Quality Network Access

At Highmark, we understand how important it is for your employees to find excellent, local options for the care they need. With that in mind, our provider network works with our flexible plan designs to strike the right balance of access, care quality, and affordability for your organization.

A Flexible, High-Performing Provider Network

Data from the Blue Cross Blue Shield Axis system helps us identify providers who fit your organization’s health care and geographic needs. Using this powerful system, we’re able to find a plan to fit your goals, boosting affordability and access to quality care.

Customized Health Care Solutions to Fit Your Employees’ Real Lives

Highmark tailors plans for a diverse workforce, offering:

Region-specific plans that offer access to local provider networks, with up to 15% savings on care costs
Cost incentives to get complex specialty care at Centers of Excellence, recognized for care quality and cost efficiency, with 15% - 25% savings per visit and a concierge service to assist with travel, if needed¹
Ability to customize Centers of Excellence for one or more specialty care areas specific to your employees’ needs and location²
Custom tiers and benefits for our “Flex” plans, encouraging your employees to use the highest-performing providers based on cost and quality, with a focus on acute care and ambulatory surgical centers
Coverage options for employees working or traveling outside the U.S., offering access to 7,000 providers in 190+ countries

Benefits of the National BlueCard^® Program

Your employees have access to the BlueCard® PPO Network, which includes 96% of hospitals and 95% of doctors in the country, spanning every ZIP code

It is also the most cost efficient network, with a monthly savings of $53 per member per month compared with competitors ³

It’s not only cost-effective, but forward-thinking as well, with access to a growing number of doctors and hospitals that are paid based on the efficiency and effectiveness of the care they provide

Giving doctors the tools they need to improve care and control costs

Over 70% of in-network PCPs participate in Highmark’s True Performance program, one of the largest value-based care programs of its kind. Find out how it can help you save.

¹BCBSA. Available to Administrative Services Only (ASO) clients in select regions in 2018. One of the Blue Distinction High Performance Network Solutions.

² Feature available to Administrative Services Only (ASO) clients.

³ BCBSA. Savings based on preliminary estimates and depends on the degree of steerage and plan design selected. BlueCard ^® is a national program that enables members of one Blue Plan to obtain health care service benefits while travelling or living in another Blue Plan’s service area.

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 contained on this website regarding the Patient Protection and Affordable Care Act of 2010 (“PPACA”), as amended, and/or any other law, does not constitute legal or tax advice and is subject to change based upon the issuance of new guidance and/or change in laws.

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.