Health Plans - Highmark Delaware
Announcements
On February 21, 2024, vendor, Change Healthcare disclosed a cyber security incident that had ramifications across the whole health care industry. Change Healthcare is a widely used provider of health care billing and data systems. The Statewide Benefits Office (SBO) has recently learned that letters are being mailed to impacted members, and, as a result, SBO is receiving calls and emails seeking verification. Due to the sheer magnitude of this incident, Change Healthcare has not been able to provide our third-party administrators with member impact reports; therefore, SBO will not be able to assist organizations/members with verifying member impact or with the specifics of the data which was subject to the breach. The letter being mailed to impacted members offers 2 years of free credit monitoring. Individuals receiving the communication are encouraged by SBO to review and take action as outlined in the letter.
Effective July 1, 2023, bariatric surgery coverage will be available exclusively through the SurgeryPlus benefit. This assures State of Delaware Aetna/Highmark Delaware members will have access to surgeons and facilities that meet strict credentialing guidelines, leading to the highest quality care possible. Visit the SurgeryPlus page to learn more.
August is National Immunization Awareness Month. It is important for people of all ages to be vaccinated against serious, sometimes deadly, diseases. Members of a State of Delaware non-Medicare health plan can check out immunizations and other preventive services covered at 100% on the Preventive Care page.
The First State Basic Plan and Comprehensive PPO Plan are funded by the State of Delaware Group Health Fund through health premiums paid by you and the State. These plans are administered by Highmark Delaware.
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INFORMATION
BENEFIT RESOURCES & INFORMATION
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).
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Sign up for personalized text messages from Highmark to help keep you updated on your benefits and appropriately manage your care. Learn more.
Tips to Get the Most Out of Your Health Plan and Simplify Your Experience
Latest Tip
Other Tips
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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.
Earn points for completing healthy activities, such as Preventive Exams in your MyHighmark app.
Learn more.
- Custom Care Management Unit (CCMU): Call 1-844-459-6452 to be connected to specially trained wellness professionals. Your dedicated Registered Nurse Case Managers are considered to be a “Nurse in the Family” that can assist you with various men’s* health needs such as:
- Planning for care at the hospital or understanding discharge instructions.
- Understanding prevention and preventive screenings (i.e., colorectal exams, annual physical exams, etc.).
- Review and understand your doctor’s instructions and/or treatment options.
- Keep up with and plan for doctor’s and/or specialist’s appointments.
There are Behavioral Health specialists available for support with mental and behavioral health concerns, treatment options, and locating an in-network provider (in-person or virtual visits).
There are Wellness Coaches available for goal setting and accountability related to weight management, stress management, tobacco cessation, sleep improvement, exercise planning, and healthy eating.
There are Social Workers available to connect you with local resources such as meal delivery and food supplies, transportation assistance, and other helpful support and resources.
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The Highmark Community Resource tool can be accessed to locate specific services in your area should you need them.
- Stay on top of your health by keeping up with your Preventive Screenings.
- Custom Care Management Unit (CCMU): Call 1-844-459-6452 to be connected to specially trained wellness professionals. Your dedicated Registered Nurse Case Managers are considered to be a “Nurse in the Family” that can assist you with various women’s* health needs such as:
- Planning for care at the hospital or understanding discharge instructions.
- Understanding prevention and preventive screenings (i.e., mammogram, PAP testing, etc.).
- Review and understand your doctor’s instructions and/or treatment options.
- Keep up with and plan for doctor’s and/or specialist’s appointments.
- Ask questions related to pregnancy, birth, post-partum, and menopause care and related services.
- Healthy parent/healthy baby family building and associated services.
There are Behavioral Health specialists available for support with mental and behavioral health concerns, treatment options, and locating an in-network provider (in-person or virtual visits).
There are Wellness Coaches available for goal setting and accountability related to weight management, stress management, tobacco cessation, sleep improvement, exercise planning, and healthy eating.
There are Social Workers available to connect you with local resources such as meal delivery and food supplies, transportation assistance, and other helpful support and resources.
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The Highmark Community Resource tool can be accessed to locate specific services in your area should you need them.
- Stay on top of your health by keeping up with your Preventive Screenings.
- Family Building Resources
Health and Wellness Classes/Events
Nutrition
Physical Activity
- Gym Discounts
- Lt. Governor’s Challenge
- 5-2-1-Almost None
- Get Up and Do Something
- Centers for Disease Control and Prevention
Safety
Tobacco Cessation
Asthma
- American College of Allergy, Asthma & Immunology
- American Lung Association
- Centers for Disease Control and Prevention
Financial Wellbeing
