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Speak to a Medicare Advisor

To speak with a Medicare Advisor, please call: 1-844-593-0265

 

Request a Call

Have a Highmark Medicare Advisor call you to answer your specific Medicare questions, provide an expert evaluation of your current situation and advise you on selecting the right plan. All at no cost.

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Get a Planning Guide

Our Planning Guides include in-depth plan materials, including a handbook, summary of benefits, prescription drug formulary, reference information, enrollment application - and more!

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Attend a Medicare Options Seminar

Learn about how Medicare works at one of our helpful community seminars. Each Medicare Options Seminar is hosted by a knowledgeable Highmark Medicare Advisor, who can answer your personal questions.

Learn More

 

Contact Highmark

Have questions about benefits or claims? Or need support in your language?

Please call: 1-855-446-4771 Or The number on the back of your member ID card 8:00 AM - 8:00 PM 7 days/week TTY: Dial 711.

We provide free accommodations for those with disabilities. TTY users call 1-800-452-8086 or dial 711.

If you have a technical question about this website, please call 1-800-652-9459.

 

Producer Hotline

800-652-9459, followed by option 2 for ACA Individual Business

For benefits, claims, or application status, select option 1

Alternately, e-mail federalproducer@highmark.com. 

For onboarding, training, Portal password resets, or commissions, select option 2

Alternately, e-mail ACASalesSupport@highmark.com. 

Producer Portal Assistance

If you have a technical issue using the Producer Portal, call 1-866-306-1059 

For assistance with password resets, call 877-298-3918 (option #3) 

PA, WV, DE - Producer Contacts

Appointment and Commissions Questions: HighmarkChannelCompensation@highmark.com

Producer Hotline: 1-800-652-9459 or federalproducer@highmark.com; Contact the producer hotline for the following inquiries:

·       Medical policy questions

·       Pre-authorization questions

·       The eligibility of a specific procedure

·       Pharmacy related claim or benefit inquiry

·       Questions on specific claim rejection reasons

·       Confirmation of Benefits, including copays, deductibles, coinsurance, out-of-pocket maximums, etc.

·       Producer portal questions

Producer Portal Issues:

Web Support – 1-866-306-1059

Login & Password Resets – 1-800-652-9459

Enrollment & Billing: 1-866-763-9469 or enrollmentandbilling@highmark.com

Small Group New Sales: 1-412-888-1361 

NY - Producer Contacts

Producers:

Password Resets

For Producers:  800-652-9459

Senior Markets Application Status

HNY_Federal_E_&_B@highmark.com

 

Small Group and Large Group:

Technical Support and Password Reset

For Group Administrators:  877-298-3918

Password Resets

For Producers:  800-652-9459

Terms of Service     Legal and Policies    Non-Discrimination Policy    Mental Health Parity

 

®Highmark is a registered mark of Highmark Inc. 2024 Highmark Inc. All Rights Reserved. ®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.

Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association:

Western and Northeastern Pennsylvania: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life, Highmark Senior Health Company or Highmark Wholecare.

Central and Southeastern Pennsylvania: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company, Highmark Senior Health Company or Highmark Wholecare.

Pennsylvania: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.

Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.

West Virginia:  Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit https://www.highmarkbcbswv.com/networkaccessplan to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.

Western New York: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. 

Northeastern New York: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield. 

Highmark Blue Cross Blue Shield and Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.

United Concordia is a separate company that provides the provider network for Blue Edge Dental and administers dental benefits.

Attention:  This website is operated by Highmark and not the Insurance Exchanges relative to your state.  This website does not display all Qualified Health Plans (“QHPs”) that may be available to you.  To see all available QHP options in West Virginia & Delaware, go to the Health Insurance Marketplace® website at HealthCare.gov. To see all available QHP options in Pennsylvania, go to the Pennsylvania Health Insurance Exchange website at https://pennie.com/. To see all available QHP options in New York, go to the New York State Office of Health website at https://nystateofhealth.ny.gov/"

We are committed to providing outstanding services to our applicants and members. If you require special assistance, including accommodations for disabilities or limited English proficiency, please call us at 1-800-876-7639 or TTY at #711 to receive assistance free of charge.

Highmark Inc. is a Qualified Health Plan issuer on the Health Insurance Marketplace.

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