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.