Health Plan - Highmark Delaware
Announcement
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.
Outpatient Surgery
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.
Freestanding Ambulatory Surgery Center Locations
Highmark Delaware Comprehensive PPO Plan
| Site of Care | Average Cost Per Visit | Your Cost Per Visit |
|---|---|---|
| Note: Prior authorization is required for certain outpatient surgical procedures. | ||
| In-network non-hospital affiliated Ambulatory Surgery Center (ASC) |
$1,799 | $50 copay |
| In-network hospital affiliated facility | $4,836 | $150 copay |
Highmark Delaware First State Basic Plan
| Site of Care | Average Cost Per Visit | Your Cost Per Visit |
|---|---|---|
| Note: Prior authorization is required for certain outpatient surgical procedures. | ||
| In-network non-hospital affiliated Ambulatory Surgery Center (ASC) |
$1,799 | 10% coinsurance after deductible is met |
| In-network hospital affiliated facility | $4,836 | 10% coinsurance after deductible is met |
To save you money, please consider Lantern for non-emergency, planned surgeries.
