Health Plan - Highmark Delaware
Centers of Excellence (COE) – Transplants
Highmark Blue Distinction Specialty Care Benefits
COE Facilities in Delaware and Surrounding Area
Note: Highmark refers to COE facilities as Blue Distinction Centers. Members are encouraged to review the Highmark plan documents for details regarding coverage.
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
Note: Requires a prior authorization
| Type of Procedure | Site of Care | Your Cost Per Visit |
|---|---|---|
| Transplants (Does not apply to kidney and bone marrow/stem cell) |
COE Facility (Preferred) |
$100 copay per day; $200 copay max per admission |
| Transplants (Does not apply to kidney and bone marrow/stem cell) |
Non-COE Facility | 20% coinsurance |
Highmark Delaware First State Basic Plan
Note: Requires a prior authorization
| Type of Procedure | Site of Care | Your Cost Per Visit |
|---|---|---|
| Transplants (Does not apply to kidney and bone marrow/stem cell) |
COE Facility (Preferred) |
10% coinsurance (after plan year deductible is met) |
| Transplants (Does not apply to kidney and bone marrow/stem cell) |
Non-COE Facility | 30% coinsurance (after plan year deductible is met) |