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Need affordable health insurance? Highmark Blue Shield can help.
Get covered
There are two ways to buy Affordable Care Act (ACA) plans, also known as Obamacare.
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Highmark Blue Shield marketplace plans
You can buy Highmark Blue Shield plans through an online marketplace, also known as the federal or state Exchange. If you’re eligible for financial help, these plans can lower your monthly premiums and out-of-pocket costs.
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Plans directly from Highmark Blue Shield
You can also buy health insurance plans directly from Highmark Blue Shield. These plans don’t offer financial help, but you’ll find additional plan options here.
Open Enrollment runs from November 16 through January 31. For coverage that starts on January 1, enroll by December 15.
Our plans
Highmark Affordable Care Act (ACA) plans give you access to high-quality health care that's always close to home.
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No referrals
With Highmark Blue Shield, you never need a referral to see a specialist.
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Low copays
Copays as low as $15 when you need to see your doctor or specialist.
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Low deductibles
A range of deductibles plans starting as low as $0.
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$0 prescriptions
$0 copays on 90% of the most common prescription drugs.
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Dental and vision
We have plans that include vision discounts and pediatric dental included in all plans.
The 10 Essential Health Benefits
All ACA plans cover preexisting conditions, plus the 10 Essential Health Benefits:
- Outpatient care
- Emergency services
- Hospitalization (like surgery and overnight stays)
- Pregnancy, maternity, and newborn care
- Mental health and substance use disorder services
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services, including dental and vision care
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Special Enrollment
Major life events could make you eligible for a Special Enrollment period. See if you qualify.
Get covered
View Summary of Benefits & Coverage
Individual and family plan offerings
Individual and family plan offerings
Highmark Blue Shield Individual Market Broker Compensation for NENY
1/1/2024 - 12/31/2024
Per Member Per Month (PMPM) / Per Contract Per Month (PCPM)
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Northeastern New York |
|
|---|---|
|
New Business |
$20.00 PMPM |
|
Renewal Business |
$20.00 PMPM |
Bonus or incentive compensation may also apply and must be disclosed by the agent or broker.
1/1/2023 - 12/31/2023
Per Member Per Month (PMPM) / Per Contract Per Month (PCPM)
|
Northeastern New York |
|
|---|---|
|
New Business |
$20.00 PMPM |
|
Renewal Business |
$20.00 PMPM |
Bonus or incentive compensation may also apply and must be disclosed by the agent or broker.
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