Highmark

Health Insurance Coverage in Pennsylvania

Health Plan Overview

Insurance CompanyHighmark
StatePennsylvania
Websitehighmark.com
Number of Hospitals in Network81
Number of Plans Offered10

Network Hospital Locations

Hospitals in Network (81)
UPMC McKeesportPenn State Health Holy Spirit Medical CenterSaint Vincent HospitalUPMC JamesonUPMC MercyLehigh Valley Hospital–Schuylkill S. Jackson StreetAllegheny Valley HospitalUPMC SomersetWVU Medicine Uniontown HospitalWashington HealthUPMC WilliamsportAllegheny General HospitalPenn Highlands HuntingdonUPMC CarlisleConemaugh Nason Medical CenterUPMC HamotUPMC HarrisburgUPMC LititzUPMC AltoonaPenn 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 MemorialWayne Memorial HospitalLehigh Valley Hospital - Cedar CrestIndependence Health System Westmoreland HospitalPenn Highlands Mon ValleyUPMC GreeneCanonsburg HospitalUPMC Presbyterian ShadysideIndependence Health SystemUPMC HorizonChester County HospitalPenn Highlands ConnellsvilleLehigh Valley Hospital - HazletonLehigh Valley Hospital-PoconoFrick HospitalLatrobe HospitalPenn Presbyterian Medical CenterPennsylvania HospitalSaint Clair HospitalUPMC HanoverPenn State Health Milton S. Hershey Medical CenterJefferson HospitalAHN Grove CityForbes HospitalMount Nittany Medical CenterValley Forge Medical Center and HospitalEdgewood Surgical HospitalAdvanced Surgical HospitalOSS Health Orthopaedic HospitalUPMC EastAHN Emerus Westmoreland, LLCAHN Wexford HospitalPenn State Health Hampden Medical CenterLehigh Valley Hospital–Dickson CityPenn State Health Lancaster Medical CenterUPMC MuncyConemaugh Meyersdale Medical CenterPenn Highlands TyronePenn Highlands BrookvilleUPMC ColePenn Highlands ElkUPMC WellsboroConemaugh Miners Medical CenterUPMC Children's Hospital of PittsburghChildren's Hospital of PhiladelphiaPennsylvania Psychiatric InstituteLancaster Behavioral Health HospitalMalvern Behavioral HealthBerwick Psychiatric Hospital

Available Plans

Individual and Family EPO

1 plan

Individual and Family PPO

1 plan

Individual low-premium health plan

1 plan

Medicare Advantage

2 plans

Medicare and Medicaid Benefits

1 plan

Medicare Supplement

1 plan

Pediatric health plans

1 plan

Prescription Drug Plan

1 plan

Public Assistance Program

1 plan

Plan Details
Plan NamePlan Type
NAIndividual and Family PPO
NAIndividual and Family EPO
NAIndividual low-premium health plan
NAPediatric health plans
NAMedicare Advantage
NAMedicare Advantage
NAMedicare Supplement
NAPrescription Drug Plan
NAMedicare and Medicaid Benefits
NAPublic Assistance Program

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State Leadership

Kathleen Balakier

Vice president, Market Executive for eastern Pennsylvania

Joined Highmark as vice president, Market Executive for eastern Pennsylvania in May 2024. [2] Responsible for leading provider performance and strategies, overseeing partnerships, and developing and executing on strategic and operational plans for Highmark's provider networks across eastern, central and northeastern PA markets. [2] Previously VP of Payor Solutions and Strategy at Array Behavioral Care. [2] Has over 24 years of experience in Managed Care including government, commercial, and self-funded programs. [2] Previously served as vice president, Provider Network Innovations and as director, Provider Network Management, at Geisinger Health Plan. [2]

Ellen Duffield

President and CEO of Highmark Wholecare

Leads Highmark Wholecare, one of Pennsylvania's foremost managed care organizations focused on Medicaid and Medicare dual-eligible plans. [4] Responsible for setting the operational and strategic course for over 400,000 members. [4] Grew up, was educated, and lives in Pennsylvania. [4] Has a strong affinity for the populations served by government programs. [4]

Mark Sevco

President of Allegheny Health Network

Appointed president of Allegheny Health Network (AHN) in February 2025. [6] AHN is the 14-hospital provider arm of Highmark Health, a Pittsburgh-based organization. [6] Previously chief operating officer of Sutter Health. [6] Prior to that, spent 30 years at UPMC in Pittsburgh in senior leadership roles, including president of UPMC Hospitals, leading 40 hospitals across Pennsylvania, Maryland, and New York. [6]

Tom Doran

President, Highmark Health Plan

Listed as President of Highmark Health Plan under Highmark Inc. Affiliate Business Leaders. [3] Mentioned in the announcement of the eastern Pennsylvania Market Executive appointment. [2]

David L. Holmberg

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

Leads Highmark Health, a Pittsburgh-based nonprofit health and wellness organization. [3, 6]

Karen L. Hanlon

Chief Operating Officer, Highmark Health

Chief Operating Officer for Highmark Health. [3, 6] Highmark Health is a Pittsburgh-based organization. [6]

Deborah L. Rice-Johnson

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

Listed as CEO of Diversified Businesses and Chief Growth Officer under Highmark Inc. Affiliate Business Leaders. [3]