Highmark

Highmark: Individual Health

New Agent Contracting: Highmark -- Individual & Group Health Contract

Website: www.highmarkbcbs.com

Highmark News

May 11th, 2012

Highmark Individual Sales Update Webinar

Highmark Blue Cross Blue Shield and Highmark Blue Shield would like to invite all of their agents to join them for a webinar to review updates to  their medically underwritten products.

One key update that will be discussed on the webinar is the addition of rating-tiers to their underwriting guidelines.  Highmark will be going from a four-tier rating system to a seven-tier rating system effective August 1, 2012.

For more information on this webinar, please see our Training Calendar.

May 8th, 2012

Insurers Respond to New Contract Agreement

As reported in our May 2nd article, Highmark, UPMC Reach Agreement, UPMC Health Plan and Highmark, Inc. have reached an agreement to extend the existing relationship between the companies through December 31, 2014.  UPMC Health Plan and Highmark have both responded to the agreement through their Producer Update Newsletters.

UPMC Health Plan’s release to the broker community cited articles published by the Wall Street Journal and Pittsburgh Business Times in regards to the new agreement.  To view the complete announcement by UPMC Health Plan, please see UPMC’s Producer Update - UPMC-Highmark Contract Agreement Update.

Highmark Inc.’s release to the broker community contained the key message points of the agreement.  In addition to the broker community release,  a letter from Deborah L. Rice, Division President, Health Services and Executive Vice President, Highmark was also released to all Highmark members.  To view the complete announcement by Highmark, please see Highmark Update – Highmark-UPMC Contract Agreement Communications Update.

Please contact Mary Ann Cannon, Patti DeSimone, or Christine Kaercher at 800-562-7733 with any questions that you may have.

May 2nd, 2012

Highmark, UPMC Reach Agreement

At a 12:30 pm news conference today, Governor Tom Corbett announced that Highmark & UPMC have reached agreement on a deal that resolves many of the issues regarding the expiration of their provider services contract.  Highlights of this agreement include:

  • The agreement provides In-Network access to all UPMC facilities & physicians for Highmark Commercial & Medicare Advantage members.
  • The agreement extends the current relationship until December 31, 2014.
  • Highmark & UPMC will be negotiating a separate contract for unique UPMC services which will begin in 2015.
  • Highmark has agreed to not seek further governmental intervention under Act 94 in order to force further contractual relationships.

Full details of the agreement can be read in the joint press release issued today by Governor Corbett’s office — 2012 - Highmark & UPMC Reach Contract Agreement (68)

May 1st, 2012

Highmark Files Rate and Benefit Changes With PID

Highmark Blue Cross Blue Shield and Highmark Blue Shield have announced that they have filed benefit and rate changes with the Pennsylvania Insurance Department (PID).  These benefit and rate changes are proposed for October 1, 2012 for the following medically underwritten programs:

Blue Cross Blue Shield

  • Direct Blue Preferred Provider Program
  • PPO Blue High Deductible Health Plan
  • Advance Blue Preferred Provider Program
  • Simply Blue Preferred Provider Program
  • Short Term Blue (benefit changes only)
  • Keystone Blue HMO (rate change only)
  • Complete care (rate change only)

Blue Shield

  • Direct Blue Preferred Provider Program
  • PPO Blue High Deductible Health Plan
  • Advance Blue Preferred Provider Program
  • Simply Blue Preferred Provider Program
  • Short Term Blue (benefit changes only)

Specific details pertaining to the benefit and rate changes will be provided as soon as Highmark Blue Cross Blue Shield and Highmark Blue Shield receive approval from the PID.

Should you have any questions, please contact Mary Ann Cannon, Patti DeSimone, or Christine Kaercher at 800-562-7733.

 

April 20th, 2012

Highmark Releases Pre-Approved Marketing Materials

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About Highmark

Highmark, Blue Cross Blue Shield covers the western 29 counties of Pennsylvania with high quality health insurance. Highmark, Inc. has the largest number of PA residents as members, confirming the fact that Highmark has the doctors and the plans that can help you. In your search for coverage, you might find it seems confusing: Highmark BCBS of PA wants to help you find the plan that is best for your circumstances.