Find Rehabs that Accept Highmark Insurance in Pennsylvania

In accordance with the No Surprises Act, emergency services are billed at in-network rates for UPMC commercial plans. Please check with UPMC for coverage information prior to your appointment. The specific details of Highmark’s substance abuse coverage will depend on the specific plan you have.

• AHN works closely with Highmark Blue Cross Blue Shield and its affiliated Blue companies (“Highmark”) to bring the patient, doctor, and insurer to the same table to provide our patients with personalized care.
• Your MCO works with providers, and you can contact your MCO to find doctors in your community.
• We accept a variety of health insurance plans and will submit claims on your behalf.
• UPMC accepts most major insurers, including Aetna, Cigna, Highmark, United Healthcare, and UPMC Health Plan, offering in-network access to UPMC hospitals, doctors, and services.

To find out if you are eligible, please talk with one of our admissions specialists. To verify insurance coverage, you will need to submit a copy of your insurance card, front and back, including policy holder’s date of birth, address, and employer if insurance is through an employer. Helping Pennsylvanians access high quality health care and supportive services to live an enriching, productive life. Our website is updated frequently, but it is always a good idea to check with your health insurance company about your coverage before scheduling a new appointment. Recovery.com uses a standard procedure to make sure treatment provider profiles on our site are current and complete.

This can include both short-term and long-term treatment programs, such as detox, inpatient and outpatient services and counseling sessions. Coverage will vary based on your insurance plan, so make sure to review your policy or speak with your insurance provider to understand your benefits better. Many insurance providers have plans that cover addiction or mental health treatment services. Silvermist Recovery is an in-network provider with UPMC, BlueCross BlueShield, Geisinger, Tricare and VACCN.

Quest® is the brand name used for services offered by Quest Diagnostics Incorporated and its affiliated companies. Quest Diagnostics Incorporated and certain affiliates are CLIA-certified laboratories that provide HIPAA-covered services. Other affiliates operated under the Quest® brand, such as Quest Consumer Inc., do not provide HIPAA-covered services.

Can you get a single case agreement with Highmark?

UPMC is committed to ensuring our patients and the communities we serve have the information they need to make informed decisions about their health care. UPMC accepts most major insurers, including Aetna, Cigna, Highmark, United Healthcare, and UPMC Health Plan, offering in-network access to UPMC hospitals, doctors, and services. Our intake team will thoroughly review your policy to determine your coverage for physical therapy services.

Medicaid for Children with Special Needs

Some policies also impose step therapy requirements, meaning lower-cost treatments must be tried before more expensive options are approved. Checking with both Penn Medicine and the insurer about these conditions can prevent delays or unexpected bills. Penn Medicine also participates in the Children’s Health Insurance Program (CHIP) and military health benefits like TRICARE. CHIP covers children in low-income families who don’t qualify for Medicaid, and specific plans determine Penn Medicine’s inclusion. TRICARE eligibility depends on military status and plan selection, with different rules for active-duty personnel, retirees, and their families. If you’ve received a denial of a treatment, medication, or service from your health insurance you may be able to request a review.

5% RATE OF RECOVERY 30 DAYS AFTER TREATMENT

This could be based on a need for health insurance, your income, a disability, a need for long-term care, or something else. Medical Assistance provides comprehensive coverage and is there for people who fall on hard times and need help. The federal government ended the continuous coverage for Medicaid and Children’s Health Insurance Program (CHIP) recipients effective April 1, 2023. The continuous coverage requirement was part of the COVID Public Health Emergency. All Medicaid and CHIP recipients must renew their coverage or risk losing insurance coverage. All UPMC in central Pa. locations accept most major health insurances, including Aetna, Capital Blue Cross, Highmark, and UPMC Health Plan.

Surgical Critical Care Fellowship

Your costs for treatment will be subject to your deductible, co-insurance, and/or co-pays. Become familiar with the common language and information used by most health insurance providers. Provide your credit card in preregistration or during your Quest Diagnostics visit. You’ll authorize an amount—but we’ll only charge your card if there’s a remaining balance after we bill your insurance company directly. We will not withhold the amount you authorized, nor will we charge you anything if your insurance pays for the lab testing in full. If you have questions about your health coverage, contact your insurance company directly.

Learn about the parts of Medicare, understand eligibility and get the tools to choose the coverage you need. In addition, this site meets the Centers for Medicare and Medicaid Services (CMS) requirement that went into effect on January 1, 2019 to provide the Chargemaster Fee Schedule. Centers are ranked according to their verified status, relevancy, popularity, specializations and reviews. Additionally, compensation from advertisers is also a factor taken into consideration when determining the order of similar centers. Since 2013, our expert team has built comprehensive resources you can trust to find the right treatment for you.

We offer a variety of in-network options and work with many major insurance plans. You can search by hospital or insurance plan to see where your coverage is accepted at AHN. Little Creek Lodge and Little Creek Outpatient Services are in-network substance use disorder treatment providers for Highmark Blue Cross Blue Shield & Geisinger Health Plan. Penn Medicine accepts various specialty coverage options, including employer-sponsored plans with unique benefit structures such as tiered networks or exclusive provider arrangements. Coverage through labor unions accepted insurance for patients pennsylvania or professional associations often includes negotiated benefits like reduced deductibles or enhanced access to specialized services.

• However, this coverage is usually at a lower level than in-network coverage, and members may have to pay more out-of-pocket costs.
• This can lead to significantly higher out-of-pocket expenses, especially for balance billing, where patients pay the difference between what the provider charges and what the insurer covers.
• Learn about the insurance plans accepted by Penn Medicine, including network coverage, government programs, and how to verify your benefits.

Yes, many rehab centers are covered by insurance; however, coverage varies based on the type of insurance plan and the specific treatment facility. Most private health insurance plans offer some level of coverage for rehab services, which can include inpatient and outpatient treatment programs. You will need to contact your insurance provider and the rehab center directly to verify how much and what exactly your coverage is and any out-of-pocket expenses you may have. The type and level of coverage will depend on your specific plan, so be sure to check with your insurance provider to understand your benefits. Silver Pines is in-network with many insurance companies and can also accept out-of-network benefits from other major insurance providers. We accept Geisinger Health Plan, MHC, Capital, Quest, and Allied Trades along with the insurance providers listed below.

These plans, often provided through nonprofits or pharmaceutical assistance programs, help cover treatments for conditions like cancer, diabetes, or rare genetic disorders. Some function as secondary insurance, covering costs not paid by primary insurance, while others provide direct financial assistance for medications and specialist visits. Health insurance coverage is a key factor when choosing a healthcare provider, and knowing which plans Penn Medicine accepts can help avoid unexpected costs. Penn Medicine, a leading healthcare system in Pennsylvania and New Jersey, works with various insurers, though coverage levels vary. AHN works closely with Highmark Blue Cross Blue Shield and its affiliated Blue companies (“Highmark”) to bring the patient, doctor, and insurer to the same table to provide our patients with personalized care. Highmark also offers pharmacy support and medication therapy management while working together with AHN to improve quality, increase access to care, and reduce overall costs.