It’ll give you a quick overview of your plan’s benefits and features.Then, make sure to create an account on the member website, where you can view all your plan details.
Your Together Connect team is here to answer all your plan-related questions. These health plan pros can help you:
1-833-585-7337
Monday - Friday, 8 a.m. - 6 p.m.
Your plan comes with in-network access to Allegheny Health Network. And great news about AHN, they have over 2,700 doctors and specialists in 270+ locations in the area. For more information on innetwork facilities, call the Together Connect team or visit the member website.
Looking for specific information about your deductible, copays, andother plan details? You can find it all on the member website.
View the details of your health plan to understand your coverage, from which doctors are in-network to prescription drug benefits.
See your plan progress, claims and how much you’ve paid out-of-pocket for your deductibles and copays.
Choose the facilities, procedures and tests that work best for you, and we’ll help you compare costs to save money.
A key step to staying healthy is having a primary care provider (PCP)you see regularly. Your PCP can perform wellness checks, screenings,vaccines, immunizations, and so much more. Find in-network doctorsand facilities near you.
Message your doctor, view test results, request prescription renewals, and more. To get started, visit mychart.ahn.org and click Register New User.
Sharecare is an online wellness platform that helps you determine your real age and gives you personalized tips for making healthy choices. Register at mycare.sharecare.com, then download the app to get started.
Here are a few words you might come across as you learn more about your plan:
Copay - The set amount you pay for certain covered services; it could be $20 for a doctor visit or $30 for a specialist.
Coinsurance - The percentage you may owe for certain covered services after reaching your deductible. For example, you pay 20%, your plan pays 80%.
Covered Health Service - A service could be an office visit, test, prescription, or another medical treatment that your health insurance covers. If your doctor recommends a health service, check to make sure the service is covered.
Deductible - The set amount you pay for covered health services or drug costs before your plan starts paying.
In-Network Provider - A doctor, hospital, or other provider in the plan’s network. Network providers have agreed to accept the plan allowance as payment in full for covered services. You pay less when you use an in-network provider instead of an out-of-network provider. With the exception of care for emergent and urgent conditions, if the plan does not offer out-of-network coverage, you must see an in-network provider for all covered services.
Plan Allowance - The most a health plan will pay for a health service. A health service could be a test or a procedure. Your plan’s network providers have signed a contract to provide services at a discount. They agree not to charge more than this plan allowance to members of the health plan. Out-of-network providers may charge more than the plan allowance. If you see an out-of-network provider who charges more, you may have to pay the extra cost. If you have an HMO or EPO plan, emergency and urgent care services are the only services covered out-of-network. You will pay the out-of-network provider’s billed charges for all other services.
Premium - The monthly amount you pay for your coverage.
Prescription Coverage: Tiered Formulary - The cost of your prescription will depend on the tier, if it’s a brand or generic drug, and the amount of days you refill for. Keep in mind, Tier 1 drugs are the lowest cost and Tier 4 are the highest.
Out-Of-Network Provider - A provider who does not have a contract with your health insurer to provide services to you at a discount. You will generally pay more to see an out-of-network provider. If you have an EPO or HMO plan, you are not covered for out-of-network services, except for emergency and urgent care services.
Out-Of-Pocket Maximum - The most you’d pay for covered care within a calendar year. If you hit this amount, your plan pays 100% after that. Your deductible, coinsurance, and copays all go toward meeting it.
Sharecare is a registered trademark of Sharecare, Inc., an independent and separate company that provides a consumer care engagement platform for Highmark members. Sharecare is solely responsible for its programs and services, which are not a substitute for professional medical advice, diagnosis or treatment. Sharecare does not endorse any specific product service or treatment. Health care plans and the benefits there under are subject to the terms of the applicable benefit agreement.
Health care plans are subject to terms of the benefit agreement.
Important Legal Information: Health benefits or health benefit administration may be provided by or through Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage, Highmark Benefits Group, First Priority Health or First Priority Life, all of which are independent licensees of the Blue Cross Blue Shield Association. Health care plans are subject to terms of the benefit agreement.
The Claims Administrator/Insurer complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
We are committed to providing outstanding services to our applicants and members. If you require special assistance, including accommodations for disabilities or limited English proficiency, please call us at 1-800-876-7639 or TTY at #711 to receive assistance free of charge.
This site works best if viewed with the latest version of Internet Explorer, Firefox, Chrome, or Safari browsers. For the best performance and security, always keep your web browser up-to-date.
The information contained on this website regarding the Patient Protection and Affordable Care Act of 2010 (“PPACA”), as amended, and/or any other law, does not constitute legal or tax advice and is subject to change based upon the issuance of new guidance and/or change in laws.
The information provided is intended to provide general information only and does not attempt to give you advice that relates to your specific circumstances. State laws > and regulations governing health insurance and health plans may vary from state to state. Further, any information regarding any health plan will be subject to the terms of its particular health plan benefit agreement and some health plans may not be available in every region or state.