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Highmark Answers

Get answers to health insurance questions. Learn more about benefits, choosing health insurance, health and wellness and read health insurance FAQ. 

Health Insurance FAQ

Get answers to health insurance FAQ and read more about choosing health insurance.

Will benefits or health insurance coverage change after the PHE expires?

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Given our ongoing commitment to support our members, clients and providers throughout the COVID-19 pandemic, Highmark will extend the following waivers to Highmark members with employer-sponsored or individual health insurance coverage until June 1, 2023*:

For Medicare Advantage members, Highmark will extend the following waivers with Highmark Medicare Advantage insurance coverage until June 1, 2023*:

  • $0 in-network and out-of-network COVID-19 vaccines
  • $0 in-network and out-of-network COVID-19 diagnostic and antibody testing
  • $0 in-network and out-of-network related services to diagnose COVID-19. Includes office visits (in-person or telehealth), emergency room visits or urgent care visits.
  • $0 inpatient COVID-19 treatment – covered through 12/31/23 for Medicare Advantage members

*While this coverage applies to most Highmark members, every plan is a little different. If you have any questions, please login to your member portal and send a message using the message center to Member Service. You can also call Member Service using the number on the back of your insurance card.

 

** West Virginia Members: Please note that WV State mandates may continue to be in place and extend coverage of these services after 6/1/2023. Please continue to check back here for updates.

 

After June 1, 2023, the services above may have out-of-pocket costs based on your plan coverage.

 

See all public health emergency FAQ

How do you get prescriptions delivered?

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It’s quick and easy to get your prescription delivered right to your home. And, you’ll likely save money. To set up your prescription delivery, grab your Highmark card and call Express Scripts at (800) 282-2881. They are available 24/7 to help switch your prescriptions to home delivery. Or, log in to your Highmark member website and select “Prescriptions.” On the next screen, click “Mail Order Savings” to go to the Express Scripts website. Follow the on-screen prompts to set up your prescription delivery.

Can you use your health insurance coverage at an out-of-town hospital?

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Yes, most plans cover you while traveling. Copays, deductibles and coinsurance still apply. Review your coverage options on your member website and by using your plan app. You can also call the telephone number for Highmark Member Service on the back of your insurance card. This number is specific to your plan and benefits.  

Health Insurance Glossary

Health Insurance Glossary

Learn more about insurance coverage. Find common health insurance terms and definitions in the glossary.

Learn more about insurance coverage. Find common health insurance terms and definitions in the glossary.

Learn more about Highmark plans and choosing health insurance

Learn more about what Highmark has to offer. Read about choosing health insurance plans, Highmark Healthy Kids, Medicare plans and coverages available. 

  • Shop for Health Plans


    You can buy health insurance plans directly from Highmark. Find and compare health plan options for individuals and families and learn about choosing health insurance. 

  • Why Highmark? Because Life.


    Learn how we’re improving your health experience. Providing members with access to more doctors and ways to visit them and lower costs on prescription drugs.

  • Shop for Medicare Plans


    Shop for Medicare, Medicare Advantage or Medigap plans. Learn more about available Medicare plans and choosing health insurance plans. Talk to a Medicare expert.

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Get answers about your Highmark insurance plan

Look up your Highmark benefits information, chat with us online or email us.

  • Get your Highmark insurance ID card. 
  • Review your benefits. 
  • Search for doctors in your network.  
  • Send Member Service an email. 
  • Start an online chat with Member Service. 
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Find Community Resources and Support

Get health and community support resources including:

  • Addiction therapy   
  • Discount prescriptions 
  • Essential and emergency services 
  • Food banks and housing  
  • Virtual therapy  

The Public Health Emergency is ending

The Public Health Emergency is ending

The Federal Public Health Emergency ends on May 11, 2023. Learn more about the changes.

The Federal Public Health Emergency ends on May 11, 2023. Learn more about the changes.