Highmark Blue Shield's Tiered Benefit Design To Expand To 21 Counties In Central And Eastern Pennsylvania
August 16, 2013
CAMP HILL – After rolling out a tiered benefit in July in nine counties in north central Pennsylvania, Highmark Blue Shield is now expanding the benefit to 21 counties in central and eastern Pennsylvania beginning on January 1, 2014.
Called Community Blue Premier Flex it will now be offered to group customers in the following 21 counties: Adams, Berks, Centre, Columbia, Cumberland, Dauphin, Franklin, Fulton, Juniata, Lancaster, Lebanon, Lehigh, Mifflin, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Union and York.
With Community Blue Premier Flex, all area providers that participate in Premier Blue Shield are in-network. Community Blue Premier Flex includes two levels of in-network benefits — Enhanced Value Benefits level and Standard Value Benefits level. At both benefits levels, members receive high quality care.
Community Blue Premier Flex members receive Enhanced Value Benefits, or pay less, if they choose an in-network hospital or doctor that provides care at a lower cost. When they receive care from other in-network providers, members are covered at the Standard Value Benefits level, or have higher cost sharing. Hospitals in the region are listed on our member web sites, along with the level of benefit coverage.
"In the short time since we have introduced this benefit design in north central Pennsylvania, we are pleased with the customer response and are excited about the rollout for the entire region," said Steven Nelson, Highmark Health Services senior vice president of product, marketing and strategy. "We estimate that employers can save up to 20 percent on their premium costs depending on the group's current utilization."
Highmark Blue Shield has a number of transparency tools on its member website where members can compare estimated costs among providers for many common procedures.
About Highmark Blue Shield
Highmark Blue Shield serves approximately 1.1 million members through the company's health care benefits business and employs nearly 4,000 people in central Pennsylvania and the Lehigh Valley. Highmark Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.highmark.com.
The Blue Cross and Blue Shield Association is a national federation of 37 independent, community-based and locally-operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for nearly 100 million members – one-in-three Americans. For more information on the Blue Cross and Blue Shield Association and its member companies, please visit bcbs.com. We encourage you to connect with us on Facebook, check out our videos on YouTube, follow us on Twitter and check out The BCBS Blog, for up-to-date information about BCBSA.