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Medicare Offerings

In case you haven’t heard the good news, there will be minimal or no monthly premium increases on most 2017 Highmark Medicare Advantage plans. This will make it easier to retain your book of business and allow an opportunity for you to enroll New-to-Blue members.

2017 Key Benefit Changes include:

  • More robust non-emergency transportation benefit
  • Preferred Pharmacy Network pilot on four plans
  • Lower prescription drug copays ($0 preferred generics on several plans)
  • Continuation of Routine Vision, Dental, Hearing, Chiropractic, and Podiatry on all plans

2017 Plan Terminations

Western PA

  • Members in the Security Blue HMO plan in Potter county ONLY will be terminated effective January 1, 2017
  • Freedom Blue PPO will continue to be offered in Potter county

West Virginia

  • Members in the Freedom Blue PPO Value Rx plan will be terminated effective January 1, 2017

This is an opportunity for you to reach out to existing members to enroll them in a new plan that best fits their needs.

Non-emergency Transportation Benefit

Highmark will be providing an enhanced non-emergent transportation benefit that will include up-to 24 one-way routine trips for non-emergency, medical-related purposes such as doctor visits; appointments for dental, vision, hearing, and behavioral health services; and visits to pharmacies to pick up prescription drugs within a 50 mile limit. To obtain prior authorization and schedule a pickup, please call Member Services at the number on the back of the member’s Highmark ID card.

Preferred Pharmacy Network

  • Community Blue Medicare HMO Signature (Western PA only), Security Blue HMO ValueRx, Blue Rx PDP Plus and Blue Rx PDP Complete will be piloting a new Preferred Pharmacy Network
  • In most cases, members who choose to use a standard network pharmacy will continue to pay the prescription drug copays they are accustomed to
  • Members who choose to use a preferred network pharmacy will pay lower copays for their prescription drugs
    • Some preferred network pharmacies include Walgreens, Rite Aid, Walmart, Sam’s Club, K-Mart, Costco and Express Scripts

Click the button below to download Highmark’s 2017 Medicare plan information for your reference. We are looking forward to a successful AEP!