Effective July 1, 2017, Highmark made the following key updates to our Preventive Schedule*:
Physicians can discuss treatment options with their patients and can check NaviNet® or use the appropriate HIPAA electronic transactions to verify member benefits. Members can get answers to their coverage questions by calling the Member Service number on the back of their member ID cards.
Highmark maintains a Preventive Schedule for members to help them get the most out of their preventive care benefits — everything from regular physicals to specific screenings for members at risk for certain chronic or serious health conditions.
The schedule makes it easier for you and your staff to review recommended preventive care guidelines as we partner to keep our members healthy.
Highmark updates the Preventive Schedule periodically to ensure it reflects the latest evidence-based, nationally recommended, clinical guidelines for care. Some changes are only to clarify information so it is clear and easier to understand.
*Please note that most, but not all, of our customer groups follow the Highmark Preventive Schedule. Some plans may not cover some services on the schedule. Always check the member’s benefits via NaviNet or by using the appropriate HIPAA electronic transactions to determine if services are covered and if any associated member cost-sharing applies. (If you do not have access to NaviNet, please use the Provider Service self-service touchtone telephone options to obtain benefits and eligibility information.)
