Highmark

Health Insurance Coverage in Pennsylvania

Health Plan Overview

Insurance CompanyHighmark
StatePennsylvania
Websitehighmark.com
Number of Hospitals in Network103
Number of Plans Offered37

Network Hospital Locations

Hospitals in Network (103)
Geisinger Community Medical CenterUPMC McKeesportGeisinger Bloomsburg HospitalPenn State Health Holy Spirit Medical CenterGeisinger Medical CenterSaint Vincent HospitalUPMC JamesonTemple Health - Chestnut Hill HospitalTemple University HospitalUPMC MercyLehigh Valley Hospital–Schuylkill S. Jackson StreetAllegheny Valley HospitalUPMC SomersetWVU Medicine Uniontown HospitalWashington HealthReading HospitalUPMC WilliamsportGeisinger Lewistown HospitalAllegheny General HospitalPenn Highlands HuntingdonUPMC CarlisleConemaugh Nason Medical CenterUPMC HamotUPMC HarrisburgUPMC LititzUPMC AltoonaGuthrie Robert Packer HospitalPenn Highlands DuBoisWest Penn HospitalUPMC NorthwestClarion HospitalPenn State Health St. Joseph Medical CenterLancaster General HospitalUPMC MemorialUPMC St. MargaretUPMC KaneUPMC PassavantConemaugh Memorial Medical CenterChan Soon-Shiong Medical Center at WindberUPMC Magee-Womens HospitalUPMC Bedford MemorialPottstown HospitalWayne Memorial HospitalPhoenixville HospitalLehigh Valley Hospital - Cedar CrestIndependence Health System Westmoreland HospitalPenn Highlands Mon ValleyUPMC GreeneCanonsburg HospitalUPMC Presbyterian ShadysideIndependence Health SystemIndiana Regional Medical CenterUPMC HorizonChester County HospitalPenn Highlands ConnellsvilleLehigh Valley Hospital - HazletonMillcreek Community HospitalLehigh Valley Hospital-PoconoDoylestown HospitalFrick HospitalLatrobe HospitalPenn Presbyterian Medical CenterPennsylvania HospitalSaint Clair HospitalUPMC HanoverPenn State Health Milton S. Hershey Medical CenterJefferson HospitalAHN Grove CityForbes HospitalMount Nittany Medical CenterGeisinger Wyoming Valley Medical CenterValley Forge Medical Center and HospitalEdgewood Surgical HospitalAdvanced Surgical HospitalOSS Health Orthopaedic HospitalUPMC EastAHN Emerus Westmoreland, LLCAHN Wexford HospitalPenn State Health Hampden Medical CenterGeisinger Medical Center MuncyLehigh Valley Hospital–Dickson CityPenn State Health Lancaster Medical CenterGeisinger Jersey Shore HospitalUPMC MuncyConemaugh Meyersdale Medical CenterGuthrie Troy Community HospitalEndless Mountains Health SystemsPenn Highlands TyroneLECOM Health Corry Memorial HospitalPenn Highlands BrookvilleUPMC ColePenn Highlands ElkUPMC WellsboroConemaugh Miners Medical CenterUPMC Children's Hospital of PittsburghChildren's Hospital of PhiladelphiaSt. Christopher's Hospital for ChildrenPennsylvania Psychiatric InstituteLancaster Behavioral Health HospitalTower Behavioral HealthMalvern Behavioral HealthBerwick Psychiatric HospitalGeisinger Behavioral Health Center Northeast

Available Plans

EPO

5 plans

HMO

5 plans

Medicaid

4 plans

MEDICAID

1 plan

MEDICARE ADVANTAGE

1 plan

OTHER

4 plans

PPO

17 plans

Plan Details
Plan NamePlan Type
Blue Cross Blue Shield/HighmarkPPO
First Priority/CHIPSMEDICAID
GHI/Emblem Highmark Blue CrossPPO
HighmarkPPO
HIGHMARKPPO
Highmark – All BluesPPO
Highmark –out state plansPPO
Highmark (Blue Cross - Blue Shield - Pennsylvania)PPO
Highmark Blue CardPPO
Highmark Blue CrossPPO
Highmark Blue Cross / Blue ShieldPPO
Highmark Blue ShieldPPO
HIGHMARK COMMERCIALPPO
Highmark Community Blue Medicare HMOHMO
Highmark Community Blue PlanHMO
Highmark Connect BlueHMO
Highmark Federal Employee ProgramOTHER
Highmark Freedom BlueHMO
Highmark Freedom Blue (PFFS not PPO)OTHER
Highmark Freedom Blue/Community Blue /Security BlueHMO
Highmark Health Insurance CompanyOTHER
Highmark Health Insurance Company my Direct Blue EPO Bronze 4000EPO
Highmark Health Insurance Company my Direct Blue EPO Gold 1000 - 2 Free PCP VisitsEPO
Highmark Health Insurance Company my Direct Blue EPO Silver 0EPO
Highmark Health Insurance Company my Direct Blue EPO Silver 2400 - 2 Free PCP VisitsEPO
Highmark Health Insurance Company my Direct Blue EPO Silver 4450 HSAEPO
Highmark HMO/PPO PlansPPO
HIGHMARK MEDICARE ADVANTAGEMEDICARE ADVANTAGE
Highmark Pennsylvania Blue CrossPPO
Highmark Security BluePPO
Highmark WholecareMedicaid
Highmark Wholecare (previously Gateway Health)Medicaid
Highmark Wholecare Blue Cross Blue ShieldMedicaid
Highmark Wholecare Medicaid and Highmark CHIPMedicaid
Highmark/ PA Blue ShieldPPO
Highmark: Community Blue/Freedom Blue/Security BluePPO
HM Health Insurance CoOTHER

State Leadership

Highmark

President and CEO, Highmark Health and Chairman of the Board, Highmark Inc.

Based in Pittsburgh, Pa. Leads Highmark Health.

Highmark

Executive Vice President, Chief Medical and Clinical Transformation Officer

Based in Pittsburgh, Pa. Named one of Modern Healthcare's 50 Most Influential Clinical Executives.

Highmark

Executive Vice President, Chief Operating Officer

Based in Pittsburgh, Pa. Named one of Modern Healthcare's Women Leaders for 2024. Certified public accountant with over 20 years of finance experience. Worked in public accounting at KPMG Peat Marwick. Member of the Pennsylvania Institute of Certified Public Accountants. On the board of Leadership Pittsburgh and serves as treasurer.

Highmark

Executive Vice President, Western PA Market President for Highmark Health

Based in Pittsburgh, Pa. Oversees Highmark Health's blended payer-provider strategy in the western Pennsylvania market, including operations of Highmark Insurance and Allegheny Health Network. Joined Highmark Health after serving as President of Jefferson Health in Philadelphia and Senior Executive Vice President of Thomas Jefferson University. Professor at Sidney Kimmel Medical College.

Highmark

Executive Vice President, Public Policy, Chief Government Relations and Community Affairs Officer

Based in Pittsburgh, Pa. Also listed as Chairperson of the Caring Foundation Board of Directors.

Highmark

Executive Vice President, Chief Legal Officer and Secretary

Based in Pittsburgh, Pa. Member of the leadership team, supervisor for legal affairs, manager of the legal department, secretary on the board of directors at Highmark Health. Came from Buchanan Ingersoll & Rooney PC where he was chairman and CEO. Practicing litigator and corporate advisor.

Highmark

CEO of Diversified Businesses and Chief Growth Officer, Highmark Health and President, Highmark Health Plan, Highmark Inc.

Based in Allison Park, Pa. Provides senior leadership and strategic direction for Highmark's core health insurance and diversified businesses. Responsibilities in product development, provider networks and reimbursement, clinical services, sales and operations. Over 30 years in healthcare industry. Held management positions at Highmark and predecessor. Serves on several boards including Pittsburgh Penguins Foundation, United Way of Southwestern Pennsylvania, Carlow University, Duquesne Club, Blue Health Intelligence, Whitaker Center, Epilepsy Foundation of Western/Central Pennsylvania (board chair), Variety the Children's Charity (board president), and Civic Light Opera of Pittsburgh. Graduated from Carlow University.

Highmark

President of Highmark Health Plan, Highmark Inc.

NA

Highmark

Senior Vice President of Corporate Affairs for Southeastern Pennsylvania at Highmark Blue Shield

Also SEPTA board chair. Guides a comprehensive strategy to advance Highmark’s commitment to the region’s communities and strengthen its local presence in southeastern PA (SEPA).

Highmark

Vice President, Market Executive for eastern Pennsylvania, Highmark Inc.

Responsible for leading provider performance and strategies, overseeing partnerships, and developing and executing on strategic and operational plans for Highmark's provider networks in eastern Pennsylvania. Works closely with providers across the central and northeastern PA markets. More than 24 years of experience in Managed Care. Previously VP of Payor Solutions and Strategy at Array Behavioral Care and held roles at Geisinger Health Plan.

Highmark

President and CEO of Highmark Wholecare

Leads one of Pennsylvania's foremost managed care organizations, focusing on improving community health. Sets the operational and strategic course to deliver high-quality Medicaid and Medicare dual-eligible plans. Has a background in government programs and an affinity for the populations served. Grew up in a multi-generational household and saw the impact of fragmented care. Has worked with Habitat for Humanity and Thrive 18, and serves on boards for Literacy Pittsburgh and the March of Dimes' local chapter.