If I Have Highmark Bcbs as Secondary Insurancedo I Need to Enroll Again

Highmark Blue Shield will offer the following full-service health insurance programs in Central Pennsylvania and the Lehigh Valley for effective dates start April 1, 2002. Click here to run into the counties included in Fundamental Pennsylvania and the Lehigh Valley.

Highmark Blue Shield offers two indemnity wellness 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 fix corporeality per health intendance service performed.

• ClassicBlue Traditional provides coverage for most infirmary and medical-surgical covered services. Major Medical covered care is discipline to an annual deductible and coinsurance.
• ClassicBlue Comprehensive provides benefits at 80% of immune charges after an annual program deductible is met. You tin can cull from ii program deductibles.

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

ClassicBlue advantages:

• Available to all Central Pennsylvania and Lehigh Valley residents, regardless of occupation or health status.
• Provides a wide choice of Participating doctors and hospitals.
• Choice is non express to a managed care network.
• No need to select a master care physician, no referrals required.
• Coverage when you travel anywhere around the world.
• No claims to file when you use Participating providers.

For more information, phone call i-877-986-4571.

Special Intendance is a low-cost programme that was initially developed by Highmark Blue Shield for Pennsylvania families and individuals who earn too much to authorize for Medical Assistance and who exercise not have access to group wellness insurance.

To qualify, your family�south annual income cannot exceed 185% of the Federal poverty guidelines. Also, you must be a Pennsylvania resident living in i of the 21 counties in Primal Pennsylvania and the Lehigh Valley served past Highmark Blue Shield. You may non be enrolled in or eligible for any private or governmental group or private wellness care program.

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

Special Care advantages:

• Provides coverage for 21 inpatient hospital days per benefit period, emergency accident and medical treatment, surgery, motherhood and newborn care, pediatric preventive services, diagnostic tests, radiation and chemotherapy as well as other services.
• Covered services are paid in full when performed at a Participating Special Care hospital and/or by a Highmark Blue Shield Participating health intendance professional person.
• Discounts on prescription drugs at participating pharmacies.

For more data, phone call ane-877-986-4571.

Special Intendance is a service marker of Highmark Blue Shield and the other Blue plans in Pennsylvania.

Special Intendance is not affiliated with "Special Care Inc.," a dwelling health intendance visitor.

MedigapBlue

Choose MedigapBlue - the Medicare Supplemental coverage from Highmark Bluish Shield

Medicare was never meant to encompass all health intendance costs. It leaves gaps in the class of deductibles, coinsurance and copayments. Medicare Supplemental insurance, also called Medigap, is a blazon of health coverage that pays for some or all of the health care costs non covered past Medicare.

Y'all need to exist enrolled in both Part A and Part B of Medicare in order to enroll in MedigapBlue or any other Medigap program.

There are x standardized Medicare Supplemental policies that tin be offered past insurance companies. The standardized benefits included in these x plans are the same, no thing what insurance company offers them. Just Highmark offers special services and programs that y'all might not get from other companies. Highmark offers six Medicare Supplemental plans: Plans A, B, C, E, H and I.

What you become when you lot cull MedigapBlue

• The stability and dependability of an insurance leader: Highmark Blue Shield
• Broad range of benefits and services covered depending on your needs (six different plans to choose from)
• Protection from infirmary and medical expenses not covered by Medicare
• Total freedom of using any doctors, specialists and hospitals you lot want
• No referrals needed
• Coverage when y'all travel
• Potential savings with our Prescription Drug Disbelieve - lowest possible price on about brand name and generic drugs - available with all plans
• Access to the SilverSneakers Fitness Plan - a full health and fitness program designed for older people of all fitness levels. The program is provided through participating, full-service fitness centers throughout your expanse at no additional cost.
• Special discounts on vision care with Plan Eastward and Plan I
• Blues On Call^SM wellness care support resource with Program Eastward and Plan I - toll-free telephone line that gives you 24-hour-a-day admission to a personal health coach who is a Registered Nurse

	Program A	Programme B	Program C*	Plan Due east	Program H*	Plan I
STANDARDIZED BENEFITS
Basic Benefits	*	*	*	*	*	*
Medicare Role A Hospital Deductible		*	*	*	*	*
Skilled Nursing Facility Coinsurance			*	*	*	*
Medicare Part B Deductible			*
Foreign Travel Emergency			*	*	*	*
At-Dwelling house Recovery						*
Medicare office B Backlog Charges						*
Preventive Care				*
Prescription Drug coverage					*	*
HIGHMARK SPECIAL SERVICES
Prescription Drug Discount Plan	*	*	*	*	*	*
SilverSneakers Fitness Center Membership®	*	*	*	*	*	*
Vision Discounts				*		*
Blues On Telephone callSM data hotline				*		*

* Yous must apply within the starting time six months following your initial enrollment for Medicare Part B Medical Insurance to be eligible for Program C and Plan H. Plans A, B, Due east and I are available to all Medicare Beneficiaries at whatsoever time. Exceptions do apply, please call united states of america for more information.

Bones Benefits - covered by Plans A, B, C, East, H and I:

Medicare charges a $219 per solar day copayment for days 61-xc in a hospital. MedigapBlue covers this copayment. Medicare charges a $438 per day copayment for days 91-150 in a hospital (lifetime reserve days). MedigapBlue covers this copayment. Medicare does non cover hospital days 151 and on. MedigapBlue will cover up to an additional 365 days at 100% of Medicare-allowable expenses. Medicare requires that you pay for the first 3 pints of blood that you utilize in a calendar yr (unless you replace the blood by donation). MedigapBlue covers the cost of the claret. Medicare generally pays merely 80% of covered physician charges, outpatient infirmary intendance 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 Us

The benefits listed here are just a brief overview of MedigapBlue programme benefits. Please call us at i-800-549-5642, TDD users call 1-800-227-8210 to get more than detailed information well-nigh programme benefits. We will be happy to ship yous more data on MedigapBlue.

SM Blues On Call is a service marker of the Bluish Cross and Blue Shield Clan ® 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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