Highmark Health Plan

Human Resources

The Blue Choice Deductible PPO Plan and Blue Choice PPO Plan are funded by the University of Delaware Group Health Fund through health premiums paid by you and the University. These plans are administered by Highmark Delaware.

Announcements

Bariatric Surgery Coverage

All bariatric surgeries are required to be completed under your Lantern benefit with a surgeon in the Lantern network. Bariatric surgery is not covered under your Aetna or Highmark Delaware non-Medicare health plan and will not be eligible for a financial incentive.

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Choosing the Right Care

The University of Delaware wants you to get the best value out of your benefits by choosing the right care! This includes understanding your care options, where to go for services, how much services cost and making informed decisions to ensure you and your family receive the high quality, safe and affordable care you deserve. Making informed decisions regarding your care is an important step to help control rising health care costs and to maintain high quality, affordable benefit options.

Resources for non-emergency care for the treatment of colds, flu, rashes, back pain, etc.

Primary Care Provider (PCP) - You are encouraged to have a PCP. With access to your complete medical history, they know you best. Having a PCP is important as they will assist you in managing your care with your other health care providers.

24/7 Nurse Line - If you have health-related questions, call the 24-hour Nurse Line at 1-844-325-6251.

Telemedicine (Virtual Medicine) - If you can’t get a quick appointment with your Primary Care Provider (PCP), consider using telemedicine instead of going to an urgent care center or ED. Telemedicine is a service that allows you to have an online video consultation with a doctor whether you are at home or on the go, by using your computer, tablet or smartphone. You can use telemedicine services and speak with a doctor to receive a diagnosis and get recommended treatment for minor illnesses, such as a sore throat, runny nose, or fever. The doctor can even prescribe medications when appropriate.

Urgent Care - (Medical Aid Units) - For symptoms that are not life threatening, an in-network urgent care facility is an appropriate option if you cannot get a same day appointment with your Primary Care Provider (PCP).

Emergency Room - Use the Emergency Room (ER) only for emergencies. For example, when you have chest pain; severe shortness of breath; fainting, sudden dizziness, weakness; sudden confusion; and uncontrolled bleeding.

Not sure if you should go to the ER? Contact the 24/7 Nurse Line at 844-459-6452

Lab Work (Blood Work) Services - Save time and money by having your outpatient lab work (blood work) services completed at in-network non-hospital affiliated preferred labs. In Delaware, LabCorp and Quest Diagnostics are Highmark Delaware’s only preferred labs.

Imaging/Radiology Services - Save time and money by having your outpatient imaging/radiology services completed at in-network non-hospital affiliated freestanding facilities. These facilities provide similar quality as hospital affiliated locations and are often more convenient.

Outpatient Surgery Services - Save time and money by having your outpatient surgery services completed at in-network non-hospital affiliated Ambulatory Surgery Centers (ASCs). These facilities provide similar quality as hospital affiliated locations and are often more convenient.

High-quality facilities with better outcomes, fewer complications and readmissions for specific procedures – Orthopedic, Spine, Bariatric and Transplants

Highmark Blue Distinction Centers - Highmark Delaware has designated certain health care facilities within their provider network as Centers of Excellence, or simply COE Facilities. Centers of Excellence have been identified as delivering high quality services and superior outcomes for specific procedures or conditions. This means improved outcomes and reduced cost, which includes delivering surgery and post-operative care more efficiently and with lower risk of complications and readmissions. Get the quality of care you and your family deserve!

Non-Emergency

Resources for non-emergency care for the treatment of colds, flu, rashes, back pain, etc.

Primary Care Provider (PCP) - You are encouraged to have a PCP. With access to your complete medical history, they know you best. Having a PCP is important as they will assist you in managing your care with your other health care providers.

24/7 Nurse Line - If you have health-related questions, call the 24-hour Nurse Line at 1-844-325-6251.

Telemedicine (Virtual Medicine) - If you can’t get a quick appointment with your Primary Care Provider (PCP), consider using telemedicine instead of going to an urgent care center or ED. Telemedicine is a service that allows you to have an online video consultation with a doctor whether you are at home or on the go, by using your computer, tablet or smartphone. You can use telemedicine services and speak with a doctor to receive a diagnosis and get recommended treatment for minor illnesses, such as a sore throat, runny nose, or fever. The doctor can even prescribe medications when appropriate.

Urgent Care - (Medical Aid Units) - For symptoms that are not life threatening, an in-network urgent care facility is an appropriate option if you cannot get a same day appointment with your Primary Care Provider (PCP).

Emergency

Not sure if you should go to the ER? Contact the 24/7 Nurse Line at 844-459-6452

Outpatient Lab & Imaging

Lab Work (Blood Work) Services - Save time and money by having your outpatient lab work (blood work) services completed at in-network non-hospital affiliated preferred labs. In Delaware, LabCorp and Quest Diagnostics are Highmark Delaware’s only preferred labs.

Imaging/Radiology Services - Save time and money by having your outpatient imaging/radiology services completed at in-network non-hospital affiliated freestanding facilities. These facilities provide similar quality as hospital affiliated locations and are often more convenient.

Outpatient Surgery

Centers of Excellence (COE)

High-quality facilities with better outcomes, fewer complications and readmissions for specific procedures – Orthopedic, Spine, Bariatric and Transplants

Additional Highmark Resources

Behavioral Health and Emotional Wellbeing

Bright Heart Health: Bright Heart Health is Highmark’s vendor for on-demand medication assisted treatment (MAT) for addiction and opioid dependency via telemedicine. Services are available 24/7 and members and health care providers have access to their comprehensive outpatient services day or night. Members in need of these services can self-refer and providers can refer patients for ongoing MAT provided via telehealth. Members will receive comprehensive care, including medication management, counseling, case management and supportive services. For more information call 1-844-884-4474 or visit www.brighthearthealth.com.

Find Help: Find Help is an online tool that connects members seeking social services. Members have access to community resources and nonprofit organizations to address needs such as case management, housing, and financial advice through an online search tool. For more information, visit highmark.findhelp.com.

Freespira: Freespira is a revolutionary, medication-free digital therapeutic tool that reduces or eliminates symptoms of panic disorder and PTSD by training users to normalize respiratory irregularities. This is a 28-day, at home treatment, delivered in an evidence-based protocol with weekly telehealth coaching to improve adherence and clinical outcomes.

Meru Health: Meru Health is an innovative 12-week, app-based and effective mental therapy program proven to help participants learn how to effectively reduce anxiety, stress, depression, and burnout- all through the convenience of your smartphone. To enroll, visit the Meru Health webpage.

RethinkCare: RethinkCare’s Parental Success solution is an employee benefit that gives your family 24/7 access to tools and resources to help you understand, teach, and better communicate with your child, including those with developmental and learning challenges.

Mental Health Services

Coaching

Custom Care Management Unit Health Coaches

You can talk to a nurse Health Coach for free whenever you like, any time of the day, any day of the week. Call 1-844-459-6452 to be connected to a specially trained wellness professional. Learn about programs and other resources to help you lose weight, eat better, quit smoking and manage conditions such as diabetes, heart disease, back pain and asthma.

Discounts and Rewards

Blue 365 Discounts

Whether you are looking for discounted gym memberships, weight loss programs or a discount on massage therapy, it can all be found on the Blue 365 website.

Preventive Care

Preventive or routine care helps us stay well or finds problems early, when they are easier to treat. As a part of your health plan, you may be eligible to receive some of these preventive benefits with no cost sharing when using in-network providers.