Health Care Reform Information

We have information about Health Care Reform designed just for you—so that you can learn more about the Affordable Care Act, find answers to your questions and help educate your patients on the importance of health insurance and how to use it.

Open Enrollment ended February 15, 2015. Keep in mind, some of your patients may be enrolling in ACA Plans for the first time. This means patients without health insurance, will have to wait until the next open enrollment period to buy a plan—unless they have a special circumstance that qualifies them for a "special enrollment period." Keep in mind, Blue Cross of Northeastern Pennsylvania is now Highmark Blue Cross Blue Shield. This means Blue Cross of Northeastern Pennsylvania coverage will continue until our members renew for 2016.

Your patients can learn more about the ACA, the importance of health insurance, tips on shopping for health insurance, when to shop and how to use their coverage on our Health Care Education Center at or by visiting

What You Need to Know

The brochures below are designed just for providers so that you can understand how the ACA will affect you, your practice and your patients.

A Timeline for Your Practice and Patients Accurate Coding and Documentation
What You Need to Know About Our New Health Insurance Plans  

For your Patients

Educate your patients about the ACA and health insuranceójust download and print these brochures for your patients to read.

What You Need to Know About Special Enrollment How Provider Networks Work
Health Insurance May Be More Affordable Than You Think

Network Maps for Your Patients

Your patients with any Blue Cross of Northeastern Pennsylvania plan will get the greatest value when using in-network providers, like you, for their care. Encourage your patients to use in-network doctors and hospitals whenever possible in order to avoid higher out-of-pocket costs. Check the network map for your patientsí plan to find doctors and hospitals in your patientís service area.

PPO Network Map for BlueCare® PPO, BlueCare QHD PPO, myBlue® Choice, myBlue Choice LP and my Blue Cross, a Multi-State Plan Custom PPO Network Map for BlueCare Custom PPO, BlueCare QHD Custom PPO, myBlue® Access and myBlue Access LP
Tiered Custom PPO Network Map for myBlue Care and AffordaBlueSM EPO Network Map for BlueCare EPO
Traditional Network Map for BlueCare Traditional HMO Network Map for BlueCare HMO
HMO Plus Network Map for BlueCare HMO Plus