to the SilverSneakers Fitness Program - a full health and fitness programme designed for older people of all fitness levels. The program is provided through participating, total-service fitness centers throughout your area at no additional price.
  • Special discounts on vision care with Plan E and Plan I
  • Blues On Telephone callSM health care support resource with Program Due east and Program I - cost-free telephone line that gives y'all 24-hour-a-mean solar day access to a personal health coach who is a Registered Nurse
Plan A Plan B Plan C* Plan E Plan H* Plan I
STANDARDIZED BENEFITS
Basic Benefits * * * * * *
Medicare Role A Hospital Deductible * * * * *
Skilled Nursing Facility Coinsurance * * * *
Medicare Part B Deductible *
Foreign Travel Emergency * * * *
At-Home Recovery *
Medicare part B Excess Charges *
Preventive Care *
Prescription Drug coverage * *
HIGHMARK SPECIAL SERVICES
Prescription Drug Discount Program * * * * * *
SilverSneakers Fettle Center Membership® * * * * * *
Vision Discounts * *
Blues On Telephone callSM information hotline * *

* You must employ inside the start six months following your initial enrollment for Medicare Function B Medical Insurance to be eligible for Programme C and Programme H. Plans A, B, East and I are available to all Medicare Beneficiaries at any time. Exceptions do apply, please call us for more information.

Basic Benefits - covered by Plans A, B, C, Eastward, H and I:

  • Medicare charges a $219 per 24-hour interval copayment for days 61-90 in a hospital. MedigapBlue covers this copayment.
  • Medicare charges a $438 per twenty-four hours copayment for days 91-150 in a hospital (lifetime reserve days). MedigapBlue covers this copayment.
  • Medicare does not cover hospital days 151 and on. MedigapBlue volition cover up to an additional 365 days at 100% of Medicare-commanded expenses.
  • Medicare requires that you pay for the first 3 pints of blood that you use in a agenda year (unless you lot replace the blood by donation). MedigapBlue covers the toll of the blood.
  • Medicare generally pays only 80% of covered physician charges, outpatient hospital care and some other medical services that Medicare Part A doesn't cover. MedigapBlue pays the remaining 20% or applicable copayment - doesn't pay the yearly deductible.

Contact U.s.
The benefits listed here are only a cursory overview of MedigapBlue programme benefits. Please phone call united states of america at
one-800-549-5642, TDD users call one-800-227-8210 to become more detailed information most program benefits. We will be happy to ship yous more information on MedigapBlue.

SM Blues On Call is a service mark of the Blue Cantankerous and Blue Shield Association
® SilverSneakers is a registered trademark of HealthCare Dimensions.

MB-WEB02SHa- (R12-03)

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Source: https://www.highmarkblueshield.com/policy/individualbenefits_pbs.html

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