Health care coverage is offered through Highmark BCBS PPO Plans. The College offers three health insurance plans to all fulltime employees and their eligible dependents.
- Benefit Booklets for Bronze Plan
- Benefit Booklets for Silver Plan
- Benefit Booklets for Gold Plan
- Prescription Plan Drug Definitions
- Domestic Partners Registration Policy
- Affidavit of Domestic Partnership
- Domestic Partners Benefit Summary
Working Spouse/Domestic Partner Policy for Health Care Coverage (Effective 07/01/2015)
Tools and Resources
Virtual Medicine We are pleased to announce our plan designs have been improved to include Virtual Medicine. This new feature uses technology in order to allow patients to communicate with a doctor through live video. The doctor can see patients and assess patient symptoms, as well as, obtain patient records and medical history from electronic medical records. While virtual medicine is not a complete replacement for face-to-face health care, it is a great supplement to and even a substitute for some traditional non-emergency medical care. This service will be available at a lower copay than a regular doctor visit under each health plan. The copay will be $10 per video visit.
Allegheny Health Network (AHN) now offers “same-day appointments”. By calling between the hours of 7:00 AM to 11:0 AM on Mondays – Fridays, you will be offered an appointment for primary or specialty care that same afternoon. For additional details, visit: www.ahn.org/same-day
MyCare Navigator makes it easier than ever to get the personal service you need. Whether you need answers about a claim, help finding a specialist for a relative, or explanations of your pharmacy coverage, all you have to do is pick up the phone 24 hours a day, seven days a week. We can even help you transfer medical records in the middle of the night – we’re always here for you. Call 1-888-BLUE-428 today.
Blues on Call Program
The Blues On Call Program is part of PPO plan members' Highmark Blue Shield health care coverage. Blues On Call is a comprehensive health information and decision support program focused on your total health care needs. Phoning Blues On Call connects you to a specially trained health coach who will help you with any health care matter that concerns you. Your Blues On Call health coach is available at any time of the day or night to answer your calls. Participation in the Blues ON Call Program is completely voluntary and completely confidential.
Blue Cross Blue Shield Global Core
Your coverage also travels abroad. It’s reassuring to know that no matter where you travel, you are covered. Your PPOBlue plan provides all of the services of the Blue Cross Blue Shield Global Core Program. These services include access to a worldwide network of care providers. Medical assistance services are included as well. You access these services by calling 1-800-810-BLUE (2583). Remember, the Shield symbol on your identification (ID) card is recognized around the world – that’s important protection.
Highmark is offering a new program on Diabetes Prevention effective January 1, 2018. The diabetes program is a structured lifestyle and health behavioral change program with the goal of preventing the onset of type 2 diabetes in individuals who are pre-diabetic. This program will be available on the Highmark employee web portal on January 1, 2018. Members may log in to their member website to see if they meet the program requirements.
Highmark has begun covering Methadone Maintenance as a treatment option to combat the growing opioid epidemic in Pennsylvania. Methadone is used to treat people who are addicted to heroin and narcotic pain medicines. When taken as prescribed, it is safe and effective. It allows people to recover from their addiction and to reclaim active and meaningful lives.
Methadone for treatment opioid dependency is dispensed through licensed clinics. Highmark is in the process of contracting with methadone clinics, until then coverage will be at the in-network level of benefits and claims specific to methadone related services will be paid to charge as to not allow for any balance billing of the member. Members will pay cash up front and submit the claims directly for reimbursement.
On January 4, 2018, Governor Wolf announced that Highmark and UPMC have reached terms to provide in-network access to critical, unique services, and to certain UPMC community hospitals and providers that are the primary source of care in the communities where they are located. These terms extend In-Network access beyond the June 30, 2019 expiration of the current consent decrees.
All those enrolled in Highmark health insurance through W&J, now have a Dedicated Health Advocate. What does this mean? You now are able to contact one specific person at Highmark for things such as:
- Understanding your Benefits and help you make informed health care choices
- Resolving claims/billing inquiries
- Finding new in-network doctors or hospitals
- Making an appointment with a doctor
- Transferring your medical records
- Learning how your benefits work and the financial impact of healthcare choices
W&J’s Dedicated Health Advocate is:
Highmark and Network Information
Members can call myCare Navigator at 1-888-BLUE-428 or the Member Service number on their Highmark ID card to obtain this information. Highmark representatives can also help members find a new doctor (if they need one), make an appointment, and transfer medical records if necessary.
Summary of Benefits and Coverage (SBC)
As a result of health care reform legislation, all employers are required to provide a Summary of Benefits and Coverage (SBC) for all the health plans available to their employees.
Click on the options below to learn what your plan covers and what it costs.
- General Notice of COBRA Continuation Coverage Benefits
- Employer Notice to Employees on Health Insurance Marketplaces
- HIPPAA Notice
- Medicare Part D Certification of Creditable Coverage