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Health Plan - Highmark Delaware

Centers of Excellence (COE) – Orthopedic

Highmark Blue Distinction Specialty Care Benefits 

COE Facilities in Delaware and Surrounding Area 

Providers with COE Admitting Privileges 

Note: Highmark refers to COE facilities as Blue Distinction Centers.

The following services are covered under the State of Delaware Group Health Insurance Program (GHIP). Costs noted are for an inpatient stay.


Highmark Delaware Comprehensive PPO Plan

Type of Procedure Site of Care Your Cost Per Visit
Orthopedic
(hip replacement/knee replacement)

Note: Requires a prior authorization
COE Facility
(Preferred)
$100 copay per day; $200 copay max per admission
Non-COE Facility $500 copay per admission

Highmark Delaware First State Basic Plan

Type of Procedure Site of Care Your Cost Per Visit
Orthopedic
(hip replacement/knee replacement)

Note: Requires a prior authorization
COE Facility
(Preferred)
10% coinsurance (after plan year deductible is met)
Non-COE Facility 10% coinsurance (after plan year deductible is met)

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