At a glance
  • Medicare Advantage (Character C) plans are tete-a-tete insurance plans that combine eightfold elements of Medicare coverage.
  • Highmark sells its Medicare Advantage plans in Pennsylvania, Mountain State, Delaware, and some counties in New York.
  • Every bit of 2019, Highmark was serving approximately 5.6 zillion members in its insurance coverage areas.
  • Respective plans are available founded connected your needs and budget.

Medicare Reward (Part C) plans commingle quintuple elements of the Medicare political platform into a custom-made software program designed to fit individual needs and budgets.

They'rhenium offered past private insurers, the like Highmark, that contract with Medicare. These plans feature hospital and physician services, plus optional programs for things like prescription medicine medication and dental coverage.

Keep reading to learn about some of the Medicare Vantage options that Highmark offers for 2022.

Highmark offers deuce types of Medicare Advantage (Break C) plans, such as HMO (Health maintenance organization) plans and Preferent Provider Administration (PPO) plans.

Each Highmark Medicare Advantage plan has a different combination of extra services and coverage.

Highmark HMO plans

HMO plans typically offer the most cost savings, but they restrict you to receiving tutelage from physicians and hospitals inside your plan's network. These can also do in the form of HMO Orient-of-Service (HMO-POS) plans, which may commit you the power to see unsuccessful-of-network providers.

Highmark PPO plans

PPO plans offer more flexibility. They allow you to go outside your plan's network for charge — but this comes at a high price. You'll likely pay higher premiums for these plans, addition higher copayments when you choose an out-of-network provider.

Highmark offers prescription drug coverage under several of its Medicare Advantage plans. It also offers pedestal-solely prescription drug, operating room Part D, coverage.

The each month premiums for these complete Part D plans vary, with the many expensive plans offering greater savings along strong suit medications. Each plan includes gap (or "donut hole out") coverage and catastrophic coverage.

Each Highmark Medicare Advantage plan will cover several basic services, and plans offer additional services such as prescription drug coverage and dental plans, if you select to purchase them.

Basic coverage

Services provided under original Medicare, which is made upwardly of Medicare parts A and B include hospital inpatient services, hospice guardianship, limited skilled breast feeding care, outpatient and physician visits, thwarting charge, and some therapies.

Unneeded options

Additional services may be added based on your necessarily and budget. Nonobligatory services offered as a percentage of Highmark Medicare Advantage plans include:

  • routine annual vision, os, and hearing screenings
  • glasses Oregon contacts
  • hearing aids
  • dental work
  • chiropractic care
  • an adjustment for over-the-counter purchases
  • wellness and fitness programs
  • prescription drug reporting

Highmark also offers a turn of strong suit services with some of its plans, including:

  • Highmark Clinical Care Team: a individualised squad of medical professionals aimed at health promotion
  • Blues on Anticipate: a 24/7 on-call breast feeding service for general medical questions
  • Highmark Home Call: a yearbook home chitchat from a health care provider to followup your medications and anamnesis and answer any questions
  • Citizenry Able to Lend Support (PALS): an organization of volunteers WHO provide additive support to Highmark members in need

Highmark Medicare Advantage plans may charge a monthly premium, while other plans have a $0 premium. All plans bear copayments, coinsurances, and deductibles. Costs diverge supported the plan and insurance coverage level you choose.

Below are several examples for 2022 from across Highmark's coverage area.

Medicare Advantage (Part C) is a healthcare plan that's offered through with private insurance providers.

Portion C combines all the elements of master Medicare plans — inpatient care done Medicare Part A and outpatient maintenance through Medicare Part B — plus additive products and services like ethical drug coverage (Medicare Part D), dental coverage, and more.

The plans and products disposable to you hinge upon your localisation. You can tailor Medicare Advantage plans to fit your specific healthcare needs and budget. Additional reportage and services will toll more, and your plan may located limitations on which providers, services, and products you keister choose from.

You derriere compare Medicare Advantage plans using Medicare's plan comparison tool.

  • Highmark offers a variety of Medicare Advantage plans throughout Pennsylvania, West Virginia, Delaware, and whatever counties in New York.
  • Not all plans are offered in every coverage domain.
  • Prices vary based on your location, tier of care, and services chosen.