Make an appointment with a specialist to review your current plan and get advice on a new plan that offers the services and benefits that meet your needs.
We know you have concerns and questions about your plan no longer being offered. We’re here to support you with answers to your questions.
Federal funding for Medicare is not keeping pace with rising health care costs. As a result, Highmark has made the difficult decision to cancel certain plans. Adjusting our plan offerings will allow Highmark to offer Medicare Advantage plans that are stable for the long term and provide the benefits, predictable costs, and access to quality care you can count on.
You’ll be automatically enrolled in Original Medicare. Please be aware that Original Medicare does not include prescription drug coverage. To avoid penalties, you must buy a separate Part D (prescription drug) plan during the Annual Enrollment Period.
Here’s how to find Highmark plan options in your area.
Call the number on the back of your Highmark member ID card (TTY call 711). Our team is available 8 a.m. – 8 p.m. seven days a week.
You can speak with a Highmark Licensed Medicare Advisor virtually or over the phone. They’ll help you complete the application. To arrange a time, call the number on the back of your current Member ID card. You can also complete an application online.
No. If you received a cancellation notice, your old plan is no longer available. We may be using the same name for a new plan, but the benefits will be different. If you want to enroll in another Medicare Advantage plan, you must enroll in a new one by December 31. Otherwise, you’ll be automatically enrolled in Original Medicare.
You need to check the provider network for each Highmark Medicare Advantage plan you are considering when shopping for a 2026 plan. The provider networks are not the same across all Highmark Medicare Advantage plans. This means that your doctor might be in network for one plan, but out of network for another plan.
Yes, you can still enroll in a Medicare Advantage plan until February 28, 2026. Just remember, your current plan will end on December 31, 2025. If you don't pick a new plan by then, you won’t have coverage until your new plan starts. Your new coverage will begin on the first day of the month after you sign up. For example, if you sign up for a plan on January 20, 2026, your new coverage will start on February 1, 2026.
Yes. Medicare Advantage is a good choice for many people. It helps millions of seniors get affordable, high-quality health care. Highmark is committed to this program. We’ve made changes so we can keep offering Medicare Advantage plans that are stable for the long term and provide the benefits, predictable costs, and access to quality care you can count on.
Before choosing a new plan, think about the benefits that are most important to you. Consider deductibles and if your doctors and pharmacy are in-network. Compare plans to find the best fit.
You can use our website to check if your doctors are in your network, where they’re located and how much seeing them costs.
Check your medication costs by plan. Use our cost estimator to explore the differences in each plan's coverage.
Add your pharmacy to see how each plan provides coverage. You’ll also be able to check which other local pharmacies take your available plans.
Read about types of plans and explore programs that can lower how much you pay for premiums and medicine.
Compare original Medicare (Parts A and B) and Medicare Advantage (Part C) and consider the benefits for each type of plan.
There may be programs available to help you pay your monthly Medicare bills. Learn more and find out if you qualify.
If eligible, Medicare could pay for 75% of your drug and Medicare Part D costs. Read about the extra help that’s available.
Make an appointment with a specialist to review your current plan and get advice on a new plan that offers the services and benefits that meet your needs.
Make an appointment with a specialist to review your current plan and get advice on a new plan that offers the services and benefits that meet your needs.
Out-of-network/non-contracted providers are under no obligation to treat Plan members except in emergency situations. 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.
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