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The difference you can make when you're all for health.

Connecting with high-quality care

Members have access to some of the best health care anywhere in the United States… and close to home.

We maintain a high performing network by monitoring the quality performance of our doctors and hospitals. We make sure they meet our standards and those of national medical standards organizations.

That is why our network includes highly ranked community hospitals and health systems throughout western Pennsylvania, such as Allegheny Health Network.

Allegheny Health Network has received numerous national, regional and local accolades for superior outcomes, quality care and positive impacts on the communities we serve. As one of the largest healthcare systems serving western Pennsylvania, many of our hospitals are ranked #1 in the market for delivering the highest quality of care in several clinical categories, according to the Quantros' CareChex® 2017 Hospital Quality Ratings.*

*Source: Quantros Inc. 2017 National Quality Rating Database: FFY 2013, 2014 and 2015

A personal introduction to new doctors

To find the right doctor for you, ask friends and neighbors for recommendations. But what if you had a chance to get to know your doctor before you put on a gown in the exam room? We value the importance of a good match, so we've created unique Meet Dr. Right open house events. You can meet in-network doctors and their staff members and ask questions that are important to you — face-to-face — before you get undressed.

Finding a doctor can save your life

Making health care betterMartin was hoping to find a new primary care doctor.

So he went to a Meet Dr. Right event at Sharon Regional Health System Imaging and Diagnostic Center. He chatted with some doctors and stopped to get his blood pressure taken, one of the free health screenings offered at the event. He expected the usual reading of normal blood pressure.

But the look of concern on the nurse's face was anything but normal. She asked, "Did you know your heart rate is irregular?" She took him to one of the center's exam rooms and did an EKG, which showed Martin was in A-fib with RVR (atrial fibrillation with a rapid ventricular response). His heartbeat was too rapid and irregular, a condition that can lead to a stroke or heart failure.

Martin was immediately taken by ambulance to Sharon Regional Health System's Emergency Care Center where he was seen by cardiologist, Dr. Michael Burley. Dr. Burley explained what Martin's heart was experiencing and admitted him to the hospital's cardiovascular unit to regulate his heart rate.

Over the next few days, doctors performed a transthoracic echocardiogram, a scan to ensure Martin didn't have any heart abnormalities such as a blood clot. Martin also had a transesophageal echocardiogram performed during cardioversion to shock his heart rate back to a normal rhythm.

Now Martin has several new doctors — cardiologists with Sharon Regional Medical Group Cardiology Specialists and a new primary care physician, Dr. Robert Watine of Sharon Regional Medical Group Family and Internal Medicine.

Martin is living proof that finding the right doctor can lead to better health — and even save a life.

Dr. Right is coming to your town

If you need help finding your perfect match, check our calendar for the next Meet Dr. Right event near you, and see how doctors enjoy the chance to meet prospective patients. And if you're not sure how to start the conversation, here are five things you should look for in a primary care physician.

Getting members what they need from the health care system

We make it easy for members to find and use quality care with our in-network health care providers.

Members can call Highmark's My Care Navigator to get help switching to a new doctor, transferring records or working with their current providers to:

  • Receive the care they need
  • Navigate the health system to find essential resources
  • Understand their coverage, so they get the most out of their health plan

Get the right care with quality doctors and hospitals

Members can get quality care close to home by searching the Find a Doctor tool on the member website. It lists doctors, imaging centers, hospitals and labs that are covered by specific health plans. Members can also:

  • Read what others have to say about their doctors on the Find a Doctor provider directory
  • Review quality ratings from professional organizations
  • Call My Care Navigator at 1-888-BLUE-428
  • Use a telemedicine doctor for an immediate consultation through a virtual visit (if covered by the plan)

Members deserve equality in health care

Everyone deserves access to quality healthcare regardless of their literacy level, age, race, ethnic background, the languages they speak or their sexual orientation. In May 2015, the National Committee for Quality Assurance recognized Highmark Inc. for achievements in multicultural health care in our health plans across three regions. We continue to work to make sure health care is delivered equally to all.

In 2016, our members and other community groups told us about the barriers and root causes of health care disparities. Together, we found more ways to eliminate language barriers and deliver more culturally appropriate care to our members.

Over the years, we have built partnerships with community- and faith-based partners to improve our cultural diversity through specific services to our members. Together we have:

  • Developed new health promotion initiatives
  • Simplified our member communications
  • Explained the use of qualified medical interpreters
  • Emphasized the importance of culturally respectful health care to doctors and hospital staff

Learn more about how Highmark supports equality in health care and LGBT diversity rights.

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