Our Value

Find out how you could get more value for your health care dollar with our high-performing network, integrated Rx benefits, health management programs, and cost management strategies.

Better health care. Controlled costs. Real Proof.

High-Performing Network

With national reach and 4x the number of providers participating in value-based programs as the competition, our Blues® Plans combine access, quality, and affordability.

Rx and Medical Integrations

Highmark’s on-staff pharmacists use real-time medical and prescription data to reduce harmful drug interactions. So your employees stay safe and costs stay under control.

Cost Management

From identifying overpayments to investigating fraud, our extensive step-by-step payment integrity process helps ensure claims are legitimate, appropriate, and accurately paid.

Health Management

Working with leading providers such as Johns Hopkins Kimmel Cancer Center, Highmark is establishing new best practices in cancer care—saving lives and dollars.

True Performance gives providers the tools they need to deliver higher-quality preventive care. This helps keep your employees healthy and avoid costly emergency care. See what participating doctors and nurses have to say.

Better Value Care

Be an employer that offers employees access to convenient, high-quality primary care providers (PCPs) and specialty care with affordable Highmark health plans.

Social Determinants of Health

Education level, home life, and other social factors can have a big impact on the health of your employees. We can connect you to resources that address social determinants of health to help keep your employees, and your bottom line, healthy.

College Tuition Benefit

Your employees save money for their loved one's college education just by enrolling in Highmark medical and dental plans. The College Tuition Benefit (CTB) is like a scholarship program that lets them reduce the cost of tuition by as much as 25% at over 400 participating colleges and universities. Click above or contact your Highmark representative to learn more about this great program.

Well360 Connect: Reducing costs. Improving employee health.

We’ve got proof when it comes to the power of preventive care. Our newest white paper shows that members participating in our enhanced clinical care management and advocacy model, Well360 Connect, have better health outcomes. For example, enrolled members visit emergency departments less frequently and increase their use of preventive care. Not only that, but Well360 Connect reduces medical care costs compared to non-enrollees. It’s real savings that makes a real difference in the health of your employees.

Our recent study found:

Enrollees had significantly lower rates of inpatient admission and filed fewer claims.
Enrollees had improved compliance with recommended preventive care.
Total cost-of-care savings for members enrolled in Well360 Connect was $30 per member per month (9% lower costs than non-enrolled members).

Download the study white paper here:

Western Pennsylvania white paper

Central Pennsylvania white paper

Delaware white paper

West Virginia white paper

Want to find out how Highmark can deliver more value for your health care dollar?

As health care costs keep rising, we know you expect better care for your employees. But in addition to quality, you’re concerned about how to control costs long-term. As part of the 2nd largest Integrated Delivery and Financing System (IDFS) in the country, and through our extensive clinical collaborations—we’re delivering better care for less.

How? We improve the value of your coverage in several ways:

Our High-Performing Network
Integrated Rx and Medical Benefits
Health Management
Cost Management

Highmark is dedicated to improving access to care, providing a standout customer experience, and ensuring high-quality and safe outcomes for our members, all at a better value for you and your employees.

Stay Connected

Help your employees take advantage of all their health plan has to offer, including our member portal, online tools, and member discounts.

CONNECT WITH US

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are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Important Legal Information: Health benefits or health benefit administration may be provided by or through Highmark Blue Shield or one of its affiliated Blue companies, which are independent licensees of the Blue Cross Blue Shield Association. Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companies serve Blue Shield members in the 21 counties of central Pennsylvania. As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Inc. or certain of its affiliated Blue companies serve Blue Cross Blue Shield members in the 29 counties of western Pennsylvania, 13 counties in northeast Pennsylvania, the state of West Virginia plus Washington County, Ohio, and the entire state of Delaware. Information on this website is issued by Highmark Blue Shield on behalf of its affiliated Blue companies.

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The information provided is intended to provide general information only and does not attempt to give you advice that relates to your specific circumstances. State laws and regulations governing health insurance and health plans may vary from state to state. Further, any information regarding any health plan will be subject to the terms of its particular health plan benefit agreement and some health plans may not be available in every region or state.