Our plans are packed with benefits, including in-network access to quality care, doctors, and providers. Plus, you’ll enjoy coverage that’s easy to use and built around your needs.
Health plans that keep up with your life.
Health plans that keep up with your life.
Our plans are packed with benefits, including in-network access to quality care, doctors, and providers. Plus, you’ll enjoy coverage that’s easy to use and built around your needs.
Have you recently lost your coverage?
If you've encountered a life event that has affected your coverage, see if you're eligible to enroll in a plan through a Special Enrollment Period.1
Loss of Medicaid Coverage
Highmark has you covered with plenty of low-cost plans to choose from. You can enroll in an Individual and Family plan during a Special Enrollment Period.
Eligibility for Special Enrollment
Under Affordable Care Act (ACA) guidelines, if you've had a baby, moved to a new ZIP code, or lost your job, you can sign up for coverage outside of Open Enrollment periods.
Highmark plans comparison tool
Highmark plans comparison tool
We make it easy for you to preview affordable health plans. Find out if you qualify for financial help that may lower the cost of your coverage.
We make it easy for you to preview affordable health plans. Find out if you qualify for financial help that may lower the cost of your coverage.
Why choose a Highmark health plan?
There are so many reasons for choosing a Highmark health plan. We can think of three big ones right off the top of our heads.
Coverage for all your health
Healthy teeth and eyes are part of overall health, and regular checkups can help you stay ahead of potential health issues. That's why we offer plan options with adult dental and vision.
No referrals needed
Having one of our plans means you never need a referral to see a specialist. You can see the in-network specialists you want, whenever you want — putting you in control of your care.
Easy access to care
With our plans, you get easy access to high-quality, lower-cost health care services in your area. You also get 24/7 support with virtual health options and access to Blues On CallSM.
Let's cover some ACA basics
Ways to save
There are two types of savings programs that can help you pay for your health insurance. Based on your household size and income, you may be eligible for both types of financial help.
Deductibles and premiums
Your premium and deductible are like a seesaw: When you lower one, you generally raise the other. It's important to find the sweet spot between the two based on your health care needs and finances.
Know your metals
ACA plans are broken into metal levels — bronze, silver, gold, and platinum. Metal levels reflect cost-sharing differences only. You get the same quality of care at any level.
Prepare for Open Enrollment
The Open Enrollment period for individual and family plans varies by state. Anyone who qualifies for an ACA plan may enroll during this time period.
- PA, DE, and WV: November 1 — January 15
- NY: November 1 — January 31
The benefits built into every Highmark ACA plan
Your health plan should do more than cover care. It should connect you to the right resources, right when you need them. Highmark offers programs designed to help you feel your best — physically, mentally, and emotionally.
Virtual care, whenever you need it
The 24/7 Nurse Line lets you get care from the comfort of your own home. Registered nurses are available 24/7 by phone to answer your medical questions — at no cost to you.
Virtual mental health therapy
Through Spring Health,2 you can access therapy, coaching, and mental health resources to support your emotional well-being.
Virtual physical therapy at home
Relieve joint, muscle, and back pain — right from home. With Virtual Joint Health, Thrive by Sword,3 you'll get a custom plan from a specialist and a motion-sensing tablet to guide you through your exercises anytime, anywhere.
Support for chronic conditions
Convenient programs on the My Highmark app and website help you manage chronic conditions like diabetes, asthma, and more, making it easier to stay on track with your health.
My Highmark app
Your health, right in your pocket. The My Highmark app helps you find doctors, manage claims, check benefits, and connect with support programs anytime.
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Meet with an expert
Book an appointment online for a one-on-one consultation to help you find a plan loaded with benefits.
Explore affordable health coverage in your area
Explore affordable health coverage in your area
All our plans give you in-network access to top-quality care, close to home. Whatever your health care needs and budget, we have a plan for you. All you have to do is choose.
All our plans give you in-network access to top-quality care, close to home. Whatever your health care needs and budget, we have a plan for you. All you have to do is choose.
1You may qualify for a Special Enrollment Period if you experience a qualifying life event.
2Spring Health is an independent company that provides mental health care services through its agents.
3Sword Health is an independent company that provides wellness services for the health plan.