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As
you probably know, the Pennsylvania
Supreme Court recently decided to end Highmark’s Medicare
Advantage Security Blue HMO and Freedom Blue PPO members’ in-network
access to UPMC hospitals in Pittsburgh and Erie at the end of 2018.
As a result, we have scheduled several member meetings throughout
Western Pennsylvania to help educate
our members on the impact this court ruling will have on their future.
We encourage you and your
clients to attend a meeting before AEP. Below is a brief
overview of the topics that will be covered at the meeting:
- Information you
need to know about the Highmark/UPMC Court Ruling
- Benefit Education
- Emergency Care at
out-of-network hospitals
- How to use out of
network benefits
- Balance Billing is
prohibited in Pennsylvania
- Brief overview of
different Medicare Advantage plan types (HMO, HMO-POS, PPO,
PFFS)
- Resources for
transitioning providers
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