Conemaugh Region Flex Blue
Teaming up to Transform Care
Highmark Blue Cross and Blue Shield and Conemaugh Health System are working together to provide affordable, high-quality care that's closer to home—and your employees get more control over their health care.
Value-Based Care, Pure and Simple
The right care at the right time
Conemaugh Health System is coordinating with other aligned providers to shared advanced analytics, adopt proven protocols, and deliver better patient experiences.
Incentivized quality of care
Highmark's True Performance program rewards doctors for value, not volume. That's helped reduce ER visits by about 10% and hospital admissions by about 17%.*
Innovative coverage option
Multilevel benefit design provides more value for your health dollar over other broad networks.
An accessible, high-quality network
Your employees enjoy access to excellent care providers close to where they live and work.
Local Providers Participating at the Enhanced Value benefit level include:
- Conemaugh Memorial
Medical Center - Conemaugh Miners
Medical Center - Conemaugh Meyersdale
Medical Center - Conemaugh Nason
Medical Center
Out-of-Area Providers Participating at the Enhanced Value benefit level include:
- Allegheny Health Network
- Penn State Health
- UPMC Children's Hospital of Pittsburgh
One Plan. Two levels of Coverage.
Conemaugh Region Flex Blue gives your employees a choice between providers that participate at two benefit levels – Enhanced Value and Standard Value – a powerful way to control costs without sacrificing quality.
Standard Value
Offers additional network provider options. Out-of-pocket costs are generally higher than at the Enhanced Value level of benefits
Out-of-Network+ (PPO plans only)
Members often pay the most out-of-pocket when they use out-of-network providers for non-emergency care.
High-Quality Care Close to Home
Conemaugh Region Flex Blue offers convenient, in-network access for members living and working in Somerset, Cambria, and Blair counties.
Plus, the BlueCard® program
gives your employees access to the largest health care network in the U.S. —
with in-network access to 96% of hospitals and 95% of doctors nationwide.**
Give Your Employees Better Health and Wellness Tools
Sharecare
An innovative health app that gives personalized insights and tools to help employees live healthier lives.
Member discounts & rewards
Blue365® offers members-only discounts and services, while various aligned incentive programs reward employees for making healthy lifestyle changes.
On-demand health coaching
Employees can talk to specially trained nurses about their health questions any place, any time.
Virtual Medicine
For minor injuries and illnesses, employees can talk to a doctor in real time via smartphone or PC.
Find a Doctor
Quickly and easily find in-network doctors and facilities in your area.
More reasons to choose Conemaugh Region Flex Blue
- All emergency care, plus in-network care for mental health or substance abuse, is always covered at the Enhanced Value benefit level.
- Preventive services are generally covered at 100% for in-network providers.++
- No referrals necessary for specialist visits.
* Results based on potentially avoided costs due to lower rates of emergency department utilization and hospital admissions from January 2017 through July 2018 for primary care physicians in Highmark's True Performance value-based reimbursement program.
** According to the Blue Cross and Blue Shield Association
+ The Conemaugh Region Flex Blue product will use the Conemaugh Region network. All western Pennsylvania UPMC providers will be out of network except for UPMC Children's Hospital of Pittsburgh, UPMC Somerset, and UPMC Cole. Check the provider directory to find in-network providers.
++ Most plans cover many preventive screenings with no in-network out-of-pocket costs. Check your benefit booklet to see what's covered under your health plan.
Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross Blue Shield Association.
BlueCard and Blue365 are registered trademarks of the Blue Cross Blue Shield Association.
Sharecare is a registered trademark of Sharecare, LLC., an independent and separate company that provides a consumer care engagement platform for Highmark members. Sharecare is solely responsible for its programs and services, which are not a substitute for professional medical advice, diagnosis or treatment. Sharecare does not endorse any specific product service or treatment. Health care plans and the benefits thereunder are subject to the terms of the applicable benefit agreement.
