Learn more about insurance coverage. Find common health insurance terms and definitions in the glossary.
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.
The annual Open Enrollment Period for individual and family plans varies by state.
- PA, DE, and WV: November 1 — January 15
- NY: November 16 — January 31
Anyone who qualifies for an ACA plan may enroll during this time period.
When you experience a major life event — like the birth of a child, the loss of a job, or a move to a new ZIP code — you may qualify for a Special Enrollment Period (SEP). An SEP typically gives you a 60-day window to enroll in a new individual or family plan and may occur at any time throughout the year.
All Highmark ACA plans cover 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
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.
Health Insurance Glossary
Health Insurance 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.
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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.
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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.
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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.
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.
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.
