Highmark wholecare healthy benefits food list

Highmark Wholecare Medicaid provides a wide range of benefits to help you live a healthy and happy life. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association ("Highmark Wholecare"). Highmark Wholecare offers HMO plans with a ...

Get Your Questions Answered. If you have questions about step therapy, or your prescription drug benefits, please call Member Services at 1-844-339-7684 (TTY 711). Learn more about the Medicare Part B Step therapy available to eligible members of Highmark Wholecare today.Download and mail completed forms to: Highmark Wholecare. Attention: Medicare Enrollment Department. P.O. Box 535191. Pittsburgh, PA 15253-5191. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman Website 2024 Food and Utility Benefits. Every month, Highmark, Wholecare Diamond and Ruby members will receive a monthly allowance to help with Food and Utility expenses. Diamond plan members will receive $175 and Ruby members will receive $35 a month. The monthly amount can be used as needed at select food retailers or on select utilities.According to Just Harvest, a nonprofit organization that addresses hunger in Allegheny County, where Highmark Health is headquartered, nearly 1 in 7 people face chronic hunger and food insecurity in our region. Chances are you may know someone in this category. A lack of nutrition, especially in older adults, increases the risk for ongoing ...volunteers at the Highmark Wholecare's Pittsburgh Connection Center to distribute food and provide health and nutrition information to local families. Highmark Wholecare once again partnered with the Greater Pittsburgh Community Food Bank on this initiative. The ELT helped provide food for approximately 75 families in two hours. Medicare Plans. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Last Updated: Oct 1 ... If you have a question about this notice or believe Highmark Wholecare has violated your privacy rights as stated in this notice, you can file a complaint by contacting: Telephone: 1-866-228-9424. For more information on filing a complaint or your rights stated in this notice, you may call our Member Services at 1-800-392-1147 or 1-800-685-5209 ...

Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association ("Highmark Wholecare"). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.By Phone. To use your utility support benefits by phone, you can call 1-833-560-1817 (TTY 711) during these hours: October – March 8 a.m. to 8 p.m., Monday-Sunday. April – September 8 a.m. to 8 p.m., Monday-Friday. When you call, you’ll need to have your bill ready that has your 16-digit account number as well as the security code on the ...Pick up a wheelchair, crutches or oxygen equipment. Get drugs from a pharmacy. Call 1-800-392-1147 TTY users call 711. or 1-800-654-5984, Select *Special Needs Unit*. Highmark Wholecare offers Medicaid transportation services to cover medical care appointments for Pennsylvania Medicaid recipients. Call to schedule a ride!Highmark Wholecare 2024 Over-the-Counter Benefits Preventative Health Products at No Cost to You. Welcome to your 2024 Over the Counter Benefit, administered by Fieldtex. The OTC Benefit is designed to give you access through your health plan to preventative health products that you are already using at no additional cost to you.Learn how to access $135 per month to buy healthy food items with your Healthy Food Card. Find out how to activate your card online, by phone or with the mobile app.Participation in the Lifestyle Management Programs is voluntary. If at any time you’d like to stop, please call 1-800-685-5209 (TTY 711). We’re available to help you Monday – Friday, 8:30 a.m. to 4:30 p.m. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue ...

1-877-428-3929. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman ...In today’s fast-paced world, finding time to prepare healthy and delicious meals can be a challenge. However, with the right recipes and a little planning, it is possible to whip u...If you need help to quit smoking or using tobacco, call the toll-free Quitline at 800-784-8669 or 1-800-QUIT-NOW. If someone in your family smokes, ask them to smoke outside. Manage your asthma with the Highmark Wholecare Asthma program. Get the care you need to control your symptoms and live a healthy life.Call us at 1-877-428-3929 to apply for D-SNP coverage. Learn how to Enroll. Highmark Wholecare plan members have access to all sorts of Medicare benefits and programs to help make life better. Learn more today.If you are enrolled in Aetna Better Health or Highmark Wholecare you must choose a different managed care plan. Here's what to do. 1. Read the guide that came with this letter to compare plans. 2. Make a list of the doctors, specialists, and hospitals you use. 3. Choose a plan online at www.enrollnow.net. Or use our mobile app, PA Enrollment ...Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield ...

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Availability of benefits and plans varies by carrier and location. Not affiliated with or endorsed by any government agency. Every year, Medicare evaluates plans based on a 5-star rating system.We provide a variety of other health coverage products like dental, vision, and travel insurance in addition to great services like The Caring Program and fertility treatment. DISCOVER. Highmark Inc. has taken a leadership role in providing innovative products, programs, and services for our members, providers, and the communities we serve.2023 Diamond Southeast PA EOC. 2023 Ruby EOC. 2023 Ruby Southeast PA. You must see a TruHearing provider to use this benefit. Call 1-844-763-4240 to schedule your appointment (for TTY, dial 711). Hearing aid benefits are limited to TruHearing's Select Advanced and Premium hearing aids which are available in many styles and colors.Posted: October 17, 2022. Social determinants of health (SDOH), such as access to nutritious food and transportation, safe housing, and good jobs, can impact up to 80% of an individual's health outcomes. That's why an increasing number of U.S. health system payers and providers have created programs to help identify and address basic social ...

Your medication benefits help you save on out-of-pocket costs for prescriptions from your doctor as well as health and wellness items from the store. Prescription Drug Benefits. Your Highmark Wholecare D-SNP, prescription drug benefits give you a $0 copay for most covered Medicare Part D prescription drugs, local pharmacy locations and more.Medications listed above will be reimbursed by Highmark Wholecare only if it is medically necessary, a covered service, and provided to an eligible member. • Non-covered benefits will not be paid unless special circumstances exists. Always review member benefits to determine covered and noncovered services.- EFFECTIVE May 1, 2023 April 2023HMO. Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Pennsylvania and offered by the health insurance company Highmark Wholecare Medicare Assured. This plan's network type is HMO which determines in-network doctors who accept the health plan ...Calling the Nurse Line. Call the Nurse Line for PA Medicare: 1-855-805-9420 TTY: 711. A registered nurse is available to assist all our Highmark Wholecare members, free of charge. If you are experiencing an emergency, please call 911.The following entities serve central and southeastern Pennsylvania and are independent licensees of the Blue Cross Blue Shield Association: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. All references to "Highmark" in this ...Shopping for groceries online has become increasingly popular in recent years, and Whole Foods is one of the leading providers of online grocery shopping. Whole Foods offers a wide...This is called “Extra Help.”. It gives you a $0 copay for most covered Medicare Part D prescription drugs, meaning you won’t have to pay Medicare Part D covered drugs. As a reminder, please update Highmark Wholecare if your personal information changes. Call Member Services at 1-844-339-7684 (TTY 711).2024 Food and Utility Benefits. Every month, Highmark, Wholecare Diamond and Ruby members will receive a monthly allowance to help with Food and Utility expenses. Diamond plan members will receive $175 and Ruby members will receive $35 a month. The monthly amount can be used as needed at select food retailers or on select utilities.Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman Website. Best Available Evidence. Y0037_1359_M_2024. Last Updated: Oct 1, 2023. Highmark Wholecare offers Goodness Rewards to eligible members. Earn rewards for completing wellness activities …

Benefit card and funds are managed on behalf of Optum Financial, Inc. on behalf of itself and its subsidiaries. Questions? Need your benefit balance?

Get moving! Find ways to add extra movement and steps throughout the day. Build healthy meals using the plate method at myplate.gov. Get a good night’s sleep. Limit sugar sweetened beverages. Talk with your doctor about a healthy weight that is right for you. Click the following link to learn more about building a Healthy Lifestyle.Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association ("Highmark Wholecare"). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman WebsiteYour OTC Benefits. Your D-SNP may provide you with money every three months to help you pay for over-the-counter (OTC) items, like: Foot cream. Diabetic socks. Food scales. Nicotine replacement therapy. No matter if you want to lose weight, stop smoking or manage pain, your OTC allowance will get refilled every three months.According to Just Harvest, a nonprofit organization that addresses hunger in Allegheny County, where Highmark Health is headquartered, nearly 1 in 7 people face chronic hunger and food insecurity in our region. Chances are you may know someone in this category. A lack of nutrition, especially in older adults, increases the risk for ongoing ... 1-877-428-3929. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman ... Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association ("Highmark Wholecare"). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.The Highmark Wholecare physician agreement indicates that participating providers must submit written notice: Ninety (90) calendar days prior to the date the provider intends to terminate. Sixty (60) days prior if you plan to close your practice to new patients. Thirty (30) days prior for a practice location change.Knowing the best foods for people with kidney disease is an important step in staying healthy if you have chronic kidney disease (CKD). It is also helpful to know how to find recip...Welcome to 2024 Open Enrollment! Open Enrollment starts on November 1, 2023 and runs through January 19, 2024. If you enroll by December 15th, the plan will take effect on January 1, 2024. If you enroll after December 15th, your plan will take effect on February 1, 2024.This Annual Notice of Changes gives you a summary of changes in your benefits and costs for 2024. For details, look in the 2024 Evidence of Coverage for Highmark Wholecare Medicare Assured Diamond. The Evidence of Coverage is the legal, detailed description of your plan benefits. It explains your rights and the rules you need to follow to get ...

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Having a health plan means knowing what you want to achieve for your well-being. . Find the right plan that suits your needs and budget. view all plans. Login and unlock your Highmark health plan benefits. Our member guide and website provide everything you need to take charge of your health care.Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman WebsiteHighmark Wholecare plans cover your health, and have some great additional benefits. ... If you require additional vision, hearing, dental, and fitness …When it comes to maintaining a healthy lifestyle, incorporating a variety of fruits into your diet is key. Not only are they delicious and refreshing, but they are also packed with...To file a request, you can: Send us a request by fax to: Medicare: 1-888-447-4369. Mail a request to: Highmark Wholecare. Attn: Pharmacy Department. P.O. Box 22158. Pittsburgh, PA 15222. Call us at the number listed on your membership card.Please call 1-855-350-0074 (TTY 711) Monday - Saturday 8:00 AM to 5:00 PM; Sunday 10:00 AM to 5:00 PM. Please contact Highmark Wholecare member services at: 1-800-685-5209 8:00 AM to 8:00 PM, 7 days a week from 10/1 through 3/31. From 4/1 through 9/30 call between 8:00 AM to 8:00 PM Monday through Friday. Important Information: Ordering limits ...Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the lue ross lue Shield Association ("Highmark Wholecare"). Highmark Wholecare offers HMO plans with a Medicare ontract. Enrollment in these plans depends on contract renewal.This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania.Over-The-Counter Benefits. At Highmark Wholecare we feel that medication coverage goes beyond prescriptions. This is why Over-the-Counter (OTC) benefits have been added to your D-SNP. You’ll get an OTC allowance every three months, offering you four shopping periods a year to buy plan approved items. You can place your orders: Online; By ... You can use this card to get reimbursed for up to $100 per quarter toward some of your bills. If you provided your phone number during enrollment, you would also receive a welcome call from our Member Services team. You can always call Member Services at 1-800-392-1147 team to get your questions answered. Medicare Plans. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Last … ….

contact Highmark Wholecare Member Services at . 1-800-685-5209 (TTY users should call 711). PLEASE READ: This document contains information about the drugs we cover in these plans. H5932_23_5276_ C 00024539/12. 2024 Formulary (List of Covered Drugs) Highmark Wholecare . Medicare Assured Diamond. SM (HMO SNP) Highmark Wholecare . Medicare ...About this app. Get your health info on your phone with the Highmark Wholecare app. You can access, print or request new ID cards, learn about your benefits and claims, find a doctor, and more. Also use the app for access to 24/7 online visits or talk to a nurse if you have questions about your health. Manage your family's health info if they ...Your Highmark Wellness Rewards Prepaid Mastercard will be mailed directly to you following the processing of your claim. Please allow up to eight weeks to receive your reward. Highmark is not responsible for lost or stolen cards. Call Highmark Member Service at the number on the back of your Highmark Member ID card, seven days a …This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. ... and Air Quality Equipment benefits for Highmark Wholecare. Highmark Wholecare and Fieldtex Products are not responsible for lost or stolen packages. For delivery issues ...This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania.Please call 1-855-350-0074 (TTY 711) Monday - Saturday 8:00 AM to 5:00 PM; Sunday 10:00 AM to 5:00 PM. Please contact Highmark Wholecare member services at: 1-800-685-5209 8:00 AM to 8:00 PM, 7 days a week from 10/1 through 3/31. From 4/1 through 9/30 call between 8:00 AM to 8:00 PM Monday through Friday. Important Information: Ordering limits ...Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2024 - 12/31/2024 Highmark West Virginia Inc.: my Blue Access WV PPO Bronze 8900 Coverage for: Individual/Family Plan Type: ... or the U.S. Department of Health and Human Services at 1- 877-267-2323 x61565 or www.cciio.cms.gov ...This is called “Extra Help.”. It gives you a $0 copay for most covered Medicare Part D prescription drugs, meaning you won’t have to pay Medicare Part D covered drugs. As a reminder, please update Highmark Wholecare if your personal information changes. Call Member Services at 1-844-339-7684 (TTY 711).Healthy Benefits+ gives you easy access to the benefits you need to help you live a healthier lifestyle. With Healthy Benefits+, you can: • View your benefit balance. • Review your shopping options. • Browse qualifying items. • Use your card number or barcode to redeem benefits. • Review your transaction history. • Update your ... Highmark wholecare healthy benefits food list, Highmark Wholecare offers various programs and services to help you live a healthy lifestyle, such as health coaching, wellness, smoking cessation, and healthy food access. Learn more about the benefits and resources available to you as a member of Highmark Wholecare Medicaid., Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield. All references to "Highmark" in this document are references to the Highmark company that is providing the member's health benefits or health benefit administration and/or to one or more of its affiliated Blue companies., Call us at 1-877-428-3929 to apply for D-SNP coverage. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract., Learn how to access and use your healthy food and benefit card, which can reimburse you for up to $100 per quarter toward some of your bills. Find out more about your …, Enrollment in Highmark Choice Company, Highmark Senior Health Company, and Highmark Health Insurance Company depends on contract renewal. Highmark Blue Shield, Highmark Choice Company, Highmark Senior Health Company, and Highmark Health Insurance Company are independent licensees of the Blue Cross Blue Shield …, This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania., 2024 DSNP Service Area. 2023 DSNP Service Area. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on ..., Allegheny Health Network is an integrated delivery network in western Pennsylvania comprised of 14 hospitals, more than 2,600 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions ..., Healthy Benefits Plus is a sponsored program that provides an allowance on approved over-the-counter products and health items at participating stores. Skip to main content. Log In; ... With Healthy Benefits+, you get access to benefits that can help you live a healthier lifestyle. Best of all, your benefits are applied instantly! ..., Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association ("Highmark Wholecare"). Medications to Require Medical Prior Authorization . As a part of our continuous efforts to improve the quality of care ..., 1-877-428-3929. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman ..., PITTSBURGH, Sept. 15, 2022 /PRNewswire/ -- Everyone deserves health care that's tailored to their physical, mental, and social needs. That's the mission of AbsoluteCare. In collaboration with ..., These case managers help you monitor, stick to a treatment plan and help you live a long, healthy life. Participation in the Lifestyle Management Programs is voluntary. If at any time you’d like to stop, please call 1-800-392-1147 (TTY 711). We’re available to help you Monday – Friday, 8:30 a.m. to 4:30 p.m., Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman Website., Call the Goodness Rewards helpline at. 1-833-559-2858 (TTY 711), Monday - Friday, 7 a.m. to 7 p.m. Highmark Wholecare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, creed, religious afiliation, ancestry, sex gender, gender identity or expression, or ..., Original Medicare 101. Original Medicare is offered by the federal government and is often referred to as Medicare Parts A and B. It covers things like: Hospital care. Mental Health services. Certain kinds of therapies. Original Medicare also covers some additional services, which you can learn about here . Still, it doesn't cover everything ..., With your Extra Benefits Card, you have a benefit amount to spend each month on approved healthy foods.*. You can buy fruits, veggies, meat and seafood. You can also get pantry staples and healthy grains like flour, spices, bread, pasta and more! Always select credit when using the card – a PIN is never needed., If you need help to quit smoking or using tobacco, call the toll-free Quitline at 800-784-8669 or 1-800-QUIT-NOW. If someone in your family smokes, ask them to smoke outside. Manage your asthma with the Highmark Wholecare Asthma program. Get the care you need to control your symptoms and live a healthy life., Discover Highmark's Wholecare Healthy Lifestyle Program for Medicaid members, offering resources to improve health and wellbeing. ... Benefits and Programs. ... Hearing Coverage; Food and Utility Assistance; Medication Benefits; Member Resources. Addiction Resource Center; Wholecare Resource Center ; Member Newsletters; search., You can use this card to get reimbursed for up to $100 per quarter toward some of your bills. If you provided your phone number during enrollment, you would also receive a welcome call from our Member Services team. You can always call Member Services at 1-800-392-1147 team to get your questions answered., Check Your Application Status. After completing the application, you can check the status on the COMPASS website. Check the status of your application. 1 (800) 392-1147 TTY 711. Enroll in Highmark Wholecare's Medicaid for Pennsylvania residents and get access to doctors, hospitals, prescriptions, and more with our health insurance plans., This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania., This is called “Extra Help.”. It gives you a $0 copay for most covered Medicare Part D prescription drugs, meaning you won’t have to pay Medicare Part D covered drugs. As a reminder, please update Highmark Wholecare if your personal information changes. Call Member Services at 1-844-339-7684 (TTY 711)., Pick up a wheelchair, crutches or oxygen equipment. Get drugs from a pharmacy. Call 1-800-392-1147 TTY users call 711. or 1-800-654-5984, Select *Special Needs Unit*. Highmark Wholecare offers Medicaid transportation services to cover medical care appointments for Pennsylvania Medicaid recipients. Call to schedule a ride!, Medications listed above will be reimbursed by Highmark Wholecare only if it is medically necessary, a covered service, and provided to an eligible member. • Non-covered benefits will not be paid unless special circumstances exists. Always review member benefits to determine covered and noncovered services.- EFFECTIVE May 1, 2023 April 2023, Have your blood pressure checked as prescribed by your physician. You should maintain your blood pressure at less than 140/90. Eat more fruits, vegetables, nuts, dried beans, whole grains and foods low in salt. Get moving! Being physically active can help keep your blood pressure in the target range., Dental Benefit Guidelines. Each Highmark Wholecare D-SNP offers its own benefit levels for dental care each year and some covered services with $0 copay. Also, D-SNP plans have different benefits for detail care, such as: Root canals. Dentures. Caps or crowns. Deep cleaning of the teeth to remove deposits under the gums (scaling and root planning), Care Programs. Additional services can be found in the Member Handbook. You can find Co-Payments in "Section - 2 Rights and Responsibilities." Highmark Wholecare offers Medicaid health insurance coverage for Pennsylvania residents. Learn about our Medicaid coverage plans and member benefits today., Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal. Medicare Ombudsman Website. Best Available Evidence. Y0037_1359_M_2024. Last Updated: Oct 1, 2023. Highmark Wholecare offers Goodness Rewards to eligible members. Earn rewards for completing wellness activities and healthy behaviors., Highmark Member Portal., Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc ..., Members can also visit mybenefitscenter.com to find a complete list of participating retailers in their area where rewards can be redeemed. For questions on the 2024 Goodness Rewards program, members can call 1-833-559-2858 (TTY 711) Monday through Friday 7 a.m. - 7 p.m. EST., Routine: $0 copay IN; $50 copay OON (1 Per Year). Standard eyeglass lenses and frames or contact lenses are covered in full. IN/OON: A $150 benefit max applies to non-standard frames or a $150 benefit max for specialty contact lenses per year; $200 benefit max for post cataract eyewear (once per operated eye).