Highmark wholecare goodness rewards 2023

Date: May 22, 2023 Clarification of Peer-to-Peer Review Process for Highmark Wholecare Medicare Highmark Wholecare's peer-to-peer review process for prior authorization requests for Medicare members will occur after an authorization denial has been issued beginning on Monday, June, 2023. This is a change from the current process.

7 Highmark Wholecare reviews. A free inside look at company reviews and salaries posted anonymously by employees. ... Updated May 10, 2023. Sort. Popular. Popular; Most Recent; Highest Rating; Lowest Rating; Reviews about "highmark" Return to all Reviews. 7. 1.0. May 7, 2019. Stay Far Away! ... And good luck getting an HR question answered, as ...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 ...HighmarkHighmark - Medicare OTC Medication Benefits | Highmark Wholecare 2. Summary of Benefits and Co…Summary of Benefits and Coverage: What this Plan Covers & What You Pay For … 3. October 2023 Formulary Upd…On September 29, 2023, KVK-Tech, Inc. started voluntarily recalling one lot …Behavioral Health Fax Number for Authorization Requests: 1-877-650-6112. For precertification or continued stay review requests for Behavioral Health treatment, please submit relevant clinical information via fax to 1-877-650-6112. Submission of the complete medical record may slow down the process and is not an efficient way to communicate the ...January 1, 2023 to December 31, 2023 The service area for these plans includes the following counties: Allegheny, Armstrong, Beaver, Butler, Cambria, Fayette, ... seven days a week or visit medicare.highmark.com. H3916_22_6013_M . SOUTHWESTERN PENNSYLVANIA This section is a summary of benefits. It doesn't list every service, limitation, orThis 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.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., Highmark Benefits Group Inc.,

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 ...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.2023 Telehealth Billing and Coding In 2023, all New York providers will be adopting Highmark’s telehealth reimbursement policy. This policy can be found here. and will be effective January 30, 2023. Proper Use of Modifiers . As a reminder, when conducting telehealth visits please use the correct modifiers and place of service (POS) codes below:Highmark Wholecare NaviNet Plan Central Page, select Enhanced Highmark Wholecare Provider Features. Once in the ... 2023, their re newal date will be assigned for the same month but the following year, 2024. In the portal, once the link to the report is clicked on, you will no longer be able to see it under "You have new reports".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.Highmark Health Options has a team to walk you through your benefits, so you can get the most out of Medicaid. For other questions about your benefits, start by calling Member Services at 1-844-325-6251, Monday-Friday, 8 a.m.-8 p.m. For adults age 21 and older, your coverage goes beyond the basics—even when you're not sick—so you can ...The following entities serve central and southeastern Pennsylvania and are independent licensees of the Blue Cross Blue Shield Association: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.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 …

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.1,004 reviews from Highmark Health employees about Highmark Health culture, salaries, benefits, work-life balance, management, job security, and more. ... Good work life balance & opportunities to grow with the company with in time!! Was this review helpful? Yes No 3 There are 3 unhelpful reviews.Through the work of Highmark Wholecare, Highmark Health Plans' federal-program footprint in Pennsylvania extends beyond Medicare Advantage to include traditional Medicaid and individuals who are dually eligible for Medicare and Medicaid. Total year-over-year membership grew by more than 55,000 in 2022 to nearly 376,000 members.approved service area results indicate that Highmark Wholecare achieved success in exceeding 6 of the 7 provider satisfaction goals in 2022 when compared to the SPH Analytics Book of Business Benchmarks. Highmark Wholecare will be sending invitations in the very near future to participate in our 2023 Provider Satisfaction Survey.

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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.com2024 DSNP Service Area. 2023 DSNP Service Area. 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 ...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.Highmark Blue Cross Blue Shield serves the 29 counties of Western Pennsylvania. Highmark Blue Shield serves the 21 counties of Central Pennsylvania and the Lehigh Valley as a full-service health plan. It also provides services in conjunction with Blue Cross of Northeastern Pennsylvania in Northeastern Pennsylvania and Independence Blue …

Good Day PA. Mental Health with Highmark Wholecare by: Sarah Scholl. Posted: Aug 31, 2023 / 12:22 PM EDT. Updated: Aug 31, 2023 / 12:22 PM EDT. by: Sarah Scholl.January 1 - December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Complete Blue PPO Distinct (PPO) This document gives you the details about your Medicare health care and prescription drug coverage from January 1 - December 31, 2023. This is an important legal document.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 ...Highmark Wholecare invites providers to attend the 2024 Provider Education and Orientation Training to learn about topics such as EPSDT, access/accessibility surveys, Fraud, Waste, and Abuse, Model of care, self-service tools, Cultural Competency, claims, and more! The training is on-demand and can be viewed at your convenience. Register here.Highmark Wholecare implements outreach campaign for members and providers to assist in Medicaid renewals. ... 2023) — A pandemic-era federal flexibility that allowed states to maintain enrollment of Medicaid beneficiaries regardless of their eligibility status began a year-long phase out on April 1, as the Department of Human Services (DHS ...02/01/2024. Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) Medical Policy. PA Medicaid. 10/01/2023. Enteral Feeding In-Line Cartridge (EFIC™) Medical Policy.For information regarding authorizations required for a member’s specific benefit plan, providers may 1) call the number on the back of the member’s card, 2) check the member’s eligibility and benefits via Availity, or 3) search BlueExchange® through …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.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. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross …

Click the links below for detailed information on professional and facility payer ID codes: If an ERA/835 file has not been received after 4 business days of receipt of the corresponding EFT payment, you can research it by contacting EDI Operations at 1-800-992-0246.

3— Highmark Wholecare Physical Medicine Utilization Review Matrix 2024 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any ofA Highmark Wholecare Medicare Dual Eligible Special Needs Plan (D-SNP) offers you - Medicare Part A and Part B coverage, Medicaid coverage, plus prescription drug benefits, virtual visits and more. Discover why Highmark Wholecare is your trusted Medicaid and Medicare provider in Pennsylvania. Learn about our company, our people and our approach.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 members in 14 counties in western ...Rewards can add up. You’ll get a Healthy Rewards card in the mail. You can use your card like a credit card at most retail stores. Get the TheraPay Rewards app to make it easy. See what activities and rewards you qualify for. And watch your rewards add up. To participate by phone, call TheraPay at 866-469-7973 and talk to a Healthy Rewards ...Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center. 1 (800) 392-1147 TTY 711. Highmark Wholecare offers Medicaid vision coverage for Pennsylvania residents. Learn about our vision plans and find eye doctors that accept Medicaid near you.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.Mar 12, 2024 · 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.

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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.Learn more about Highmark Wholecare wellness coaching, a program that helps you achieve your health and wellness goals with the support of a qualified counselor. ... Goodness Rewards Hearing Care Lifestyle Management ... Last Updated: Oct 1, 2023. Customer Service 1-800-392-1147 TTY711 Member Portal Download on the App Store Get it on Google ...Highmark Health Options is a Medicaid managed care plan offered through the Delaware Diamond State Health Plan. Managed care means: We work with your primary care physician (PCP) to manage all your health care needs. You go to health care providers in our network. Your PCP is very important in managing your care. Get the Most from Your BenefitsHighmark Wholecare Member Services at 1-800-685-5209, 8 a.m. - 8 p.m., 7 days a week from October 1 through March 31. From April 1 through September 30 our business hours are 8 a.m. - 8 p.m., Monday through Friday. Personal health care products at NO COST to you! Highmark Wholecare OTC Benefit Order Form Ordering is easy!If you have any questions, please contact Highmark Wholecare by telephone 800-241-5704 or by email at [email protected]. For technical support related to NetSmart, please contact NetSmart at 833-483-5587. Starting May 15th, 2023, Highmark Wholecare will require providers to submit all personal care service (PCS) for T10192023 Highmark Wholecare Benefits Highmark Wholecare Medicare Assured Ruby (HMO SNP) Highmark Wholecare Medicare Assured Diamond (HMO SNP) Premiums and Benefits Monthly Plan Premium You pay $0. You pay $0. Deductible No deductible. No deductible. You pay no more than $6,700 annually for in-network Medicare-covered services. You pay no more than ...You deserve a reward. Healthy Rewards is one of your Highmark Health Options benefits. You or your child can earn rewards when you complete certain healthy activities. SIGN UP ONLINE. Or call 1-866-469-7973.Your Member Packet includes plan documents, like your Evidence of Coverage (EOC). You can rely on your EOC to answer questions about your plan. If you’d still like to learn more, you can visit our Frequently Asked Questions (FAQ) or call Member Services at 1 …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 ... ….

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 …Goodness Rewards ... (“Highmark Wholecare”). 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. Customer Service 1-800-392-1147 TTY711 Member PortalStep 3. Complete and submit your forms and documents. If you waited for your renewal packet, you can do this by: Going online and visiting dhs.pa.gov/COMPASS. Calling 1-866-550-4355 — a rep will work with you to complete your renewal. Mailing your packet to the County Assistance Office. Dropping it off in person.Gastric Surgery/Therapy/Durable Medical Equipment/Outpatient Procedures: 888-236-6321. Home Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal (eviCore): 800-540-2406. Telephone: For inquiries that cannot be handled via the online provider portal, call ...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 Ruby (HMO SNP) This document gives you the details about your Medicare health care and prescription drug coverage from January 1 - December 31, 2023.The following entities serve central and southeastern Pennsylvania and are independent licensees of the Blue Cross Blue Shield Association: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.Highmark Wholecare, Pittsburgh, Pennsylvania. 1,217 likes · 727 talking about this · 2 were here. We believe in caring for the whole person in all communities where the need is greatest. We see a...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 also call Member Services at 1-800-392-1147 (TTY 711). See which medications are covered by Medicare and explore our medication formulary for 2023. Choose Highmark Wholecare for support in managing your medication costs. Highmark wholecare goodness rewards 2023, The following entities serve central and southeastern Pennsylvania and are independent licensees of the Blue Cross Blue Shield Association: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company., 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.com, Talk to a licensed Medicare advisor. To enroll in a Highmark plan or learn more call. 1-844-614-0343 (TTY users call 711) 8 a.m. - 8 p.m. ET, Monday to Friday. 9 a.m. - 5 p.m. ET, Saturday. Or visit our Reservations site. Medicare Supplemental Insurance, or Medigap, is a private health insurance policy that helps cover some of the things that ..., 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 ... 4. What is the Gateway Health Goodness Rewards program?, Here are a few examples of covered mental health care services you'll have as a Highmark Wholecare member. Based on your D-SNP, you may also have a $0 copay for some care. Please check your Evidence of Coverage (EOC) for all mental health care coverage. 2024 DIAMOND D-SNP EOC. 2024 SOUTH EASTERN PENNSYLVANIA DIAMOND EOC., Find out how you can get over$20,000 worth of added benefits, like: $175 a month for groceries and utilities. $0 for covered prescription drugs. $8,000 a year for dental care. Up to $1,280 a year for over-the-counter items. 100 free rides to places like the doctor, gym, or grocery store. Free glasses or contacts., Highmark Wholecare is pleased to announce several exciting benefit enhancements for Medicare plan members beginning January 2024. 2024 Highmark Wholecare Benefits Healthy Foods and Utility Support Benefit: Diamond Members - $175 per month can be used toward plan-approved utility, Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center. 1 (800) 392-1147 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 ..., 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., 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 ..., When you make the right choices, you deserve a reward. Healthier lifestyle decisions are no exception. Our Goodness Rewards program gives members a gift card that is good at over 100 locations. Each time you complete an approved activity, you get a reward., Highmark has Answers. Get answers to questions about health insurance coverage. Learn more about health plans and insurance terms and definitions. Highmark Inc. is a health and wellness organization located in Pittsburgh and operates health insurance plans in PA, DE, WV, Northeastern NY and Western NY., 5/1/2023 Zosyn IV Solution 3-0.375gm Formulary Deletion Generic Available Piperacillin Sod - Tazobactam Sod Sol 3.375 (3-0.375) GM IV Tier 3 Please be aware that Highmark Wholecare Medicare Assured may need to change its current list of approved drugs (drug formulary) from time to time., If this happens, your membership in Highmark Wholecare Medicare Assured will end, and you will have to change to another way of getting your Medicare benefits. ... Last Updated: Oct 1, 2023. Customer Service 1-800-392-1147 TTY711 Member Portal Download on the App Store Get it on Google Play About Wholecare Contact Us; Career; Employee IT Help ..., Highmark Blue Cross Blue Shield serves the 29 counties of Western Pennsylvania. Highmark Blue Shield serves the 21 counties of Central Pennsylvania and the Lehigh Valley as a full-service health plan. It also provides services in conjunction with Blue Cross of Northeastern Pennsylvania in Northeastern Pennsylvania and Independence Blue …, 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., 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., 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 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 ..., Here are a few examples of covered mental health care services you’ll have as a Highmark Wholecare member. Based on your D-SNP, you may also have a $0 copay for some care. Please check your Evidence of Coverage (EOC) for all mental health care coverage. 2024 DIAMOND D-SNP EOC. 2024 SOUTH EASTERN PENNSYLVANIA DIAMOND EOC., Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center. 1 (800) 392-1147 TTY 711. We offer pregnancy and pediatric Medicaid coverage for your pregnancy and pediatric needs including prenatal care, childbirth, and pediatrician support., 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., 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 ..., 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, 2024. This is an important legal document. Please keep it in a safe place., 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., 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, Provider Resource Center. When you're a Highmark Wholecare plan member, you have access to all sorts of benefits and programs to help make your life better, whether it's helping you understand your health better or getting you out and enjoying yourself more often. DSNP Member Benefits., Highmark Wholecare has an overall rating of 3.0 out of 5, based on over 208 reviews left anonymously by employees. 59% of employees would recommend working at Highmark Wholecare to a friend and 46% have a positive outlook for the business. This rating has been stable over the past 12 months., 2023 Highmark Wholecare Benefits Highmark Wholecare Medicare Assured Ruby (HMO SNP) Highmark Wholecare Medicare Assured Diamond (HMO SNP) Premiums and Benefits Monthly Plan Premium You pay $0. You pay $0. Deductible No deductible. No deductible. You pay no more than $6,700 annually for in-network Medicare-covered services. You pay no more than ..., Winter 2023. Summer 2022. Winter 2022. Medicare FAQ . Have a question about Medicare? We have answers for you! GO TO FAQ . ... Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and ..., 2023 Highmark Wholecare Benefits Highmark Wholecare Medicare Assured Ruby (HMO SNP) Highmark Wholecare Medicare Assured Diamond (HMO SNP) Premiums and Benefits Monthly Plan Premium You pay $0. You pay $0. Deductible No deductible. No deductible. You pay no more than $6,700 annually for in-network Medicare-covered services. You pay no more than ..., Highmark Wholecare Lifestyle Management Programs SDOH Programs. Highmark Wholecare offers a Goodness RewardsSM program Our Medicare plans are designed to provide more than healthcare for those who qualify. Highmark Wholecare offers medical and prescription drug coverage, and all the benefits of Original Medicare, PLUS more and programs such as: