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Help your clients find a plan with Highmark. You can find plans on the Insurance Exchange or purchase directly with Highmark.

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Find plans on the Insurance  Exchange

On Exchange

Quote and submit an application off-exchange (Highmark plans) only.

Find Health Care Providers

Highmark has healthcare providers that meet your needs.

 

A formulary is a list of drugs covered by an insurance plan. A drug’s formulary status may affect how much you pay for each drug. The "HCR Progressive", "Essential Formulary", and "HCR Comprehensive" buttons will show you the different formularies for Highmark insurance plans. Your formulary will depend on the plan you select. Please read each plan’s summary to determine the formulary that applies to your plan."

Post-Reform Links

HCR Progressive

HCR Comprehensive

Essential Formulary

 

 

 

Want to find a pharmacy near where you live or work? Use our network pharmacy locator to find your most convenient options. Your plan information details which network -- National Plus, Walgreens National, Advantage or Medicare -- is part of your benefit

For Plans effective January 01, 2023

Locate a Advantage Network Pharmacy

Locate a Medicare Standard Network Pharmacy

Locate a Medicare Preferred Network Pharmacy

Locate a National Network Pharmacy

Locate a National Plus Network Pharmacy

Locate a Walgreens National Network Pharmacy

For Plans effective January 01, 2022

Locate a Advantage Network Pharmacy

Locate a Medicare Preferred Value Network Pharmacy

Locate a Medicare Network Pharmacy

Locate a National Network Pharmacy

Locate a National Plus Network Pharmacy

 

Please note: These pharmacies participate in our standard pharmacy network; pharmacy participation can vary depending on the pharmacy network selected for your plan design

Find a Pharmacy

Want to find a pharmacy near where you live or work? Use our network pharmacy locator to find your most convenient options. Your plan information details which network -- National Plus, National, Walgreens National, Advantage, Medicare Broad Performance or Medicare Preferred -- is part of your benefit.

To locate a CHIP Pharmacy (please contact 1-800-543-7105 for assistance with finding a CHIP PROMISe ID enrolled Network Pharmacy.)

  

For Plans Effective January 01, 2021

Locate a National Plus Network Pharmacy

Locate a National Network Pharmacy

Locate a Walgreens National Network Pharmacy

Locate an Advantage Network Pharmacy

Locate a Medicare Standard Network Pharmacy

Locate a Medicare Preferred Network Pharmacy

 

For Plans Effective January 01, 2022

Locate a National Plus Network Pharmacy

Locate a National Network Pharmacy

Locate a Walgreens National Network Pharmacy

Locate an Advantage Network Pharmacy

Locate a Medicare Broad Performance Network Pharmacy

Locate a Medicare Preferred Network Pharmacy

 

Please note: Members with coverage through their employer should log in for all network pharmacy options. If you know the name of your network, click here to find a pharmacy.

These pharmacies participate in our broad performance pharmacy network; pharmacy participation can vary depending on the pharmacy network selected for your plan design.

Dental health is important to your overall well-being. Check your plan information to determine which Dental network is part of your coverage.

For Blue Edge individual plans in Western Pennsylvania service area, use Advantage network.

For Blue Edge individual plans in Northeastern Pennsylvania service area, use Advantage Plus network.

Blue Edge employer sponsored plans, review your open enrollment kit or benefits booklet to confirm your network. Advantage , Advantage Plus , Advantage Plus 2.0 , Alliance , or Elite Plus.

You will be leaving the Highmark website and entering the United Concordia website to view the provider directory. United Concordia provides the provider network for Blue Edge Dental and is a separate company that administers dental benefits.

SEE WHAT’S COVERED

Drug lists, or formularies, are based on which type of plan you have.

If you’re unsure which list to choose, check with your employer, review your benefits booklet, or call the number on the back of your member ID card.  You can also login to the member portal to access your plan’s formulary.

Choose from this list if:

You got your health plan through your employer.

Your health plan is an ACA (Affordable Care Act) plan.

You have a Medicare plan.

You have a CHIP plan.