This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 27 counties in western ...PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.Learn about Highmark Wholecare coverage, including all covered and non-covered benefits and limits. Use only network providers unless Highmark Wholecare approves an out-of-network provider or you have Medicare. Get a referral from your PCP to see certain specialists. Respect other patients, provider staff, and provider workers.Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Highmark Wholecare Medicare Assured Diamond (HMO SNP) This document gives you the details about your Medicare health care and prescription drug coverage from January 1 - December 31, 2023. This is an important legal document. Please keep it in a safe place. Medicare Plans. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Last Updated: Oct 1 ... Pay for it pre-tax. Most spending accounts let you choose how much money you want to set aside for health care, child care, and even commuter expenses. Then, that money can be taken out of your paycheck before taxes. This lowers your total income so you pay less income tax. 1By accessing this video, I understand that I am leaving the Highmark ...Participation in the Lifestyle Management Programs is voluntary. If at any time you'd like to stop, please call 1-800-685-5209 (TTY 711). We're available to help you Monday - Friday, 8:30 a.m. to 4:30 p.m. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue ...2024 DSNP Service Area. 2023 DSNP Service Area. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on ... East Liberty, Pittsburgh. 6033 Broad Street Pittsburgh, PA 15206. Hours: Monday - Friday 8 a.m. – 4 p.m. Midtown Harrisburg. 1426 N. Third Street Harrisburg, PA 17102. Hours: Monday - Friday 8 a.m. – 4 p.m. Visit our Connection Center locations in Midtown Harrisburg or Pittsburgh for in-person support, care management and coordination ... This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania. You deserve a reward. Healthy Rewards is one of your Highmark Health Options benefits. You or your child can earn rewards when you complete certain healthy activities. SIGN UP ONLINE. Or call 1-866-469-7973. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association ("Highmark Wholecare"). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman WebsiteThis information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania.Dental Benefit Guidelines. Each Highmark Wholecare D-SNP offers its own benefit levels for dental care each year and some covered services with $0 copay. Also, D-SNP plans have different benefits for detail care, such as: Root canals. Dentures. Caps or crowns. Deep cleaning of the teeth to remove deposits under the gums (scaling and root planning)Availability of benefits and plans varies by carrier and location. Not affiliated with or endorsed by any government agency. Every year, Medicare evaluates plans based on a 5-star rating system.These case managers help you monitor, stick to a treatment plan and help you live a long, healthy life. Participation in the Lifestyle Management Programs is voluntary. If at any time you’d like to stop, please call 1-800-392-1147 (TTY 711). We’re available to help you Monday – Friday, 8:30 a.m. to 4:30 p.m.Wellness Coach Availability. Wellness coaches are available from 8:30 a.m. to 4:30 p.m. Monday through Friday. Please call and follow the options for Care Management at 1-800-685-5209 TTY: 711.Start your healthy weight journey with Highmark Wholecare. Our program provides personalized care and support to help you reach your goals.Healthy food options from fast-food restaurants. 23 Housing help in your area. 25 ... Highmark Wholecare cares about the health and well-being of our members. We have guidelines in place to ... TRANSPORTATION BENEFITS . 1-877-797-0339 (TTY 711) Monday through Friday: 8 a.m. - 5 p.m.Call the Goodness Rewards helpline at. 1-833-559-2858 (TTY 711), Monday - Friday, 7 a.m. to 7 p.m. Highmark Wholecare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, creed, religious afiliation, ancestry, sex gender, gender identity or expression, or ...Highmark Wholecare’s Diamond plan members have access to a monthly amount of money to buy hundreds of healthy food items, including fresh produce. Every month, Diamond members will receive $135 which can be used to buy foods at select retailers, online or by the phone.Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center. 1 (800) 392-1147 TTY 711. Highmark Wholecare offers Medicaid dental coverage for Pennsylvania residents. Learn about our coverage and find dentists or oral surgeons that accept Medicaid.See which medications are covered by Medicare and explore our medication formulary for 2023. Click Highmark Wholecare for support in managing your medication costs.Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Last Updated: Oct 1, 2023.When it comes to maintaining a healthy diet, many people are concerned about their sugar intake. While fruits and vegetables are generally considered nutritious choices, some varie...Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. ... Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association ...View Highmark Wholecare’s Nondiscrimination notice here. Fieldtex is a separate company that administers the OTC, Home Safety, and Air Quality Equipment benefits for Highmark Wholecare. Highmark Wholecare and Fieldtex Products are not responsible for lost or stolen packages. For delivery issues, please contact your carrier.If you have a question about this notice or believe Highmark Wholecare has violated your privacy rights as stated in this notice, you can file a complaint by contacting: Telephone: 1-866-228-9424. For more information on filing a complaint or your rights stated in this notice, you may call our Member Services at 1-800-392-1147 or 1-800-685-5209 ...Last Updated: Oct 1, 2023. The Lifestyle Management Program helps Medicare patients manage chronic conditions to improve their health by eliminating obstacles to a longer …Highmark Coding Tips is a periodic article that contains billing and coding best practices for professional and facility providers. Please refer to the Reimbursement Policy page for specific code edits used in Highmark's claims processing system. This publication focuses only on correct coding guidelines and tips to avoid common billing mistakes. For all other news, information and updates, be ...INFORMATION AND SUPPORT. Specialty pharmacies and prescribers of specialty drugs can reach the Free Market Health team at [email protected] for more information or help obtaining access to the Free Market Health applications. Support is available Monday - Friday, 9 a.m. - 6 p.m. EST. Last updated on 4/1/2024 9:49:04 AM.Family Health Council 1-800-532-9465 Health Choices 1-800-440-3989. TDD/TTY: 711. Mailing Addresses. Claims and Referral Forms Mailing: Highmark Wholecare Claims Processing P.O. Box 211713 Eagan, MN 55121. Claims Inquiries and Administrative Reviews (Provider Disputes): Highmark Wholecare P.O. Box 535191 Pittsburgh, PA 15253-5191Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware.Routine: $0 copay IN; $50 copay OON (1 Per Year). Standard eyeglass lenses and frames or contact lenses are covered in full. IN/OON: A $150 benefit max applies to non-standard frames or a $150 benefit max for specialty contact lenses per year; $200 benefit max for post cataract eyewear (once per operated eye).Our program provides personalized support and resources to help you live a healthier lifestyle. Find a Doctor; Find a Pharmacy; Member Portal ... whole grains and foods low in salt. Stop smoking and avoid second-hand smoke. Do not smoke. If you need help to quit smoking or using tobacco, call the toll-free Quitline at 1-800-784-8669 or 1-800 ...If you have questions about your MTM Program or your prescription benefits, please call Member Services at 1-844-339-7684 (TTY 711). Medication Therapy Management (MTM) is a better way to understand and manage your medication in order to get better results. Get support with your Medicare coverage today.Highmark Wholecare Diamond plan members can get $135 per month to buy healthy food items at select retailers. Learn how to activate your Healthy Food Card online, by phone or with the mobile app.SilverSneakers encourages older adults to participate in physical activities and helps them maintain control over their health. This program has millions of members, thousands of gyms and classes for all interests and abilities. SilverSneakers may also be covered by Medicare part C. You can check to see if your Medicare plan covers this program ... Over-The-Counter Benefits. At Highmark Wholecare we feel that medication coverage goes beyond prescriptions. This is why Over-the-Counter (OTC) benefits have been added to your D-SNP. You’ll get an OTC allowance every three months, offering you four shopping periods a year to buy plan approved items. You can place your orders: Online; By ... You can use this card to get reimbursed for up to $100 per quarter toward some of your bills. If you provided your phone number during enrollment, you would also receive a welcome call from our Member Services team. You can always call Member Services at 1-800-392-1147 team to get your questions answered.Highmark Wholecare and Highmark Health Options (DE & WV) will not transition to Availity; providers should continue to use their current portals for transactions related to these plans. ... Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d ...Your medication benefits help you save on out-of-pocket costs for prescriptions from your doctor as well as health and wellness items from the store. Prescription Drug Benefits. Your Highmark Wholecare D-SNP, prescription drug benefits give you a $0 copay for most covered Medicare Part D prescription drugs, local pharmacy locations and more.Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association ("Highmark Wholecare"). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania.Find the one that fits your mood with the quiz on our Pandora page. *Coverage may vary by plan. Check member materials for details. We're reimagining health care to create a more streamlined experience. Explore how Highmark helps you connect to your health throughout every moment in life.Jan 1, 2024 · Add Whole Health Balance to Your Medigap Plan. With this program, you can add vision, hearing, dental, and fitness benefits to your Medigap Blue Plan for an additional $34.50 per month! This item is OPTIONAL. NOTE: For Highmark Medigap Members only The following entities serve central and southeastern Pennsylvania and are independent licensees of the Blue Cross Blue Shield Association: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. All references to "Highmark" in this ...East Liberty, Pittsburgh. 6033 Broad Street Pittsburgh, PA 15206. Hours: Monday - Friday 8 a.m. – 4 p.m. Midtown Harrisburg. 1426 N. Third Street Harrisburg, PA 17102. Hours: Monday - Friday 8 a.m. – 4 p.m. Visit our Connection Center locations in Midtown Harrisburg or Pittsburgh for in-person support, care management and coordination ...Health benefits may be provided by Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association. Pittsburgh, ... @ItsWholecare · Feb 2. Rhonda Curry, chief human resources officer at Highmark Wholecare, recently sat down with Studio 814's Rebecca Petner to discuss our volunteerism and ...This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western ...Our program provides personalized support and resources to help you live a healthier lifestyle. Find a Doctor; Find a Pharmacy; Member Portal ... whole grains and foods low in salt. Stop smoking and avoid second-hand smoke. Do not smoke. If you need help to quit smoking or using tobacco, call the toll-free Quitline at 1-800-784-8669 or 1-800 ...volunteers at the Highmark Wholecare's Pittsburgh Connection Center to distribute food and provide health and nutrition information to local families. Highmark Wholecare once again partnered with the Greater Pittsburgh Community Food Bank on this initiative. The ELT helped provide food for approximately 75 families in two hours.Find food assistance, help paying bills, and other free or reduced cost programs for Highmark Wholecare members. Search by ZIP code or use the crisis hotlines and chat …all-inclusive list. Benefits can vary; always confirm your coverage. Inpatient admissions (e.g., acute inpatient, skilled nursing facility, rehabilitation hospital, behavioral health facility, long-term acute care facility) Procedures/services on Highmark's List of Procedures/DME Requiring Authorization (see below) Home HealthAir fryers are a great way to make healthy and delicious meals without the added fat and calories of deep-frying. With an air fryer, you can create a variety of tasty dishes that a...SilverSneakers encourages older adults to participate in physical activities and helps them maintain control over their health. This program has millions of members, thousands of gyms and classes for all interests and abilities. SilverSneakers may also be covered by Medicare part C. You can check to see if your Medicare plan covers this program ...If you are a Highmark member, you can enjoy the benefits of ordering over-the-counter (OTC) products online from the Highmark OTC Store. You can browse the catalog, check your allowance, and place your order with free shipping. Visit the Highmark OTC Store today and get the products you need for your health and wellness.When you have a question about your Medicaid benefits through Highmark Health Options, look in the latest Member Handbook. Members can request a printed copy of the Member Handbook by calling Member Services at 1-844-325-6251, Monday–Friday, 8 a.m.–8 p.m. ... (DSHP) and Delaware Healthy Children Program (DHCP) Handbook. picture_as_pdf …Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association ("Highmark Wholecare"). Title: 90-day Supply of Medications AvailableThis information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania.Medicare Plans. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Last …In recent years, fermented foods have gained popularity for their potential health benefits. From promoting a healthy gut to boosting the immune system, these foods are a great add...Everything connects with Living Health. Highmark Health's blended approach connects payers, providers, tech innovators, and community organizations to build a health ecosystem that works better for everyone: Living Health. The Living Health strategy means creating better insurance products that provide 360 support for physical, mental, and ...The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program is a child health initiative for Medical Assistance members. Think of it like this: Treatment: Control, correct or reduce health problems found. Your child's good health starts with having regular checkups with their doctor. Your child's doctor will complete a yearly ...Having a health plan means knowing what you want to achieve for your well-being. . Find the right plan that suits your needs and budget. view all plans. Login and unlock your Highmark health plan benefits. Our member guide and website provide everything you need to take charge of your health care.Medicare Plans. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Last …It's about convenience and quality. That's why we constantly work to identify high-performing providers and offer access to alternative care locations such as clinics, local facilities, and in-home care. To that end, Highmark has measured a specific set of performance metrics for components of care provided by participating home health …Participation in the Lifestyle Management Programs is voluntary. If at any time you'd like to stop, please call 1-800-685-5209 (TTY 711). We're available to help you Monday - Friday, 8:30 a.m. to 4:30 p.m. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue ...In addition to covering all of the benefits of original Medicare, Highmark Wholecare offers additional benefits to members enrolled in our D-SNP plans. Highmark Wholecare is pleased to share that we have added new benefits for Diamond members, including the $135 monthly Healthy Food benefit allowance and the $100If I'm still unable to connect you, please contact Member Service by calling the number on the back of your I.D. card.Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman WebsiteThe telephone number for the Statewide Customer Service Center is 1-877-395-8930. Philadelphia residents should call the Philadelphia Customer Service Center at (215)560-7226. Find out how to renew your Medicaid coverage with Highmark Wholecare to ensure you do not go without your coverage and benefits.2024 DSNP Service Area. 2023 DSNP Service Area. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on ...Please call 1-855-350-0074 (TTY 711) Monday - Saturday 8:00 AM to 5:00 PM; Sunday 10:00 AM to 5:00 PM. Please contact Highmark Wholecare member services at: 1-800-685-5209 8:00 AM to 8:00 PM, 7 days a week from 10/1 through 3/31. From 4/1 through 9/30 call between 8:00 AM to 8:00 PM Monday through Friday. Important Information: Ordering limits ...Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman WebsiteFood and Utility Assistance ... Each Highmark Wholecare D-SNP offers its own benefit levels for dental care each year and some covered services with $0 copay. Also, D-SNP plans have different benefits for detail care, such as: ... Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent ...Eating healthy foods 3 •Lowers your risk for disease. •Gives you energy. ... Benefits of physical activity 21 ... Highmark Health Options. Help When You Need It Call the 24-Hour Nurse Line at 1-844-325-6251 24/7 Virtual Visits at HHOontheGo.com Search the ProviderHere are a few examples of covered mental health care services you'll have as a Highmark Wholecare member. Based on your D-SNP, you may also have a $0 copay for some care. Please check your Evidence of Coverage (EOC) for all mental health care coverage. 2024 Diamond EOC. 2024 Diamond Southeast PA EOC. 2024 Ruby EOC. 2024 Ruby Southeast PA.Highmark Wholecare plans cover your health, and have some great additional benefits. VIEW BENEFITS. ... If you require additional vision, hearing, dental, and fitness benefits, you can add Whole Health Balance (optional) to your Medigap Blue Plan for an additional $34.50 per month. Original Medicare does not cover prescriptions. …Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center. 1 (800) 392-1147 TTY 711.According to Just Harvest, a nonprofit organization that addresses hunger in Allegheny County, where Highmark Health is headquartered, nearly 1 in 7 people face chronic hunger and food insecurity in our region. Chances are you may know someone in this category. A lack of nutrition, especially in older adults, increases the risk for ongoing ...Oct 1, 2021 · Family Health Council 1-800-532-9465 Health Choices 1-800-440-3989. TDD/TTY: 711. Mailing Addresses. Claims and Referral Forms Mailing: Highmark Wholecare Claims Processing P.O. Box 211713 Eagan, MN 55121. Claims Inquiries and Administrative Reviews (Provider Disputes): Highmark Wholecare P.O. Box 535191 Pittsburgh, PA 15253-5191