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HIGHMARK INDIVIDUAL AND FAMILY PLANS


YOU’RE COVERED WITH PLENTY OF LOW-COST AFFORDABLE CARE ACT (ACA) PLANS.

COMPARE PLANS NEAR YOU


HIGHMARK INDIVIDUAL AND FAMILY PLANS


YOU’RE COVERED WITH PLENTY OF LOW-COST AFFORDABLE CARE ACT (ACA) PLANS.

COMPARE PLANS NEAR YOU


HEALTH PLANS THAT KEEP UP WITH YOUR LIFE


HEALTH PLANS THAT KEEP UP WITH YOUR LIFE

Our plans are packed with benefits including in-network access to quality care
and doctors. Plus, coverage is affordable — nearly 90% of people qualify for
savings.*

Our plans are packed with benefits including in-network access to quality care
and doctors. Plus, coverage is affordable — nearly 90% of people qualify for
savings.*




HAVE YOU RECENTLY LOST YOUR COVERAGE?

If you’ve encountered a life event that has affected your coverage, see if
you’re eligible to enroll in a plan through a Special Enrollment Period.


LOSS OF MEDICAID COVERAGE

Highmark has you covered with plenty of low-cost plans to choose from. You can
enroll in an Individual and Family plan during a Special Enrollment Period.

Explore coverage options


ELIGIBILITY FOR SPECIAL ENROLLMENT

Under Affordable Care Act (ACA) guidelines, if you’ve had a baby, moved to a new
ZIP code, or lost your job, you can sign up for coverage outside of Open
Enrollment periods.


SPECIAL ENROLLMENT ELIGiBILItY


HIGHMARK PLANS COMPARISON TOOL


HIGHMARK PLANS COMPARISON TOOL

We make it easy for you to preview affordable health plans. Find out if you
qualify for financial help that may lower the cost of your coverage.

We make it easy for you to preview affordable health plans. Find out if you
qualify for financial help that may lower the cost of your coverage.

GO TO OUR PLANS TOOL


WHY CHOOSE A HIGHMARK HEALTH PLAN?

There’s so many reasons for choosing a Highmark health plan. We can think of
three big ones right off the top of our heads.


COVERAGE FOR ALL YOUR HEALTH

Healthy teeth and eyes are part of overall health, and regular checkups can help
you stay ahead of potential health issues. That’s why we offer plan options with
adult dental and vision.

find plans with dental & vision


NO REFERRALS NEEDED

Having one of our plans means you never need a referral to see a specialist. You
can see the in-network specialists you want, whenever you want — putting you in
control of your care.

Find a doctor or hospital


EASY ACCESS TO CARE

With our plans, you get easy access to high-quality, lower-cost health care
services in your area. You also get 24/7 support with virtual health options and
access to Blues On CallSM.

see plans in your area


LET’S COVER SOME ACA BASICS

We'll help you simplify the process and understand how to compare your plan
options.


WAYS TO SAVE

--------------------------------------------------------------------------------

There are two types of savings programs that can help you pay for your health
insurance. Based on your household size and income, you may be eligible for both
types of financial help.


DEDUCTIBLES AND PREMIUMS

--------------------------------------------------------------------------------

Your premium and deductible are like a see-saw: When you lower one, you
generally raise the other. It's important to find the sweet spot between the two
based on your healthcare needs and finances. 


KNOW YOUR METALS

--------------------------------------------------------------------------------

ACA plans are broken into metal levels — bronze, silver, gold and platinum.
Metal levels reflect cost-sharing differences only. You get the same quality of
care at any level.

learn how to pick a plan


PREPARE FOR OPEN ENROLLMENT

The Open Enrollment period for individual and family plans varies by state.
Anyone who qualifies for an ACA plan may enroll during this time period.

 * PA, DE, and WV: November 1 — January 15
 * NY: November 16 — January 31

READ ANSWERS TO ACA QUESTIONS


 * SHOP AND COMPARE PLANS
   
   Use the Plan Comparison Tool to help you zero in on the plan that’s right for
   your budget and health needs.
   
   SHOP PLANS NEAR YOU


 * MEET WITH AN EXPERT
   
   Book an appointment online for a one-on-one consultation to help you find a
   plan loaded with benefits.
   
   schedule now


EXPLORE AFFORDABLE HEALTH COVERAGE IN YOUR AREA


EXPLORE AFFORDABLE HEALTH COVERAGE IN YOUR AREA

All our plans give you in-network access to top-quality care, close to home.
Whatever your health care needs and budget, we have a plan for you. All you have
to do is choose.

All our plans give you in-network access to top-quality care, close to home.
Whatever your health care needs and budget, we have a plan for you. All you have
to do is choose.

Learn about ACA plans

* Based on 2024 ACA on-exchange membership that enrolled during the 2023 Open
Enrollment Period.



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About Highmark

 * Non Discrimination Policy
 * Procurement
 * Electronic Data Interchange
 * Fraud Prevention
 * Medical Policy
 * Privacy
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 * CMS’s Interoperability Rule
 * Accessibility Statement
 * Integrity & Ethics

Be Informed

 * Careers
 * Security
 * Terms of Service
 * SMS Texting
 * Contact Us
 * CSI Policy
 * No Surprises Act
 * Quality Assurance
 * OHCA Statement

Be Informed

 * Careers
 * Security
 * Terms of Service
 * SMS Texting
 * Contact Us
 * CSI Policy
 * No Surprises Act
 * Quality Assurance
 * OHCA Statement

Related Sites

 * Highmark Health
 * Highmark Direct
 * Member Login
 * Employer Login
 * Annual Report

Related Sites

 * Highmark Health
 * Highmark Direct
 * Member Login
 * Employer Login
 * Annual Report

Highmark is a registered mark of Highmark Inc.  © 2024 Highmark Inc., All Rights
Reserved.


All references to “Highmark” in this document are references to the Highmark
company that is providing the member’s health benefits or health benefit
administration and/or to one or more of its affiliated Blue companies. This
website is operated by Highmark, Inc. and is not the Health Insurance
Marketplace website. It also does not display all Qualified Health Plans
available through the Health Insurance Marketplace website. To see all available
Qualified Health Plan options, go to the Health Insurance Marketplace website at
HealthCare.gov.

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. ®Blue Cross, Blue Shield and the Cross and
Shield symbols are registered service marks of the Blue Cross Blue Shield
Association, an association of independent Blue Cross and Blue Shield plans.
Benefits and/or benefit administration may be provided by or through the
following entities, which 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., Highmark Benefits Group Inc., First
Priority Health, First Priority Life or Highmark Senior Health Company. Central
and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits
Group Inc., Highmark Health Insurance Company, Highmark Choice Company or
Highmark Senior Health Company. PA: Your plan may not cover all your health care
expenses. Read your plan materials carefully to determine which health care
services are covered. For more information, call the number on the back of your
member ID card or, if not a member, call 866-459-4418. Delaware: Highmark BCBSD
Inc. d/b/a Highmark Blue Cross Blue Shield. West Virginia: Highmark West
Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance
Company or Highmark Senior Solutions Company. Visit our website to view the
Access Plan required by the Health Benefit Plan Network Access and Adequacy Act.
You may also request a copy by contacting us at the number on the back of your
ID card. Western NY: Highmark Western and Northeastern New York Inc. d/b/a
Highmark Blue Cross Blue Shield. Northeastern NY: Highmark Western and
Northeastern New York Inc. d/b/a Highmark Blue Shield.


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