Visit a Highmark Direct Stores

Speak to us at one of our stores!

Please fill out this form to request a Highmark Direct store appointment. Once you click

“complete reservation,” you will see a confirmation message. A Highmark Medicare Sales Advisor

may also call you to confirm your appointment.

Fields marked with an asterisk (*) are required.

First Name *Required Please enter your First Name. Please enter only letters.

Last Name *Required Please enter your Last Name. Please enter only letters.

We'd like your phone number and email address so we can contact your about your reservation. We won't use your information for anything else.

Phone Number *Required Please enter a phone number Please enter a valid phone number. Can't start with 0 or 1. Can't be in formats (111) 111-1111 and (111) XXX-XXXX

Email Address *Required Please enter your Email Address Please enter a valid Email Address

Confirm Email Address *Required Please enter your Confirm Email Address Please enter a valid Email Address Confirm Email Address doesn't match with Email Address field

Please tell us when you would like for your coverage to begin:

Coverage Start Date *Required Please select a coverage effective date

I agree to the Highmark Health Data Protection Statement and Informed Consent for EU Data Subjects Please accept the Terms and Conditions

No Calendar Availability for this store.