Contact Us

To assist you most efficiently, please choose from the information below that best describes your area of interest.

Medicaid Member Contact Information

Toll Free Numbers

Member and Provider Services 1-800-392-1147
Family Health Council 1-800-532-9465
Health Choices 1-800-440-3989

TDD/TTY: 711

Mailing Addresses

Claims and Referral Forms Mailing:
Highmark Wholecare
Claims Processing
P.O. Box 211713
Eagan, MN 55121

Claims Inquiries and Administrative Reviews (Provider Disputes):
Highmark Wholecare
P.O. Box 535191
Pittsburgh, PA 15253-5191

Send us a request by fax to: All Providers 1-844-207-0334

Clinical Provider Appeals:
Highmark Wholecare
Attention: Provider Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222

Send us a request by fax to:

  1. Non-Participating Medicare Provider, and any Pre-Service Appeals: 412-255-4503
  2. All Post Service appeals for Participating (Contracted Providers) and all Medicaid Providers: 855-501-3904

Member Complaints and Appeals:
Highmark Wholecare
Attn: Member Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222
Fax: 412-255-4503

Fraud, Waste, and Abuse:

If you suspect Fraud, Waste, or Abuse please click here.

If you are an Agent interested in selling our products, please call  Agent Support at 1-888-871-0417.

Contact Highmark for help

Mailing Address

Highmark Wholecare
P.O. Box 535191
Pittsburgh, PA 15253-5191
General Phone Number
412-255-4640

Medicare Assured Member Contact Information

Toll Free Numbers

Pennsylvania 1-800-685-5209 

TDD/TTY: 711

8 a.m. - 8 a.m. Eastern Time
7 Days a week from October 1 through March 31.
* From April 1 through September 30 our business hours are 8 a.m. - 8 p.m., Monday through Friday.

Mailing Addresses

Medical and Behavioral Health Claim Forms (PA Medicare Assured)
Highmark Wholecare
Claims Processing Center
P.O. Box 211164 
Eagan, MN 55121

Claims Inquiries and Administrative Reviews (Provider Disputes):
Highmark Wholecare
P.O. Box 535191
Pittsburgh, PA 15253-5191

Clinical Provider Appeals:
Highmark Wholecare
Attention: Provider Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222

Send us a request by fax to:

  1. Non-Participating Medicare Provider, and any Pre-Service Appeals: 412-255-4503
  2. All Post Service appeals for Participating (Contracted Providers) and all Medicaid Providers: 855-501-3904

Member Complaints and Appeals:
Highmark Wholecare
Attn: Member Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222
Fax: 412-255-4503

Fraud, Waste and Abuse:

If you suspect Fraud, Waste or Abuse please click here.

Medicare Benefits

For information regarding your specific benefits, click here.

Medicare D-SNP Sales Team

To find a Sales rep to help you with Wholecare's Medicare D-SNP plans click here.

Holiday Schedule

Please be aware that our offices are closed on the following holidays. If an answering service is reached, please leave a message and your call will be returned as soon as possible.

  • New Year's Day
  • Martin Luther King, Jr. Day
  • Memorial Day
  • Independence Day (observed)
  • Labor Day
  • Thanksgiving Day
  • Day After Thanksgiving
  • Christmas Eve (observed)
  • Christmas Day (observed)

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If you have encountered any problems with our website or would like to make suggestions, please complete the form below.

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Do not use this form to ask questions about your health coverage or share personal health information. If you have questions, call Member Services at 1-800-392-1147 TTY 711.

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