What is Highmark Community Blue?

What is Highmark Community Blue?

The Community Blue Premier Flex network gives members: High quality, in-network care, with access to thousands of accepted doctors, hospitals and medical centers across Pennsylvania. Access to renowned children’s hospitals, The Johns Hopkins Hospital, Cleveland Clinic and other leading health care providers.

What is timely filing for Highmark?

within 365 days
Per the timely filing policy, any claim not received within 365 days of the last date of service will be denied for untimeliness. This policy applies to all Highmark Blue Shield providers.

Is Highmark Community Blue an advantage plan?

Community Blue Medicare Plus PPO is a Medicare Advantage Preferred-Provider Organization that gives you coverage for every need — health, prescription drugs, routine dental, vision, hearing, and preventive care.

What is Highmark Community Blue Flex PPO?

Community Blue Flex PPO is a tiered benefit design that maintains choice and gives you a greater opportunity for cost savings by offering two levels of in-network benefits: Enhanced Value Benefits and Standard Value Benefits. At both benefit levels, you receive high-quality care.

When a BCBS payer issues the same primary and secondary policies submit?

When the same payer issues the primary and secondary or supplemental policies, submit just one CMS-1500 claim.

In what counties is Highmark Community Blue Medicare Plus PPO offered?

Community Blue Medicare HMO will be available in Cumberland, Dauphin, Juniata, Lackawanna, Lehigh, Luzerne, Lycoming, Northampton, Perry, Sullivan, Susquehanna, Tioga, Wayne and Wyoming counties.

Is Highmark considered Medicare?

Highmark Insurance Plans Our insurance options include: Medicare: For those 65 and older or otherwise Medicare eligible we offer several Highmark Medicare Advantage plans including private health insurance (Part C), standalone prescription drug coverage (Part D) and Medigap supplemental insurance.

Does UPMC accept Highmark PPO Blue?

Understanding In-Network Access to UPMC UPMC provides most Highmark members with full, in-network access to UPMC hospitals, doctors, and services and accepts most major insurers, including Aetna, Cigna, Highmark, United Healthcare, and UPMC Health Plan.

Is Highmark BCBS nationwide?

Coverage when you travel: The same level of care and coverage nationwide from any participating Blue Cross and/or Blue Shield Medicare Advantage PPO provider or hospital. Coverage in 31 states and 1 territory, including Florida, California, the Carolinas, New York, Texas, Puerto Rico and more.

  • September 3, 2022