When you enrolled in your Blue Cross of Northeastern Pennsylvania health insurance plan, you received a member handbook kit*. Blue Cross of Northeastern Pennsylvania is now Highmark Blue Cross Blue Shield, but your coverage will not change for 2015—you have the same coverage, benefits and out-of-pocket costs until you renew for 2016. Your member handbook kit is designed to make your health insurance plan easier to understand and use. It includes your Policy/Contract, Outline of Coverage, plan documents that explain covered services, along with other important information about your coverage and benefits.
Below are links to resources within your handbook kit that you can download or print. If you would like a replacement handbook kit sent to you, or if you need a copy of your Policy/Contract or Outline of Coverage, call Customer Service at the number on the back of your ID card, weekdays, between 8 a.m. and 5 p.m. and we’ll get one right out.
About Your Member Handbook Kit
All member handbook kits include general information brochures and inserts, such as:
| Your Wellness Book— Explains how Blue Health SolutionsSM health management, care management and wellness and lifestyle resources can help you and your family to achieve better health|| Your Service Book—Gives you step-by-step instructions for using the many resources available on our website and explains how to get the most from our online Self-Service solution.|
| The Difference is Clear—Explains our commitment to quality care by showing how to find network doctors and hospitals using our online directory. And gives members tools that they can use to compare quality and cost for doctors/services and how they can rate doctors|| Notice of Privacy Practices—Tells you about our privacy practices, our legal duties and your rights concerning your medical information|
Your member handbook kit also includes plan-specific brochures and inserts about your coverage and benefits, including:
| Your Blue Book— Helps you understand how your health insurance plan works.|| Your Member Handbook—Gives you a brief summary of your covered benefits and services, along with the preventative services that are covered—most at no cost to you.|
|Your Network Book— Explains how your plan’s provider network works—and how you can save money when you use in-network doctors, hospitals and providers.||Preventive Package/Schedule and Addendum—Lists preventive services that are covered by your insurance plan—most at 100%|
|Your Prescription Drug Brochure—Outlines your specific drug coverage and explains how the drug formulary works.|
To see these resource and more, just click on your health plan from one of the links below. Additional resources can also be found on My Insurance Plan—just select your health insurance plan or logon to Self-Service.
Remember, if you have health insurance through your employer, be sure to select “Group Insurance Plans” from the list below. Or select “Individual & Family Insurance Plans” if you are enrolled in one of our direct-pay individual health insurance plans.
*Policies and provisions described in the documents referenced here may not apply to all self-insured group plans.