Our Medicaid and low-cost insurance plans are made with Highmark members in mind. No matter your age or health goals, we’re with you every step of the way.
Coverage for adults ages 19-64 who are not eligible for Medicaid.
For children and adults who meet income, resource, age, and/or disability requirements.
For adults aged 21 or older who have Medicaid and have been diagnosed with a serious mental illness or substance use disorder.
For children under age 19 who don’t qualify for Medicaid and don’t have health insurance.
See if your eligible and find out how to choose Highmark.
Medicaid members need to use a prescriber and pharmacy that is enrolled with Medicaid Fee for Service. If your prescriber or pharmacy is not enrolled with Medicaid Fee for Service, the prescriptions and supplies that they prescribe or fill will not be covered. Use the Find a Doctor tool to find a provider or pharmacy enrolled in Medicaid Fee for Service.
Covered services provided adhere to the Paul Wellstone and Pete Dominici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), 42 U.S.C. 18031(j), along with any subsequent amendments, federal guidance, and regulations related to those Acts. Comparative analyses are conducted following the guidelines outlined in MHPAEA. The latest comparative analysis can be found at Compliance with the Mental Health Parity and Addiction Equity Act Comprehensive Report: New York Medicaid Managed Care, Alternative Benefit Plan, and Children´s Health Insurance Program (ny.gov)
Highmark Blue Cross Blue Shield Health and Recovery Plan (HARP) is available for eligible Medicaid members ages 21 or older.
Highmark covers Children’s HCBS for eligible Medicaid members.
Can’t get to your doctor? Visit a doctor 24/7 through video chat using LiveHealth Online. All you need is your smartphone, tablet, or computer. Don’t wait until your next sick day.
Learn more about LiveHealth Online
You can chat with a live person Monday through Friday, 8:30am to 6pm, Eastern Standard Time.
Make Healthy Happen
Member Services:
Behavioral Health Crisis Line:
Get help anytime with mental health or substance use issues.
©2024 Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross Blue Shield Association.