Statement on Medicare Advantage Pennsylvania Supreme Court ruling
PITTSBURGH, Pa. (July 18, 2018) We are disappointed in today's Pennsylvania Supreme Court ruling. While this is not how we interpreted the Consent Decrees intended to guide the Highmark and UPMC relationship, we will work in full compliance with the ruling and trust UPMC will do the same.
Highmark's Medicare Advantage Security Blue HMO and Freedom Blue PPO members will continue to have in-network access to all UPMC hospitals including those in Pittsburgh and Erie through December 31, 2018, and do not need to take any action at this time.
We have a long history of offering a broad range of products for our Medicare members including both in-network and out-of-network benefits. We will continue to work on developing new options to help ensure access to local health care providers and while traveling. We welcome members to contact us directly during the Medicare Annual Enrollment Period for further details on new and enhanced benefits and options for 2019.
There is no change for Highmark's Community Blue Medicare HMO and PPO or Medigap Blue members with this ruling. Highmark's Medigap supplemental insurance has no network. All Medicare Part B participating providers must bill and accept Medigap insurance products for their Medicare patients.
About Highmark Inc.
Highmark Inc. and its health insurance subsidiaries and affiliates collectively are one of America's largest health insurance organizations and together with its Blue-branded affiliates, collectively comprise the third-largest overall Blue Cross and Blue Shield-affiliated organization in the country based on capital. Highmark Inc. and its affiliates operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve approximately 4.6 million members and hundreds of thousands of additional individuals through the BlueCard® program. Its diversified businesses serve group customer and individual needs across the United States through dental insurance, vision care and other related businesses. Highmark Inc. is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.highmark.com.