SPECIAL CIRCUMSTANCE PRODUCTS

Special Circumstance Products

Conversion Coverage

Are you losing your group coverage from a Highmark insurance plan, or your coverage from CHIP?

Individuals or families losing group coverage from a Highmark group plan may be eligible for a conversion product. These plans provide retroactive coverage to the date your group plan ended.

IMPORTANT: You have a limited amount of time to apply for a conversion plan, or your will lose your right to this coverage.

To find out if you might be eligible for a conversion plan, call the number on the back of your insurance card.

HHIC Shared Cost Blue PPO Bronze 7500

Highmark Health Insurance Company (HHIC) Conversion Program

For enrollees who live in (Adams, Centre, Columbia, Fulton, Juniata, Lebanon, Mifflin, Montour, Northumberland, Snyder, Union, and York counties. This PPO plan gives you the freedom to choose the doctors and hospitals you want. You can receive care in the network at the higher level of benefits, or you can choose to receive care out-of-network at the lower level of benefits.

Need more information? Call: 1-877-959-2558

my Direct Blue EPO Bronze 4000

Highmark Health Insurance Company (HHIC) Conversion Program

For enrollees who live in Perry, Lancaster, Berks, Cumberland, Dauphin, and Franklin counties. This is an Exclusive Provider Programs (or, Organizations) (EPO) plan. An EPO health care plan provides benefits when care is received from network providers, and for emergency care when received at either network or out-of-network providers.

Need more information? Call: 1-877-959-2565

my Direct Blue Lehigh Valley EPO Bronze 4000

Highmark Health Insurance Company (HHIC) Conversion Program

For enrollees who live in Lehigh, Schuykill, and Northampton counties. This is an Exclusive Provider Programs (or, Organizations) (EPO) plan. An EPO health care plan provides benefits when care is received from network providers, and for emergency care when received at either network or out-of-network providers.

Need more information? Call: 1-877-959-2558


HIPAA Conversion Coverage

The Health Insurance Portability Act (HIPAA) of 1996 offers transitional health care coverage for those that meet eligibility requirements.

If you have recently lost coverage from an insurer other than Highmark and want to avoid a lapse in coverage, you may be eligible for a HIPAA program.

Specific provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) were designed to provide access to individual health insurance coverage for certain eligible individuals who previously had coverage through a group, government or church health plan. Highmark complies with HIPAA regulations by offering individual plans to all HIPAA eligible applicants.

Applicants have 63 days from the date on which their prior coverage through an insurer (other than Highmark) ended to apply for the Highmark HIPAA product. The effective date for the HIPAA policy is effective as of the termination date from the applicant’s last eligible prior plan coverage. There are no pre-existing condition limitations.

In addition to completing the application, HIPAA eligible applicants must also complete a HIPAA Eligibility checklist and a HIPAA Prior Coverage Disclosure and Authorization.

You can get more information and request an application at one of our Highmark health insurance stores or by calling 1-888-529-8978.

Shared Cost Blue PPO 7500

Highmark Health Insurance Company (HHIC) HIPAA Conversion Program

This PPO plan gives you the freedom to choose the doctors and hospitals you want. You can receive care in the network at the higher level of benefits, or you can choose to receive care out-of-network at the lower level of benefits.

This Highmark Health Insurance Company (HHIC) Shared Cost Blue PPO 7000 is a HIPAA eligible plan for enrollees who live in Adams, Centre, Columbia, Fulton, Juniata, Lebanon, Mifflin, Montour, Northumberland, Snyder, Union, and York counties.

my Direct Blue EPO Bronze 4000

Highmark Health Insurance Company (HHIC) HIPAA Conversion Program

This Highmark Health Insurance Company (HHIC) my Direct Blue EPO Bronze 4000 is a HIPAA eligible plan for enrollees who live in Perry, Lancaster, Berks, Cumberland, Dauphin, and Franklin counties. This is an Exclusive Provider Programs (or, Organizations) (EPO) plan. An EPO health care plan provides benefits when care is received from network providers, and for emergency care when received at either network or out-of-network providers.

Need more information? Call: 1-877-959-2558

my Direct Blue Lehigh Valley EPO Bronze 4000

Highmark Health Insurance Company (HHIC) HIPAA Conversion Program

This Highmark Health Insurance Company (HHIC) my Direct Blue Lehigh Valley EPO Bronze 4000 is a HIPAA eligible plan for enrollees who live in Lehigh, Schuylkill, and Northampton counties. This is an Exclusive Provider Programs (or, Organizations) (EPO) plan. An EPO health care plan provides benefits when care is received from network providers, and for emergency care when received at either network or out-of-network providers.

Need more information? Call: 1-877-959-2558