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  5. Community Blue Medicare PPO
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Community Blue Medicare PPO

Community Blue Medicare PPO is a Medicare Advantage Preferred-Provider Organization plan that gives you coverage for every need— health, prescription drugs, routine dental, vision, hearing, and preventive care. Community Blue Medicare PPO includes a high value network of select providers, PLUS an enhanced service model to assist in finding doctors, making medical appointments and coordinating your health information between doctors and hospitals. With Community Blue Medicare PPO, you have access to a select network of community doctors and hospitals in 9 counties in western Pennsylvania and 34 counties in north east and central Pennsylvania. Plus you also have the additional freedom to travel across the United States and find in-network coverage.

Community Blue Medicare PPO is a plan with in- and out-of-network coverage. If you want in-network access to Highmark’s full provider network, you may wish to consider our Security Blue HMO-POS and Freedom Blue PPO Medicare Advantage products.

Highmark Senior Health Company is a PPO plan with a Medicare contract. Enrollment in Highmark Senior Health Company depends on contract renewal.

2020 Plan Documents

WPA CB PPO

Main

   Pre-Enrollment Checklist

   Summary of Benefits

   Evidence of Coverage, Annual Notice of Change and Multi-Language Insert

   Additional Rights, Responsibilities, and Instructions

   Medicare Star Ratings

   Network Coverage Area

   Plan Availability Map

   Paper Application

   Community Blue Medicare PPO Plan Comparison Guide

   Provider/Pharmacy Directory

   Appointment of Representative

Request a printed Provider/Pharmacy Directory   

Contact Information: 

Mailing Address:

Community Blue Medicare PPO

P.O. Box 1068

Pittsburgh, PA 15230-1068    

Community Members Call:

1-888-757-2946

(TTY/TDD users call: 711)

8:00 am - 8:00 pm

EST, 7 days a week 

Prospective Members Call:

1-866-856-6166

(TTY/TDD users call: 711)

8:00 am - 8:00 pm

EST, 7 days a week 

Highmark

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Last updated on March 4, 2021

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®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.

Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.

Benefits and/or benefit administration for the Medigap, Medicare Advantage HMO, PPO, and/or Part D plans may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association:

Western and Northeastern Pennsylvania:  Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, or Highmark Senior Health Company.

Central and Southeastern Pennsylvania:  Highmark Inc. d/b/a Highmark Blue Shield, Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.

Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.

West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit https://www.highmarkbcbswv.com/networkaccessplan to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.

Western New York: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. 

Northeastern New York: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield. 

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.

Blue Edge Dental may be offered by the following entities, which are indepedent licensees of the Blue Cross Blue Shield Association: 

Western and Northeastern Pennsylvania: Highmark Health Insurance Company and First Priority Life Insurance Company.

Central and Southeastern  Pennsylvania: Highmark Health Insurance Company.

Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.

West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield. Visit https://www.highmarkbcbswv.com/networkaccessplan to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.

Western New York: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.  

Northeastern New York: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.

United Concordia is a separate company that provides the provider network for Blue Edge Dental and administers dental benefits.