Highmark Logo

Highmark

check_circleVerified

star star_half star_border star_border star_border
8 User Reviews
error This company may not service all states.
See states serviced

Highmark BlueCross BlueShield was originally called Blue Cross of Western Pennsylvania. Founded in 1977, this company’s original name reflects the limited service area it has in parts of Pennsylvania, Delaware, and West Virginia. Backed by its parent company, BlueCross BlueShield, Highmark serves millions of members.

thumb_up

The Good

  • Types of Plans Offered
  • Member Resources
  • Customer Service

Types of Plans Offered

There aren't many health plans that Highmark doesn't offer, which is great for shopping for a plan. Highmark offers Medicare and CHIP (Children's Health Insurance Plan). CHIP through Highmark is only available in some parts of Pennsylvannia.

In addition to differing in terms of provider networks, Highmark's health plans vary in terms of benefits for deductibles, copayments, referral requirements, and out-of-pocket costs. While shopping for a health plan here, you'll be asked to give your zip code because the location is an important factor in the types of plans you qualify for. Shopping for a plan is really easy with Highmark though. Highmark doesn't ask for very private information before telling you specific details about plans, and the company outlines the benefits of qualifying plans so that it's easy to compare them.

Member Resources

Becoming a member with Highmark entitles you to lots of tools for managing your account and saving money to get healthy. First, there's a tool you can use to find a provider, be it a doctor, pharmacy, dentist, or vision care provider.

Members can take a doctor match quiz to find a provider with a care style that works well with your needs and personality. You can also use RealAge® on ShareCare to see how old your body is based on its health condition. This tool can help you take action to be healthier. The tool also allows you to track yoru health habits.

Customer Service

Customer service isn't something Highmark treats lightly. In fact, several of the company's overall values are directly related to customer satisfaction and proper business conduct. These include integrity, for one, and the notion that people matter.

Like many other health insurance companies, Highmark wants to be a motivator for members' good health. Customers can contact Highmark through phone or via an online form.

Get Quote

thumb_down

The Bad

  • Limited Service Area
  • No 24/7 Customer Service
  • Time in Business

Limited Service Area

Highmark health plans are primarily available in western Pennsylvania, as well as some coverage in Delaware and West Virginia. This is really a limited scope and makes the company available to a small portion of the country.

No 24/7 Customer Service

As helpful as the customer service options are with Highmark, none of these features are available 24/7. Their live chat and phone numbers are only available during certain business hours, which leaves members to rely on just their only accounts for help outside of business hours.

Time in Business

On a less crucial note, Highmark is a relatively new company, since it has only been around since 1977. While not new to the health insurance industry, some of its competitors have been in business much longer. Other health insurance carriers boast several decades and even more than a century of business experience, which leaves Highmark to be a smaller, newer name in the industry.

gavel

The Bottom Line

For the right customer, Highmark is definitely a recommended company. But what makes a customer "right"? In this case, you're an excellent candidate for a Highmark health plan if you live in western Pennsylvania (or one of the covered areas in Delaware or West Virginia). The remaining factors that determine whether you'll be satisfied with Highmark are specific to the health plans you qualify for through them. The company has a great selection of plans, good member resources, and a great reputation all around. So as long as the logistics of location fall into place, Highmark is definitely in the running of quality health insurance companies.

Was this content helpful?
thumb_up Yes thumb_down No

We'll Introduce You!

Call our recommended rep over at Highmark below.

1-(855) 549-3168

Star Rating

1.8

star star_half star_border star_border star_border

8 Reviews

Review Breakdown

5 grade

13%

4 grade

0%

3 grade

13%

2 grade

0%

1 grade

75%

Sentiment Criteria

Value

star star star_half star_border star_border

Quality

star star_half star_border star_border star_border

Service

star star_half star_border star_border star_border

Trustworthiness

star star_half star_border star_border star_border
cancel

Filter by:

arrow_drop_down

Sort by:

arrow_drop_down
info
star star star star star

Chris Wonnacott Pittsburgh, PA

I was doing research for college on insurance companies. When I noticed the terrible reviews for Highmark Health Blue Cross Blue Shield Coverage (Highmark), I had to write a positive review. I live in Pittsburgh. Highmark has insured me for four years. I am insulin diabetic and have an autoimmune disorder, so these health issues make me a frequent user of Highmark insurance. The customer service people answering the phones are amazing and always willing to go the extra mile for my needs (a rare commodity in customer service these days). In the last three months, I have had a heart cath and two out-patient surgeries. As long as I stay within network, I cannot refer to my out-of-pocket expenses as extreme. There has to be some costs involved; nothing is free. How is the organization supposed to pay the people who provide a service to us if we expect everything to be free? I pay a monthly payment, but check your hospital bills and you will actually discover how much more Highmark pays. My out-of-pocket was high for my heart cath, but Highmark offered me a low cost, no interest, monthly payment plan (without me asking). I took it. Today, health insurance is about staying in-network. If you refuse in-network doctors, then the out-of-network costs run exceedingly high. As long as a person stays within Highmark's network, they have reasonable copayments (of course, this depends on your plan). The health care providers in the network, including my cardiac care doctors, my lung doctor, and my primary are amazing. I cannot accept all the bad reviews without giving Highmark Health a great recommendation. As a previous United Healthcare member, I was extremely dissastified with their coverage. I switched to Highmark. I picked a plan (there are multiple plans) with low copayments. I am a fan of Highmark and consistently recommend them to my friends..

7 months ago

star star star star_border star_border

Displeased Darla Colorado Springs, CO

I have had fairly good experiences with my basic insurance PPO plan. However, I have signed up for the FSA, flexible spending account, two years in a row and both times they have attempted to bog me down in paperwork, shut down my account, close my debit card activation (without notification the second time), and block reimbursement submissions from being submitted through their website (literally the same one will not go through but 20 others will on the same day, so they have blocked ONE particular submission) to prevent me from using the money which is use it or lose it by the end of the year. I have accused them twice of intending to steal my money because they get to keep it if they bog me down long enough and have received no response in apology or saying that they aren't doing exactly that. DO NOT USE THEIR FSA OPTION.

2 years ago

star star_border star_border star_border star_border

Robert Adkins Parkersburg, WV

Lousiest member service I have ever experienced. Agents and service reps are not trained properly. Down right lie to you to buy a policy from them and no service after the sale. Seems to me their motto should be “ If we ever talk to you again it will be too soon”. Oh and good luck getting in money back if you over pay them,

6 months ago

star star_border star_border star_border star_border

David Lavin Dover, PA

I'm no math whiz and insurance tends to spin my head around. My company went with Highmark to save a buck and I went with the HDHP since I was a generally healthy person. Well last year I fell ill and ended up spending quite a bit of money at the doctors. Somehow I never met my plan deductible or out of pocket limit. Even though my total expenditures out of my HSA far exceeded both? So I ended up spending every penny I put into the HSA. Not to mention that the money I put in, even though it was "guaranteed" to be available after one business day would take days to be available in my account. Good luck trying to get a hold of anyone. You'll spend most of your time on hold, and most likely, like me, get frustrated and hang up. To employers, switching to this company may save you a few bucks but it's going to cause your employees stress, and frustration. If that matters to you at all.

1 year ago

star star_border star_border star_border star_border

JT Dracut, MA

I have to be rushed by an ambulance. Highmark Blue Cross Blue Shield tells me that I will be paying the full amount of for the Ambulance service. Highmark did not pay their share being my insurance company because they keep insisting that the Ambulance was Out of Network well in fact in my Policy Page 13 under “Summary of Benefit” clearly states that under Ambulance service I will have the greatest amount of benefits that the program can provide. It is always tagged as “Same as network services even if it’s Out of Network and Page 21 under Emergency Care Services it was stated “you’re covered at the higher, network level of benefit for emergency care received in or outside the provider network. This flexibility helps accommodate your needs when you need care immediately”. In my two formal letter appeal to Blue Cross Blue Shield I keep insisting that it is too absurd that during 911 call you will have to ask if the ambulance that is coming is In or Out of network. Another reason that they gave me when I made a call was, it is useless if they will contribute a payment because the Ambulance service is Out of Network. They have no control of the fee that the Ambulance Company will be charging on me but at least they must do their part based on the policy agreement I am aware that I haven’t met my deductible so I will be responsible to pay that service however they would have share a payment first then the rest is my responsibility.

1 year ago

star star_border star_border star_border star_border

Unhappy Willard, OH

This is the worst insurance on the planet. My company recently switched to them to save a buck on there end and now all the employees have to suffer. They deny everything. I have been on a CGM DEVICE FOR YEARS and when the company switched to Highmark from Anthem they denied all my claims for my supplies and I was stuck with a bill of over $3900 . Not to mention my A1C went up 4 points without my CGM. HEARTLESS company worst I've ever seen

2 years ago

star star_border star_border star_border star_border

Atha Beveridge Morgantown, WV

Just found out i have cancer. Highmark is denying my chemo treatments. I pay high premiums for this coverage! They suck!! Who are they to decide my fate?!

2 years ago

star star_border star_border star_border star_border

Travis Mckenzie Martinsburg, WV

Doesn't even pay for a quarter of my surgery. Go to hell Highmark...

5 years ago

We're on a mission to empower consumers to make the best decisions and connect confidently with companies that deserve their business.

© 2021 BestCompany.com LLC - All rights reserved Privacy Policy | Terms | Do Not Sell My Personal Information