Highmark's 2024 plans make Medicare more affordable, easier to use - Pennsylvania
Sunday, October 01, 2023
Highmark's 2024 plans make Medicare more affordable, easier to use - Pennsylvania
Introducing a brand-new plan, Premier, with $0 PCP, specialist, physical therapy, and generic drugs, plus 1st dollar dental coverage — for the consumer who wants to minimize their out-of-pocket expenses for care.
Making dental care more accessible and more affordable for Medicare Advantage members by offering $0 preventive dental plus first dollar comprehensive dental coverage and up to $3,500 in allowances
Increased food/utility allowances for D-SNP members on our Diamond plan, and introducing a food/utility allowance on our Ruby plan
Added value for current Highmark members with lower copays and expanded supplemental benefits, including increased over-the-counter allowances on many plans
Lowering premiums for the 6th year in a row for many Security Blue and Freedom Blue members.
Locally based Medicare Advisors to guide shoppers through plan selection and enrollment
PITTSBURGH (October. 1, 2023) — Highmark has debuted their 2024 Medicare Advantage plan designs with options to meet the wide range of needs of Medicare consumers. Highmark’s 2024 Medicare Advantage offerings include a complete portfolio of MA and Dual Special Needs plans (D-SNP) plans so any Medicare shopper can find the Highmark plan that’s right for them — including plans with $0 premiums, plans that give you money back every month, plans with market-leading medical benefits, plans for those dually eligible for Medicare and Medicaid, and even a plan designed for veterans. In addition, our new Premier plan is designed for those who want the lowest out-of-pocket costs for medical, prescription, and dental care.
Highmark Wholecare also offers tailored HMO D-SNP plans for those Medicare beneficiaries eligible for full or partial Medicaid. Plans are created to ensure $0 premium, $0 or low-cost copays for medical care, and $0 copays for prescription drugs. A wide array of supplemental benefits complement our Diamond and Ruby plans to help members live their healthiest lives.
“Each year, we consider consumers’ needs as we design our Medicare portfolio,” said Ellen Galardy, president, Federal Business. “Highmark offers plans that make Medicare coverage more affordable, more accessible and easier to use.”
Enhanced Benefits for 2024
Highmark Medicare Advantage plans provide market leading medical benefits with multiple plans available that include $0 copays for PCP visits, labs, and generic prescription drugs. As Medicare consumers place a higher priority on dental benefits, Highmark has prioritized making dental care more affordable and more accessible across their footprint. “Shoppers will notice that our dental coverage has reduced members’ out-of-pocket costs for both preventive and comprehensive services,” said Galardy. “And, we have also increased the number of dental services and procedures that we cover.”
New in Pennsylvania in 2024, Highmark will be offering the Premier plan. Bill Tuthill, vice president of Market Strategy, explained, “The Premier plan is an ideal Medicare Advantage option for those deciding between Medicare Advantage and Medicare Supplement plans. In addition to $0 PCP, specialist, lab, therapy, and generic prescription copays, Premier provides supplemental benefits that Medicare Supplement plans don’t provide such as dental, vision, and hearing coverage and allowances for health-related over-the-counter items.”
Highmark Wholecare’sDiamond and Ruby plans are built to support all elements of our members’ health. “We look to support our members’ whole health by supplementing our strong medical and prescription drug benefits with supplemental benefits like a food and utility allowance,” said Ellen Duffield, president of Highmark Wholecare.
Key benefits on the Diamond and Ruby DSNP plans include:
A large network of providers to help you care for all your needs
A Highmark Wholecare branded Visa card with a monthly allowance to use toward healthy food and utilities
Access to over 2,000 food retailers in PA alone, plus an additional 48,000 out of state when visiting family and loved ones
Extra meals when discharged from the hospital
No cost fitness benefit to help keep you at your best
Transportation to and from your appointments
Enhanced D-SNP benefits for 2024 also include additional dental services and lowered expenses with generous allowances of up to $8,000. Additionally, Ruby members will see a reduction in medical expenses such as lower cost X-ray, routine chiropractic, and supervised exercise therapy copayments. Additional plan benefits include up to $600 toward purchase of glasses or contacts, no cost lenses, hearing aids at no cost, and a generous over-the-counter allowance for select health related items.
Helping members understand and use their benefits
Galardy said that Highmark designs its Medicare Advantage plans to make it easy for members to use their benefits and stay healthy. “We know that members who use their benefits —such as wellness programs, health coaches, regular doctors’ visits and preventive care — have better health outcomes and fewer medical complications,” she said. “We want to support our members so they can be and stay healthy.”
Highmark offers an array of resources to help members understand and use their benefits, including Highmark Direct stores, which are located throughout Pennsylvania and provide consumers with the opportunity to speak with a Licensed Medicare adviser to compare Medicare options, answer questions about Medicare and enroll in a plan that fits their needs and budget. The Highmark Direct stores also host Medicare seminars for consumers to learn about Medicare or healthy living. To find a store or schedule a personal meeting with a Highmark Medicare expert, click here.
For questions about Medicare or Highmark’s 2024 Medicare plans or to enroll in coverage for 2024, consumers can call a Licensed Medicare adviser at 1-800-318-1487.
To learn more about Highmark’s 2024 Medicare plans or enroll in coverage online, consumers can click here and enter their zip code.
Highmark Blue Cross Blue Shield is a Medicare Advantage HMO, PPO, and/or Part D plan with a Medicare contract. Enrollment in these plans depends on contract renewal.
Benefits and/or benefit administration may be provided by or through the following entities which are independent licensees of the Blue Cross Blue Shield Association:
Western and Northeastern Pennsylvania: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, or Highmark Senior Health Company. The health insurance policy may not cover all your health care expenses.
Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield or Highmark Health Insurance Company.
West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company.
Western New York: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.
About Highmark Inc. One of America's leading health insurance organizations and an independent licensee of the Blue Cross Blue Shield Association, Highmark Inc. (the Health Plan) and its affiliated health plans (collectively, the Health Plans) work passionately to deliver high-quality, accessible, understandable, and affordable experiences, outcomes, and solutions to customers. Highmark Inc. and its Blue-branded affiliates proudly cover the insurance needs of approximately 7 million members in Pennsylvania, Delaware, New York and West Virginia. Its diversified businesses serve group customer and individual needs across the United States through dental insurance and other related businesses. For more information, visit www.highmark.com.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies. This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. ®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield. West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit our website to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card. Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
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