2019 PLAN CHANGES

Blue Looks Good in 2019

Introducing a new simpler plan for 2019 — my Blue Access EPO. All 2018 members will be automatically enrolled into this new plan for January 1, 2019. You will receive more details by mail in early November.

 

NEW MY BLUE ACCESS EPO PLANS MAKE LIFE EASIER

We want you to feel 100% secure with your health insurance coverage. That’s why this year’s plan options were designed with you in mind. We’ve made some changes to simplify health care in a way that fits better with your busy life. In short, we’re making our plans easier to use.

Many of our plans for 2019 will include:

  • NEW lower annual deductibles
  • 2 free PCP visits
  • 2 free mental health visits
  • Free preventive care
  • NEW $5 Rx copay for many commonly used drugs

*All 2018 members will be automatically re-enrolled in a similar plan for 2019

Schedule a Call

Have questions? Schedule a call with a Highmark licensed representative to walk you through your plan options for 2019.

Schedule a Call or call now 844-629-7979

EPO Plans

EPO stands for Exclusive Provider Organization. You must stay within the network of doctors and hospitals for care, unless it’s an emergency. But don’t worry, every hospital in WV is in-network and 97% of doctors. With an EPO, you don’t need to choose a primary care provider and you don’t need referrals to see a specialist.

2019 Premium Changes

Understanding your Prescription Drug Formulary

We want to make sure that our plans provide the coverage you need and prescription drugs are an important part of that. The list of the drugs that your plan covers is called a “formulary.”

In 2019, Highmark plans will continue to use the Essential Formulary, which:

  • New for 2019: Offers $5 copays for many commonly used drugs (Tier 1) and includes both generic and brand name drugs
  • Groups drugs into four levels or “tiers.”
  • Saves you money when your doctor prescribes drugs on the lower tiers.
  • Lower tiers include generic drugs while higher tiers covers both brand-name and generic drugs
  • Is a closed formulary—your plan pays only for drugs listed.

If your doctor prescribes a drug that is not included in the Essential Formulary, you may have to pay 100% out of pocket.

Before you enroll in a plan, make sure your prescriptions are covered.