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My Insurance Plan

Blue Cross of Northeastern Pennsylvania is now Highmark Blue Cross Blue Shield. But, you still have the best in health insurance and your Blue Cross of Northeastern Pennsylvania coverage, benefits and out-of-pocket costs will stay the same until you renew for 2016. Your same Blue ID card is your VIP pass to get top quality care from the same network of the most respected doctors and hospitals. Just choose your plan on My Insurance Plan and get the details on what your plan covers—including preventive care, low-cost doctor visits, prescription drugs. Hospitals stays and health and wellness resources—see how easy it is to use your coverage and know how to stay in-network for the lowest out-of-pocket costs. You can also get a copy of Your Member Handbook which gives you a brief summary of your covered medical benefits and services and lets you know what you’ll pay for are from in-network doctors and those not in-network.

Find a Doctor/Hospital

Your Blue Cross of Northeastern Pennsylvania coverage gives you access to the largest network of doctors and hospitals—ANYWHERE! Blue Cross of Northeastern Pennsylvania has a new name, Highmark Blue Cross Blue Shield, but your plan’s network will stay the same for 2015. A network is a group of doctors, hospitals and other health care providers that offer you covered medical care and services. When you use in-network doctors and hospitals, you will always save money because you will have access to all of your covered benefits at the lowest out-of-pocket costs for care. This makes it important to know your plan’s network. On Find a Doctor/Hospital, you get the tools you need to understand your network and find the right in-network doctors, specialists, hospitals and other medical facilities in our service area and across the U.S.

Self-Service

Everything you need to manage your 2015 coverage is at your fingertips 24/7 with Self-Service. You can see what plan you have, check your benefits, get an electronic ID card, check your claims to know what’s been applied to your deductible, see and print your Explanation of Benefits, view your out-of-pocket costs and pay your bill. With our Message Center, you can email Customer Service, anytime, day or night.

Health & Wellness

As a Blue member, you and your family can make smart decisions for a lifetime of better health with tools, support and encouragement from Blue Health SolutionsSM. This health and wellness resource is part of your Blue plan. You have your own personal health coach—a licensed health professional, registered nurse or dietician—to help you manage a chronic condition or stress, offer tips and more. Health professionals are always available by phone 24/7.

You also get exclusive discounts on fitness classes, nutrition counseling, massages, restaurants, travel and more.

Member News

We have the resources to help you get the most out of your health insurance plan. Learn how to get started with your Blue coverage on our Health Care Education Center. You can also check out DiscoverHighmark.com/individuals-families to learn more about health insurance and Health Care Reform. Stay informed on health, benefits, health care reform and member updates with our member newsletter, Health Matters. If you have kids enrolled in CHIP, Covered Kids will keep you informed on kid’s health issues. You can find recommendations for health screenings, exams and immunizations, along with information about our quality improvement measures in the Annual Health Guide.

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