NaviNet Blue Alerts

Medicare Part B Copay Guidelines

Effective immediately, Highmark is modifying the co-payment guidelines it applies to certain Medicare Part B medications administered to Medicare Advantage members - those with coverage under FreedomBlueSM PPO and FreedomBlue PFFS (Private Fee for Service). The co-payment for these medications will now be administered as $2 per drug, per date of service. Details can be found in our upcoming May Provider Bulletin or today, at our BCNEPA Provider Center by clicking on the Medicare Advantage, choose Informational Mailings and then select Special Bulletins/Other Mailings.