Jeffrey Wade
Highmark is an American for-profit healthcare company and Integrated Delivery Network based in Pittsburgh. It is a large individual for-profit health insurer in the United States, which operates several for-profit subsidiaries. Highmark offers health insurance plans for individuals and businesses in PA, DE, WV, NENY, and WNY. The company also provides Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Highmark is the fastest and easiest way to enroll in ACA/Marketplace health insurance.
| Characteristics | Values |
|---|---|
| Type of company | For-profit healthcare company and Integrated Delivery Network |
| Location | Pittsburgh, Pennsylvania |
| Service areas | PA, DE, WV, NENY, WNY |
| Year established | 1977 |
| Insurance type | Health insurance |
| Plans | PPO, HMO, Medicare Advantage, Part D |
| Other services | Dental insurance, vision care, life insurance, disability insurance, administrative services |
| Website | highmark.com |
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What You'll Learn
- Highmark is a health insurer in Pennsylvania, West Virginia, and Delaware
- Highmark Blue Cross Blue Shield is available in 29 counties in western Pennsylvania
- Highmark Blue Shield is available in 21 counties in Central Pennsylvania and the Lehigh Valley
- Highmark offers Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract
- Highmark provides health insurance plans for individuals and businesses
Highmark is a health insurer in Pennsylvania, West Virginia, and Delaware
Highmark is a health insurance company that provides health insurance plans for individuals, families, and businesses. It is a large, for-profit health insurer that operates in Pennsylvania, West Virginia, and Delaware.
Highmark was created in 1977 through the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association: Pennsylvania Blue Shield and Blue Cross of Western Pennsylvania. In 1996, Highmark expanded and began offering insurance in West Virginia, and later Delaware.
Highmark operates as Highmark Blue Cross Blue Shield in 29 counties in Western Pennsylvania and in West Virginia through its subsidiary, Highmark Blue Cross Blue Shield West Virginia. It also operates as Highmark Blue Shield in 21 Central Pennsylvania counties and in Delaware as Highmark Blue Cross Blue Shield Delaware. Highmark has a presence in the border areas of eastern Ohio and also offers plans in Western and Northeastern Pennsylvania, Central and Southeastern Pennsylvania, and West Virginia.
Highmark provides Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. Highmark also offers health insurance plans for businesses, including cost-saving solutions, care management tools, and client resources to help manage group coverage. Additionally, Highmark offers a mobile app, My Highmark, which allows users to easily manage their healthcare and access information about their health insurance coverage.
Highmark is based in Pittsburgh and has expanded its healthcare services by acquiring hospitals and other healthcare companies. It has received recognition for its support of LGBTQ equality and has been distinguished as a "Best Place to Work for LGBTQ Equality" by the Human Rights Campaign Foundation.
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Highmark Blue Cross Blue Shield is available in 29 counties in western Pennsylvania
Highmark is a health and wellness organization that offers health insurance plans to individuals and businesses. It is a large for-profit health insurer in the United States, operating several for-profit subsidiaries. Highmark is available in Pennsylvania, West Virginia, Delaware, and Western and Northeastern New York.
In Pennsylvania, Highmark operates as Highmark Blue Cross Blue Shield and Highmark Blue Shield. As Highmark Blue Cross Blue Shield, it is the primary insurer in 29 counties in western Pennsylvania. These include the following:
- Allegheny
- Armstrong
- Beaver
- Bedford
- Blair
- Butler
- Cambria
- Clarion
- Clearfield
- Crawford
- Elk
- Erie
- Fayette
- Forest
- Greene
- Indiana
- Jefferson
- Lawrence
- McKean
- Mercer
- Potter
- Somerset
- Venango
- Warren
- Washington
- Westmoreland
- Fulton
- Franklin
- Huntingdon
- Somerset
- Susquehanna
Highmark Blue Cross Blue Shield is also available in border areas of eastern Ohio and all of West Virginia through its subsidiary, Highmark Blue Cross Blue Shield West Virginia.
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Highmark Blue Shield is available in 21 counties in Central Pennsylvania and the Lehigh Valley
Highmark is a for-profit healthcare company and Integrated Delivery Network based in Pittsburgh, Pennsylvania. It is a large individual health insurer in the United States, which operates several for-profit subsidiaries.
Highmark Blue Shield is a Medicare Advantage HMO, PPO, and/or Part D plan with a Medicare contract. Enrollment depends on contract renewal.
Highmark Blue Shield is a subsidiary of Highmark Inc., which also operates as Highmark Blue Cross Blue Shield in 29 counties in Western Pennsylvania. Highmark Inc. is an independent licensee of the Blue Cross Blue Shield Association.
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Highmark offers Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract
Highmark is a health and wellness organization that offers Medicare Advantage plans with a Medicare contract. These plans are available in Pennsylvania, West Virginia, Delaware, and some counties in New York. Highmark offers two types of Medicare Advantage (Part C) plans: Health Maintenance Organization (HMO) plans and Preferred Provider Organization (PPO) plans. HMO plans offer cost savings but restrict you to receiving care from within your plan's network. On the other hand, PPO plans offer more flexibility, allowing you to use out-of-network providers.
Highmark also offers prescription drug coverage under several of its Medicare Advantage plans, as well as stand-alone prescription drug, or Part D, coverage. The monthly premiums for these stand-alone Part D plans vary, with more expensive plans offering greater savings on specialty medications. As of 2025, the out-of-pocket spending for prescription drug coverage was capped at $2,000.
In addition to the standard services provided under Original Medicare (Parts A and B), Highmark Medicare Advantage plans offer optional services such as routine annual vision, dental, and hearing screenings. Highmark House Call is another optional service, which includes a yearly home visit from a healthcare professional to review your medications and medical history. People Able to Lend Support (PALS) is an organization of volunteers that provides additional support to Highmark members in need.
Medigap plans are designed to work with Medicare Parts A and B to help cover the beneficiary's share of costs like copays, coinsurance, and deductibles. These plans can be enhanced with additional vision, hearing, dental, and fitness benefits for an extra monthly fee.
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Highmark provides health insurance plans for individuals and businesses
Highmark is a for-profit healthcare company and Integrated Delivery Network based in Pittsburgh. It is a large individual for-profit health insurer in the United States, which operates several for-profit subsidiaries.
Highmark offers Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. Highmark also offers the My Highmark app, which allows users to easily manage their healthcare and access all their plan benefits.
Highmark has several wholly owned subsidiaries, including United Concordia Companies, Inc., a dental insurer, and Davis Vision, a provider of managed care vision benefits. Highmark also offers GeoBlue, which provides high-quality health coverage for individuals travelling outside the U.S.
Highmark understands the unique insurance needs of individuals and families, as well as small business owners and their employees. It provides a range of plan options to meet the diverse needs of its customers, including ACA/Marketplace health insurance plans.
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Frequently asked questions
Highmark is a for-profit healthcare company and Integrated Delivery Network based in Pittsburgh.
Highmark is a health insurance company that provides health insurance plans for individuals and businesses.
Highmark is available in Pennsylvania, West Virginia, Delaware, and some areas of eastern Ohio.
Highmark operates under the following entities:
- 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
- Highmark Wholecare
- Highmark Senior Health Company
You can explore the different health insurance plans offered by Highmark by visiting a Highmark Direct store or by comparing plans and enrolling online.
