We’ll help you find an Individual & Family plan that fits your personal health care needs and budget.
Eighty percent of Highmark ACA plan members qualify for extra savings. So, if you’re worried about paying for your health plan, we have two ways to help:
What are metal levels?
ACA plans are organized by metal levels.When signing up for a plan, you can choose how you want to split up your costs with your insurer. The quality of care is the same for every level.
Gold – Higher monthly premiums, lower out-of-pocket costs.
Silver – Moderate premiums and out-of-pocket costs. You must select this metal to utilize CSR.
Bronze – Lower monthly premiums, higher out-of-pocket costs.
Catastrophic – Only for people under 30 or for people undergoing certain hardships. Protects people from the large health bills that come with catastrophes, like being diagnosed with a complex illness.
Highmark Affordable Care Act (ACA) plans give you access to high-quality health care that’s always close to home. This year, you can also look forward to:
Need to refresh your memory on how ACA plans work? We can help.
We’ve been making health care better for over 80 years, so you can trust that we’ll be by your side in good times and in bad. Plus, your Highmark ACA plan gives you access to all kinds of perks and benefits.
Paying claims and your important plan information is always at your fingertips.
Get expert health advice from a licensedprofessional from anywhere, 24/7.
Talk to your doctor from the comfort of home on your phone, tablet, or laptop.
We’ll help you find a doctor, make appointments, transfer records, and more.
To help keep you healthy, your annual wellness visit is on us.
Sharecare helps you set health goals, find personalized resources, and track your progress.
We help you stay healthy with discounts on gym memberships, healthy meal services, and more.
Get help managing chronic conditions. Our nurse managers can help keep you on track with your plan of care and out of the emergency room.
There are two ways to buy an ACA plan: through the Exchange or outside the Exchange. Which one you choose depends on your personal needs and financial situation, but our licensed representatives can help you make the decision.
Buy Highmark through the Marketplace
These are Highmark plans that are bought through the federal or state government Marketplace, also called the Exchange. These plans offer extra savings to those who are eligible that can lower monthly premiums and out of-pocket costs.
Buy directly from Highmark
These plans are bought directly through Highmark and do not offer financial help. Additional plans may be available off the Exchange.
* $0 copays for all Tier 1 drugs on the Essential Formulary. Based on the top 100 non-voided, approved, in-network drug claims by Highmark ACA individual markets members in 2020.
** Per the Pennsylvania Insurance Department: ACA Rate Filings for 2022 Plans - Individual Market
Blues On Call is a service mark of the Blue Cross and Blue Shield Association.
Blue365 is a registered mark of the Blue Cross and Blue Shield Association.
Sharecare, RealAge Test and AskMD are registered trademarks of Sharecare, LLC., an independent and separate company that provides a consumer care engagement platform for Highmark members. Sharecare is solely responsible for its programs and services, which are not a substitute for professional medical advice, diagnosis or treatment. Sharecare does not endorse any specific product service or treatment. Health care plans and the benefits there under are subject to the terms of the applicable benefit agreement.