Conversion coverage may be offered by your employer if you lose your group coverage plan. Coverage starts immediately with conversion plans — in fact, it's retroactive to the date you lost prior coverage.
Did you recently lose Highmark coverage from your employer?
Individuals or families losing group coverage from a Highmark group plan may be eligible for a conversion product.
These plans provide retroactive coverage to the date your group plan ended.
IMPORTANT: You have a limited amount of time to apply for a conversion plan, or you will lose your right to this coverage.
Talk to a Highmark representative to learn more about conversion coverage and how to enroll. Call: Talk to a Highmark representative to learn more about conversion coverage and how to enroll. Call: 1-855-329-1759
Where am I eligible?
For enrollees who live in Delaware. This is a Preferred Provider Organization (PPO) plan. A PPO health care plan provides in-network benefits across a very broad network of providers, and for emergency care even when care is received from out-of-network providers.
Did you recently lose coverage from an insurer other than Highmark?
You may qualify for an individual conversion plan from Highmark thanks to the Health Insurance Portability Act (HIPAA).
To be HIPAA-eligible:
You must have had previous coverage through a group, government, or church health plan.
You must have used up any COBRA or state continuation coverage.
You must not be eligible for Medicare or Medicaid.
You must not have other health insurance.
Your window for applying for HIPAA conversion coverage lasts 63 days from the end date of your previous coverage. Your HIPAA coverage starts retroactive to that end date.
To enroll in Highmark HIPAA conversion coverage, you must complete:
A HIPAA eligibility checklist.
A HIPAA Prior Coverage Disclosure and Authorization.
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.
This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
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.
®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. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.
PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.
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 our website 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 NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
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