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Highmark announces 2017 Medicare products for West Virginia

Highmark Blue Cross Blue Shield West Virginia

CHARLESTON, WV. (Oct. 1, 2016) — Highmark Blue Cross Blue Shield West Virginia announced today that it will offer a Freedom Blue PPO Medicare Advantage Standard plan, Medigap Blue Medicare Supplement plans and BlueRx PDP standalone prescription drug plans in West Virginia as its Medicare offerings for 2017. Medicare's annual election period begins Oct. 15 and runs through Dec. 7, 2016.

"We are always listening to our customers," said Lori Rund, Highmark's vice president of senior markets. "This year our Medicare Advantage members told us they wanted simplicity and choice. These principles form the foundation of our Medicare products, together with our commitment to helping members protect their health and financial security."

Key features of Highmark’s Freedom Blue PPO Standard plan include $10 copays for in-network primary care physician office visits, and $30 copays for office visits to primary care physicians outside of the network. Copays for preferred generic drugs are $3. Monthly premiums are $185.

In addition to coverage for medical care and hospitalization, the plan covers important extras like routine vision and dental care and hearing aids. SilverSneakers gym memberships are also included. Freedom Blue PPO does not require referrals or deductibles.

"We wanted to make it as easy and simple as possible for members to get the care that they need," said Rund.

Highmark is offering two different standalone prescription drug plans for 2017. BlueRx PDP Complete has a zero deductible and a $170.60 monthly premium. Blue Rx Plus has a $400 deductible and a $95.10 monthly premium. Details on Medigap Blue Medicare Supplement plans will be forthcoming later in the fall.


Highmark Blue Cross Blue Shield West Virginia serves approximately 290,000 members through the company’s health care benefits business and hundreds of thousands of additional members through the Blue Card program. With offices in Parkersburg, Charleston and Wheeling, it employs more than 750 people. Highmark West Virginia is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. SilverSneakers is a registered mark of Healthways, Inc. Healthways, Inc., is a separate company that administers the SilverSneakers program. Highmark Senior Solutions Company is a PPO plan with a Medicare contract. HM Health Insurance Company is a PDP plan with a Medicate contract. Enrollment in Highmark Senior Solutions Company and HM Health Insurance Company depends on contract renewal. Highmark Blue Cross Blue Shield, Highmark Senior Solutions Company, and HM Health Insurance Company are independent licensees of the Blue Cross and Blue Shield Association.

Out-of-network/non-contracted providers are under no obligation to treat Freedom Blue PPO members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.

Highmark Blue Cross Blue Shield complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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For more information, contact:
Cathy McAlister
Highmark Blue Cross Blue Shield West Virginia