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HMO. 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 ...Want to Learn More About the Highmark Wholecare Connection Center? For questions about our Pittsburgh location, please email us at [email protected] or call 412-690-7400 (TTY 711). For questions about our Harrisburg location, please email us at …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."We look to support our members' whole health by supplementing our strong medical and prescription drug benefits with supplemental benefits like a food and utility allowance," said Ellen Duffield, president of Highmark Wholecare. Key benefits on the Diamond and Ruby DSNP plans include: $0 premium, $0 PCP, $0 prescription drugs (all tiers)Member Services: 1-412-255-1323 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) benefit details.clinical influencers of health, we aim to lower their overall health care cost trajectory. At Highmark Wholecare, quality is the pathway to fiscal responsibility. AUGUST 2022 Leaders from Highmark Wholecare joined with area nonprofits and elected officials on June 27 at Tri County Community Action to present more than $300,000 in "wholeHighmark 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.If you want a different provider than the one Highmark Wholecare picked for you, call Member Services at 1-800-392-1147 (TTY users call 711 or 1-800-654-5984). The limit will last for 5 years even if you change HealthChoices plans. Learn more about this program in the Member Handbook. Please note: The restriction is not enforced in the case of ...Oct 1, 2023 · 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. It's about convenience and quality. That's why we constantly work to identify high-performing providers and offer access to alternative care locations such as clinics, local facilities, and in-home care. To that end, Highmark has measured a specific set of performance metrics for components of care provided by participating home health agencies. East Liberty, Pittsburgh. 6033 Broad Street Pittsburgh, PA 15206. Hours: Monday - Friday 8 a.m. – 4 p.m. Midtown Harrisburg. 1426 N. Third Street Harrisburg, PA 17102. Hours: Monday - Friday 8 a.m. – 4 p.m. Visit our Connection Center locations in Midtown Harrisburg or Pittsburgh for in-person support, care management and coordination ... Family Health Council 1-800-532-9465 Health Choices 1-800-440-3989. TDD/TTY: 711. Mailing Addresses. Claims and Referral Forms Mailing: Highmark Wholecare Claims Processing P.O. Box 211713 Eagan, MN 55121. Claims Inquiries and Administrative Reviews (Provider Disputes): Highmark Wholecare P.O. Box 535191 Pittsburgh, PA 15253-5191You pay per benefit period a: $0 copay each day for days 1-90. $0 copay each day for lifetime reserve days 91-150. Depending on the service provided,you You pay per benefit pay between period a: $0 $250 copay copay and each 20%coinsurance. day for days 1-6. $0 copay each day for days 7-90.Member Packet. Your Member Packet includes plan documents, like your Evidence of Coverage (EOC). You can rely on your EOC to answer questions about your plan. If you'd still like to learn more, you can visit our Frequently Asked Questions (FAQ) or call Member Services at 1-800-392-1147. At Highmark Wholecare, we know how hard it can be living with a chronic condition. The Highmark Wholecare Lifestyle Management Program improves the health of our Medicare Assured members by helping them monitor their condition, stick to a treatment plan, and remove the obstacles that stand in the way of a longer, healthier life. 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. 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 ...

Highmark Wholecare's Diamond plan members have access to a monthly amount of money to buy hundreds of healthy food items, including fresh produce. Every month, Diamond members will receive $135 which can be used to buy foods at select retailers, online or by the phone.Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center. 1 (800) 392-1147 TTY 711. We offer pregnancy and pediatric Medicaid coverage for your pregnancy and pediatric needs including prenatal care, childbirth, and pediatrician support.Medicare Plans With Healthy Food Allowance. While Original Medicare and Medicaid programs are available across the United States, access to Medicare Advantage plans, sold by private insurance companies, varies by location. A licensed sales agent can research options and help you navigate plans in your area that offer healthy food benefits.Benefit card and funds are managed on behalf of Optum Financial, Inc. on behalf of itself and its subsidiaries. Questions? Need your benefit balance?

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 ... Oct 1, 2023 · 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. …

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. Your plan documents also provide complete information to s. Possible cause: Health benefits or health benefit administration may be provided by or through High.