Making generics more affordable – Highmark is working with a nonprofit drug manufacturer, CivicaScript, to create more generic alternatives to specialty medications. Members may also have access to a program called SensibleRx that guides members to the best, most effective generic medications.
Providing home delivery discounts3 – What’s better than skipping a trip to the pharmacy? Even more savings. Members can save an average of 29% on routine medications by having them delivered.
Connecting you with copay assistance – We’re connecting members to a great service called Copay Armor, a program that may reduce the cost of specialty medications through copay assistance.
Offering refill rewards – Now, you can stay on top of your refills and earn rewards for doing it. Thanks to a program called Sempre Health3, members can get refill text reminders and extra discounts for filling prescriptions consistently and on time.
Searching for the best medication prices – Highmark works with Free Market Health3, which provides real-time authorization for specialty drugs, so there are no delays. It also searches for the best price on a medication, which may result in lower out-of-pocket costs for members.
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2Benefits may vary by plan.
3Does not apply to West Virginia members and Delaware full-insured members.
Free Market Health, an independent health care technology company, provides end-to-end specialty drug process optimization for Highmark members.
Highmark has contracted with Sempre Health, an independent company, to secure manufacturer discounts for select prescription medications. Savings for Highmark members will vary based on drug, member copay, and program requirements. The member will never pay more than the Plan copay.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies. This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. ®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. 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. West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit our website to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card. Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
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