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P.O. Box 2675, Harrisburg, PA 17105-2675, Phone: (717) 787-1127, TTY/PA Relay 711, Fax: (717) 772-4366, or Email: [email protected]. You can file a complaint in person or by mail, fax, or email. If you need help filing a complaint, Highmark Wholecare and the Bureau of Equal Opportunity are available to help you.

For comparison, the average star rating for plans from all providers in 2024 is 4.04. Of the Highmark Medicare Advantage contracts with star ratings in 2024, all are rated 4 stars or higher. Hence ...Having a health plan means knowing what you want to achieve for your well-being. . Find the right plan that suits your needs and budget. view all plans. Login and unlock your Highmark health plan benefits. Our member guide and website provide everything you need to take charge of your health care.Highmark Wholecare offers comprehensive Medicare plans including Part D, Medicaid dual eligibility, and DSNP plans. ... The Goodness Rewards Program helps you earn gift card rewards for over 100 locations when you complete healthy activities. ... Last Updated: Oct 1, 2023. Customer Service 1-800-392-1147 TTY711 Member Portal ...Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center. 1 (800) 392-1147 TTY 711.Highmark Fitness. Every Highmark Medicare Advantage member can take advantage of the great services provided by the SilverSneakers® program, including free access to fitness and wellness programs at over 13,000 locations across the country. These services are also available to Medigap members who are also enrolled in Whole Health Balance.Provider, Highmark Wholecare employee, or self-referral by member. See numbers below: • Providers: Pennsylvania Providers 1-800-685-5209 • Member Self-Referral: Pennsylvania Providers 1-800-685-5209 • Highmark Wholecare employee(s) may refer via the established internal process.Highmark

Get Your Pennsylvania Medicaid Card. You should receive your Highmark Wholecare member ID card in the mail within two weeks of applying. You'll use it at the doctor's office, urgent care, in the emergency room and more. If more than two weeks have passed since you enrolled and you haven't received your card, give us a call at 1-800-392 ...Welcome to 2024 Open Enrollment! Open Enrollment starts on November 1, 2023 and runs through January 19, 2024. If you enroll by December 15th, the plan will take effect on January 1, 2024. If you enroll after December 15th, your plan will take effect on February 1, 2024.Expedited appeal requests can be made by phone to Highmark Wholecare's Member Services Department. • Toll Free: 1-800-685-5209 TTY users dial 711 Hours of operation: 8:00 a.m. to 8:00 p.m., 7 days a week from October 1 through March ... 9/11/2023 10:07:50 AM ...11/27/2023 . Highmark Wholecare was proud to sponsor the Thanksgiving Turkey and Fixins Giveaway at Belfield Recreation Center in Philadelphia on Nov. 18. Marvetta C., senior community engagement specialist, helped distribute the food to more than 100 individuals who were in need of a Thanksgiving meal.Highmark Wholecare - Hospital/Ancillary Credentialing Last revised: 10/2022 . Please fill out what specific services you provide. Please check all boxes that apply. This is important in how we list what services you offer in the directory. If site specific please repeat this page as many times as needed listing the address at the top.When you call, you’ll need to have your bill ready that has your 16-digit account number as well as the security code on the back of your Highmark Wholecare card. Important Reminders. Here are some important benefit details to know when using your utility support: Utility support is included in a 2023 Highmark Wholecare Diamond D-SNP.

Although Highmark's offices and customer support areas will be closed on these dates, trading partners will still be able to transmit and receive electronic transactions. Holiday. Date. New Year's Day . Monday, January 1, 2024. Martin Luther King, Jr. Day. Monday, January 15, 2024. Memorial Day. Monday, May 27, 2024.Kristina Cho’s new cookbook, “Mooncakes and Milk Bread: Sweet and Savory Recipes Inspired by Chinese Bakeries,” introduces world of Chinese baking. In a funny way, America’s quinte...Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711)Highmark Wholecare Medicare Assured Formulary Changes . November 1, 2021 . Dear Valued Provider, This notice is to inform you of changes to the Highmark Wholecare Medicare Assured formulary, effective January 1, 2022. To ensure that our members maintain continuity in their care, before the effective date ofThe Laboratory Management Program utilizes evidence-based policies, developed with trained experts, to ensure that the lab services provided to Highmark's members support clinically appropriate care and are medically necessary, in accordance with their benefit policy. Highmark requires prior authorization for several molecular/genomic tests ...Introducing the new Highmark Wholecare 34 Member Portal and Mobile app. Tin can glam. 35 Check out our events! 36 Happenings at the Connection Centers! 38 ... GOODNESS REWARDS . 1-800-539-5722 (TTY 711) OVER-THE-COUNTER (OTC) BENEFIT . 1-855-350-0074 (TTY 711) Monday through Saturday: 8 a.m. - 5 p.m.

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Highmark Health and its affiliates also manage community and employee programs as part of giving back to, reinvesting in, and strengthening our communities. Some of our best-known community and employee programs include: Highmark Walk for a Healthy Community The Highmark Walk for a Healthy Community, founded in 2003, is an annual fundraising ...DMOCS, LLC. Dynamic Rehab Solutions, LLC ElectroMed. Family Pharmacy of Olyphant. Limited Service Providers. Ferri Pharmacy FHP Pharmacy Services Fisher's Pharmacy Forest Hills Pharmacy Inc. Gaughn's Drug Store Giant Eagle Pharmacy Good Day Pharmacy H4H Hand and Upper Body Rehab Center Harrisburg Pharmacy Health Care Solutions Health Spectrum ...Contact Us. Free for anyone, call anytime for around-the-clock support. 1 (800) 392-1147 TTY 711. Get the latest news and information on health care and the community from the quarterly Highmark Wholecare Communicator Newsletter.Highmark Coding Tips is a periodic article that contains billing and coding best practices for professional and facility providers. Please refer to the Reimbursement Policy page for specific code edits used in Highmark's claims processing system. This publication focuses only on correct coding guidelines and tips to avoid common billing mistakes. For all other news, information and updates, be ...Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central …Wholecare Medicare Assured before you fill your prescriptions. If you don't get approval, Highmark Wholecare Medicare Assured may not cover the drug. • Quantity Limits: For certain drugs, Highmark Wholecare Medicare Assured limits the amount of the drug that we will cover. For example, Highmark Wholecare Medicare Assured provides 60 tablets

Following is the update to the Highmark Drug Formularies and pharmaceutical management procedures for January 2023. The formularies and pharmaceutical management procedures are updated on a bi- monthly basis, and the following changes reflect the decisions made in January by our Pharmacy and Therapeutics Committee.SilverSneakers encourages older adults to participate in physical activities and helps them maintain control over their health. This program has millions of members, thousands of gyms and classes for all interests and abilities. SilverSneakers may also be covered by Medicare part C. You can check to see if your Medicare plan covers this program ...You pay per benefit period a: $0 copay each day for days 1-90. $0 copay each day for lifetime reserve days 91-150. Depending on the service provided,you You pay per benefit pay between period a: $0 $250 copay copay and each 20%coinsurance. day for days 1-6. $0 copay each day for days 7-90.January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Highmark Wholecare Medicare Assured Diamond (HMO SNP) This document gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2023.In addition to medical, hospitalization and pharmacy benefits, some of our plans include extra benefits personalized to our member's needs. VIEW MEDICARE D-SNP BENEFITS AND PROGRAMS. Find caregiver resources available and offered by Highmark Wholecare Medicare plans including information on coverage, enrollment, and benefits.You can also call Member Services at 1-800-392-1147 (TTY 711). Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract.Highmark Wholecare’s Diamond plan members have access to a monthly amount of money to buy hundreds of healthy food items, including fresh produce. Every month, Diamond members will receive $135 which can be used to buy foods at select retailers, online or by the phone.Office of Inspector General (OIG) Reporting Issues. Call Highmark Wholecare Hot Line (calls may be anonymous): (412) 255-4340 or 1-844-718-6400. Write. Highmark Wholecare. Attn: Medicare Compliance Officer. PO Box 535191. Pittsburgh, PA 15253-5191. Last updated on 1/12/2024 9:29:14 AM.

2024 Food and Utility Benefits. Every month, Highmark, Wholecare Diamond and Ruby members will receive a monthly allowance to help with Food and Utility expenses. Diamond plan members will receive $175 and Ruby members will receive $35 a month. The monthly amount can be used as needed at select food retailers or on select utilities.

Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman Website Best ...Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman Website Best ...Highmark Wholecare's network.You need to follow the rules of your other insurance and Highmark Wholecare, such as prior authorization and specialist referrals. Highmark Wholecare will work with your other insurance to decide if it needs to pay for the services after your other insurance pays the provider irst.When you use links on our website, we may earn a fee. Highmark Wholecare Medicare Assured Ruby H5932-009 (HMO D-SNP)Highmark Bright Blue Futures is the organization's charitable giving and community involvement program. This series provides in-depth articles on its work, community partners, and leaders as they advance their goals around Community Health and Community and Economic Resilience.In this article, we get an overview of the program's strategic framework and focus areas.Highmark WholecareHighmark Wholecare Medicare Utilization Review Matrix 2022 07.01.222Page 2 of 3. Authorized CPT Code Description Allowable Billed Groupings 72141 MRI Cervical Spine 72141, 72142, 72156, +0698T 72146 MRI Thoracic Spine 72146, 72147, 72157, +0698T 72148 MRI Lumbar Spine 72148, 72149, 72158, +0698T 72159 4MRA Spinal Canal 72159 ...Sep 7, 2021. Updated Sep 7, 2021 12:50pm EDT. Highmark Health on Tuesday acquired sole ownership of Gateway Health, and also announced plans for the Pittsburgh-based insurer to become a Blue Cross ...This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania.Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center. 1 (800) 392-1147 TTY 711. Highmark Wholecare offers Medicaid dental coverage for Pennsylvania residents. Learn about our coverage and find dentists or oral surgeons that accept Medicaid.

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The School District of the City of York. Oct 2019 - Sep 2020 1 year. Developed an after school program for students K-8 providing supplements to academic instruction, hands on STEAM activities ...You may also complete the enrollment form, sign and date it, and mail or fax the enrollment copy to: Highmark Wholecare. Attn: Enrollment 444 Liberty Avenue, Suite 2100 Pittsburgh, PA 15222 Fax: 1-888-551-9101 (toll-free) Highmark Wholecare ofers HMO plans with a Medicare contract. Enrollment in these plans depends on contract renewal.Your Highmark Wellness Rewards Prepaid Mastercard will be mailed directly to you following the processing of your claim. Please allow up to eight weeks to receive your reward. Highmark is not responsible for lost or stolen cards. Call Highmark Member Service at the number on the back of your Highmark Member ID card, seven days a week from 8 a.m ...Goodness Rewards Hearing Care Lifestyle Management Asthma Heart Disease ... Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs …2024 Annual Provider Education and Orientation Training - New Link. Provider Claim Education: 2024 ICD-10-CM Updates & Highlights. December 5, 2023, at 12:00PM - 1:00PM Click here to register. Key Speaker: Tina Williams, Highmark Wholecare Claims Educator, MSHSA, CPC-I. This claims training will provide updated guidance on the following topics:The Highmark Wholecare physician agreement indicates that participating providers must submit written notice: Ninety (90) calendar days prior to the date the provider intends to terminate. Sixty (60) days prior if you plan to close your practice to new patients. Thirty (30) days prior for a practice location change.This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania.You can search the formulary alphabetically by selecting the first letter of the brand or generic name of the drug you are looking for. You can also search by entering the first few letters of the name of the drug. If you don't know the name of the drug, you can search by what medical issue the drug treats. This is known as the Therapeutic Class.Wilkes-Barre, Pa. (November 1, 2022) — Highmark today announced its Affordable Care Act (ACA) health insurance products in Northeastern Pennsylvania for the upcoming year, offering individuals and families new PPO products, lower select premiums and copays, and innovative new benefits. On November 1, Highmark will unveil a range of affordable, high-quality coverage options, including access ...When you call, you’ll need to have your bill ready that has your 16-digit account number as well as the security code on the back of your Highmark Wholecare card. Important Reminders. Here are some important benefit details to know when using your utility support: Utility support is included in a 2023 Highmark Wholecare Diamond D-SNP.Jan 1, 2023 · 2023 Summary of Beneits . January 1, 2023 - December 31, 2023 . Highmark Wholecare. Medicare Assured Diamond. SM (HMO SNP) Highmark Wholecare. Medicare Assured Ruby. SM (HMO SNP) This section is a summary of beneits. It doesn’t list every service, limitation, or exclusion. To get a full view of beneits, go to. HighmarkWholecare.comThis information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania. ….

View Plans. I need more help. Available 2024 Plans for ZIP in COUNTY County. (EDIT) warning To enroll in any of the plans, you must be eligible for Medicare and already enrolled in both Part A and Part B. Please wait while we find plans for your location... -. Y0037_23_2036_M. Last updated on March 12, 2024.This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania.Provider Resource Center. In December 2016, the 21st Century Cures Act was enacted into law by the 114th United States Congress. Section 212006 of the Cures Act requires all states to implement the use of Electronic Visit Verification (EVV) for Medicaid-funded personal care and home health services that require an in-home and community visit.Specialty pharmacies and prescribers of specialty drugs can reach the Free Market Health team at [email protected] for more information or help obtaining access to the Free Market Health applications. Support is available Monday - Friday, 9 a.m. - 6 p.m. EST. Last updated on 4/1/2024 9:49:04 AM.Short-Acting Opioid Prior Authorization Form. Specialty Drug Request Form. Sunosi Prior Authorization Form. Testosterone Product Prior Authorization Form. Transplant Rejection Prophylaxis Medications. Vyleesi Prior Authorization Form. Weight Loss Medications Request Form. Last updated on 1/23/2024 5:32:02 PM. Contact Us.Although Highmark's offices and customer support areas will be closed on these dates, trading partners will still be able to transmit and receive electronic transactions. Holiday. Date. New Year's Day . Monday, January 1, 2024. Martin Luther King, Jr. Day. Monday, January 15, 2024. Memorial Day. Monday, May 27, 2024.Specialty pharmacies and prescribers of specialty drugs can reach the Free Market Health team at [email protected] for more information or help obtaining access to the Free Market Health applications. Support is available Monday - Friday, 9 a.m. - 6 p.m. EST. Last updated on 4/1/2024 9:49:04 AM.If you have additional questions about your benefits, please review your Evidence of Coverage (EOC) below. You can also call Member Services: 1-800-685-5209 TDD/TTY: 711. October 1 - March 31, 8 a.m. – 8 p.m. ET. 7 days a week. April 1 – September 30, 8 a.m. – 8 p.m., Monday - Friday. 2024 Diamond EOC. 2024 Diamond Southeast PA EOC.The Highmark Wholecare Medicare Assured Part B diabetes monitoring device and supply policy. Diabetes devices and supplies obtained from a Durable Medical Equipment (DME) provider are not limited to certain manufacturers. However, when these products are obtained from a pharmacy, specifed manufacturers are limited. Highmark WholecareYour Highmark Wellness Rewards Prepaid Mastercard will be mailed directly to you following the processing of your claim. Please allow up to eight weeks to receive your reward. Highmark is not responsible for lost or stolen cards. Call Highmark Member Service at the number on the back of your Highmark Member ID card, seven days a week from 8 a.m ... Highmark wholecare goodness rewards 2023, Learn more about MOM matters by: Call 1-800-392-1147. Teletypewriters (TTY) users call 711 or 1-800-654-5984. Select the option for the Special Needs Unit. Select the option for MOM Matters. The Highmark Wholecare MOM Matters program provides support and resources for pregnant women and new moms. Learn more and get connected today!, Wellness Coach Availability. Wellness coaches are available from 8:30 a.m. to 4:30 p.m. Monday through Friday. Please call and follow the options for Care Management at 1-800-685-5209 TTY: 711., Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield ..., Welcome to the Highmark Wholecare Medicare Assured Diamond/ Ruby Formulary. You can search the formulary (list of covered drugs) in several ways. ... 2023 Formulary Updates . Important Message About What You Pay for Insulin-You won't pay more than $0 for a one-month supply of each insulin product covered by our plan, ..., This Annual Notice of Changes gives you a summary of changes in your benefits and costs for 2024. For details, look in the 2024 Evidence of Coverage for Community Blue Medicare PPO Distinct. The Evidence of Coverage is the legal, detailed description of your plan benefits. It explains your rights and the rules you need to follow to get covered ..., Highmark Health today announced consolidated financial results for the first nine months of 2023, reporting $20.3 billion in revenue, an operating gain of $406 million and net income of $431 million., Review the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Or contact your Provider Account Liaison., Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman Website. Best Available Evidence. Y0037_1359_M_2024. Last Updated: Oct 1, 2023. Highmark Wholecare offers Goodness Rewards to eligible members. Earn rewards for completing wellness activities and healthy behaviors., By Phone. To use your utility support benefits by phone, you can call 1-833-560-1817 (TTY 711) during these hours: October - March 8 a.m. to 8 p.m., Monday-Sunday. April - September 8 a.m. to 8 p.m., Monday-Friday. When you call, you'll need to have your bill ready that has your 16-digit account number as well as the security code on the ..., Please call 1-855-350-0074 (TTY 711) Monday - Saturday 8:00 AM to 5:00 PM; Sunday 10:00 AM to 5:00 PM. Please contact Highmark Wholecare member services at: 1-800-685-5209 8:00 AM to 8:00 PM, 7 days a week from 10/1 through 3/31. From 4/1 through 9/30 call between 8:00 AM to 8:00 PM Monday through Friday. Important Information: …, There’s a lot to be optimistic about in the Consumer Goods sector as 3 analysts just weighed in on Lion Electric Company (LEV – Research R... There’s a lot to be optimistic a..., HHCS Stage 1 Service Code Required 8/1/2023. are required. to bill Stage 1 service. codes through Netsmart. for dates of service on. or after 8/1/2023. EVV Service Description (Used for reporting only in the MCO) Procedure Code. …, • The reward process will not begin until Highmark receives a claim and it is finalized through the Highmark claims and billing systems . • Claims processed after the reward period window closes will qualify for a reward if the service date falls within the reward period . • Rewards will expire if they are not redeemed within 90 days of ..., Goodness Rewards Hearing Care Lifestyle Management ... At Highmark Wholecare we feel that medication coverage goes beyond prescriptions. This is why Over-the-Counter (OTC) benefits have been added to your D-SNP. ... Last Updated: Oct 1, 2023. Customer Service 1-800-392-1147 TTY711 Member Portal ..., Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield ..., Help Your Patients Enroll in Goodness Rewards! Call 1-833-559-2858 (TTY 711) Monday through Friday 7 a.m. - 7 p.m. EST and let us know that they would like to enroll in the program. The 2024 Medicaid Goodness Rewards Program. With the Goodness Rewards Program, members can earn a reward each time they complete an eligible health activity., Member Login. Member ID: Password: This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield ..., 2024 Preventive Health Guidelines. Prenatal/Perinatal Guidelines. Children Ages 0-6 Guidelines. Children Ages 7-18 Guidelines. Adult Ages 19-64 Guidelines. Adult 65 and Older Guidelines. Women's Preventive Health Services Addendum. Perinatal Depression Prevention Counseling Coding Guidelines. PrEP Related Services Coding Guidelines., Provider Directory. Site Map. Legal Information. The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc ..., We send our Medicare Advantage members a Personalized Wellness Plan 3 times a year with a list of activities, tailored to each member's health & well-being., Part B diabetes monitoring device and supply policy. Diabetes devices and supplies obtained from a Durable Medical Equipment (DME) provider are not limited to certain manufacturers. However, when these products are obtained from a pharmacy, specifed manufacturers are limited. Highmark Wholecare Medicare Assured exclusive diabetes glucose ..., This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania., Pennsylvania Community Roots. Highmark Wholecare calls Pennsylvania home. We know that working in our communities helps us offer whole care to our neighbors. We proudly have: More than 400,000 members. A large network of more than 30,000 providers. Over 1,000 people working to serve you., Procedures/services on Highmark's List of Procedures/DME Requiring Authorization (see below) Home Health The ordering provider is typically responsible for obtaining authorizations for the procedures/services included on the List of Procedures/DME Requiring Authorization., By providing your email you will receive confirmation of your request as well as other helpful information from Highmark Wholecare. Get my kit. Need help? Give us a call at. 1-877-428-3929 (TTY 711) 7 days a week, 8 a.m. to 8 p.m., Goodness Rewards Hearing Care Lifestyle Management Asthma Heart Disease ... Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs …, 90 Day Medication Supply. Highmark Wholecare offers a 90-day supply of select generic medications for diabetes, asthma, cholesterol, blood pressure, mental health and more. Save money on co-pays and make less trips to the pharmacy! View the complete list of medications covered for 90 days picture_as_pdf ., Calling the Nurse Line. Call the Nurse Line for PA Medicare: 1-855-805-9420 TTY: 711. A registered nurse is available to assist all our Highmark Wholecare members, free of charge. If you are experiencing an emergency, please call 911., Highmark Wholecare also reviews its Quality Program every year to see how well we are meeting the health care and service needs of our members.The evaluation of the Quality Program from 2022 is done.We met many of our goals, put new programs in place, and learned where we can improve., 2023 Reward Opportunities. 1. House Call. Select Medicare Advantage members will be eligible to earn a $25 OR $100 reward for completing a House Call. Visit in person or via a video wellness call (telehealth) by 12/31/2023. • Members within the Freedom Blue product under Highmark Groups - 01782895 & 01997155 will be eligible to., July 2023. Following is the update to the Highmark Drug Formularies and pharmaceutical management procedures for June 2023. The formularies and pharmaceutical management procedures are updated on a bi-monthly basis, and the following changes reflect the decisions made in June by our Pharmacy and Therapeutics Committee., New for 2023, the Highmark Wholecare Medicare Assured plans will offer benefits that promote whole health care and help address social determinants of health. All Diamond members will receive a ..., On September 29, 2023, KVK-Tech, Inc. started voluntarily recalling one lot (Batch Number: 17853A; "the batch") of Betaxolol Tablets, USP 10 mg, White, Round, film coated biconvex tablets, debossed "K" above bisect "13" on one side and plain on the other side" to the consumer level. The batch was distributed nationwide to ...