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Highmark Blue Shield: Medical Policy Selection

WebHighmark Blue Shield: Medical Policy Selection. Highmark's medical policy guidelines address both clinical and claim payment reimbursement issues. These guidelines …

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URL: https://www.highmarkblueshield.com/content/dam/highmark/en/highmarkblueshield/member/medicalpolicy/hbs-medical-policy-selection.html

See a Doctor on Your Time 24/7

WebHighmark Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association. To determine the availability of services under your health plan, please …

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Health Plans for Individuals and Families HBS

Web100%; exempt from deductible Not covered. 80% after deductible 60% after deductible Newborn care covered for first 31 days. 80% after deductible 60% after deductible. 80% …

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GENERAL HEALTH CARE SCREENINGS/PROCEDURES

WebMammogram. Ages 40 and older: Once a year including 3D. Osteoporosis (Bone Mineral Density) Screening. Ages 65 and older: Once every 2 years, or younger if at risk as …

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WELLNESS PROFILE

WebHIGHMARKBLUESHIELD.COM The Wellness Profile is a great first step to take charge of your health. This self-health assessment covers all aspects of your

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Coverage Details

WebCoverage Details. Detailed below, you will find the most current Summary of Benefits for each plan. Reviewing a plan’s SBC may make it easier to understand its benefits and …

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Flexible choices for better health care.

Web2 Take good care of yourself by letting Highmark take care of you. Shopping for health insurance can be overwhelming. That’s why we’ve created this brochure that takes you

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Pregnancy Health Center

WebAbout Ultrasound. If you're like most women, you'll have a routine ultrasound so your doctor can get information on your baby's health. Though this brief (5 to 10 minutes) and …

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Understanding Your Options What are Highmark Special Care …

WebFree CHIP Low-Cost CHIP Full-Cost CHIP None $54.69-$87.51 for one child $273.32 for one child None $109.38 -$175.02 for two children $546.64 for two children

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National Provider Identifier FAQ Q. What is an NPI

WebA "health care provider" is defined as an individual, group, or organization that provides medical or other health services or supplies. This includes: • physicians and other …

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Understanding Your Options What are Highmark Special Care …

WebCHIP AND Special care INCOME gUIDELINES *You can review comprehensive income information that outlines specific income level requirements at …

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BlueCard Program Frequently Asked Questions

WebCurrently four types of products are administered through the BlueCard Program: BlueCard Traditional, BlueCard PPO, BlueCard Managed Care/POS, and HMO. The following …

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Pregnancy Health Center

WebThe transducer emits inaudible sound waves, which fan out as they travel through your abdomen. When they hit dense structures like the fetus and the wall of your uterus, the …

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Freedom Blue PPO

Web• You lose your entitlement to Medicare Part A hospital insurance and / or fail to pay your Medicare Part B medical insurance • Freedom Blue PPO is no longer contracting with …

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Highmark Frequently Used Contact Information

WebHighmark Frequently Used Contact Information OASIS Eligibility, benefits and status of claims: call 1-800-462-7474, or in the Harrisburg area, 1-717-302-5125 on your touch …

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Unit 6 Highmark Blue Shield Members Overview

WebFor more information about the BlueCard Program, please see pages 6-11 through 6-13 of this manual. For members who are ID cards display the suitcase logo, you may verify …

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Claim Filing Addresses

WebOCTOBER, 2008 Claim Filing Addresses – Western Region Only Electronic Claim Submission NaviNetSM is the fastest way to submit claims to Highmark. If your office is …

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MEMBER CHANGE FORM

WebDate. Please fax Member Change Forms to (800) 290-3301 or mail the forms to one of the following addresses: https://[email protected]. Membership …

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Anatomy Of An Identification Card

WebProduct name, logo and/or program description –This will help you determine which network rules to follow. Rx group number and pharmacy logo –This will be on the ID card …

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