Medicare Advantage Member Evidence of Coverage Booklets

An Evidence of Coverage explains how members get their health care and drug coverage through Highmark's Plans.

An Evidence of Coverage, together with a member's enrollment form, riders (including optional supplemental benefit brochures), Annual Notice of Change (ANOC), formulary, and amendments that we may send to them, is our contract with the member. It explains their rights, benefits, and responsibilities as a member of our Plan. The information in each yearly Evidence of Coverage is in effect for the time period during which the member is eligible.

  • 2019 Freedom Blue PPO Standard – service area includes the following counties in West Virginia: Barbour, Berkeley, Brooke, Cabell, Doddridge, Fayette, Greenbrier, Hampshire, Hardy, Harrison, Jackson, Jefferson, Kanawha, Lewis, Marion, Mason, Mercer, Mingo, Monongalia, Nicholas, Ohio, Pendleton, Putnam, Ritchie, Summers, Taylor, Tucker, Tyler, Upshur, Wetzel, Wirt, Wood, and Wyoming. 
  • 2019 Blue Rx PDP Complete
  • 2019 Blue Rx PDP Plus
Last updated on 1/15/2019

 

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