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    Need affordable health insurance? Highmark Blue Cross Blue Shield can help.

    Get covered

    There are two ways to buy Affordable Care Act (ACA) plans, also known as Obamacare.

    • Highmark Blue Cross Blue Shield marketplace plans


      You can buy Highmark Blue Cross Blue Shield plans through an online marketplace, also known as the federal or state Exchange. If you’re eligible for financial help, these plans can lower your monthly premiums and out-of-pocket costs.

    • Plans directly from Highmark Blue Cross Blue Shield


      You can also buy health insurance plans directly from Highmark Blue Cross Blue Shield. These plans don’t offer financial help, but you’ll find additional plan options here.

    Open Enrollment runs from November 16 through January 31. For coverage that starts on January 1, enroll by December 15.

    Our plans

    Highmark Blue Cross Blue Shield Affordable Care Act (ACA) plans give you access to high-quality health care that's always close to home.

    • No referrals


      With Highmark Blue Cross Blue Shield, you never need a referral to see a specialist.

    • Low copays


      Copays as low as $15 when you need to see your doctor or specialist.

    • Low deductibles


      A range of deductibles plans starting as low as $0.

    • $0 prescriptions


      $0 copays on 85% of the most common prescription drugs.2

    • Dental and vision


      We have plans that include vision discounts and pediatric dental included in all plans.

    Drawing of a pill bottle doctors mallet and stethoscope

    The 10 Essential Health Benefits

    All ACA plans cover preexisting conditions, plus the 10 Essential Health Benefits:

    • Outpatient care
    • Emergency services
    • Hospitalization (like surgery and overnight stays)
    • Pregnancy, maternity, and newborn care
    • Mental health and substance use disorder services
    • Prescription drugs
    • Rehabilitative and habilitative services and devices
    • Laboratory services
    • Preventive and wellness services and chronic disease management
    • Pediatric services, including dental and vision care

    Get covered

    View Summary of Benefits & Coverage

    Individual and family plan offerings

    Individual and family plan offerings

    Individual/Family ACA Health Plan Application

    Highmark Blue Cross Blue Shield Individual Market Broker Compensation

    1/1/2025 - 12/31/2026

    Per Member Per Month (PMPM)

    Western New York

    New Business

    $20.00 PMPM

    Renewal Business

    $20.00 PMPM

    Bonus or incentive compensation may also apply and must be disclosed by the agent or broker.

    1By accessing this video, I understand that I am leaving the Highmark website and I will be re-directed to an external website operated by a third-party platform provider. I acknowledge that the platform provider may collect personal information about me, and about the video that I view, on their platform and may use and disclose this information in accordance with its privacy policy. I agree that Highmark is not responsible for the data collection and use practices of this third party.

    2Most common prescription drugs are made up of the top 100 non-voided, approved, in-network drug claims by Highmark ACA individual markets members in 2024. Vaccines are not included in this listing.