Medicaid Insurance Plans

Pick the right plan for you

Our Medicaid and low-cost insurance plans are made with Highmark members in mind. No matter your age or health goals, we’re with you every step of the way.

Essential Plan

Coverage for adults ages 19-64 who are not eligible for Medicaid.

Go to Essential Plan benefits

Medicaid

For children and adults who meet income, resource, age, and/or disability requirements.

Go to Medicaid benefits

Health and Recovery Plan (HARP)

For adults aged 21 or older who have Medicaid and have been diagnosed with a serious mental illness or substance use disorder.

Go to HARP benefits

Child Health Plus

For children under age 19 who don’t qualify for Medicaid and don’t have health insurance.

Go to CHPlus benefits

Looking for free or low-cost insurance?

See if you're eligible and find out how to choose Highmark.

Learn more

Updates and Announcements

Reminder for Medicaid members

Medicaid members need to use a prescriber and pharmacy that is enrolled with Medicaid Fee for Service. If your prescriber or pharmacy is not enrolled with Medicaid Fee for Service, the prescriptions and supplies that they prescribe or fill will not be covered. Use the Find a Doctor tool to find a provider or pharmacy enrolled in Medicaid Fee for Service.

Mental Health Parity and Addiction Equity Act (MHPAEA)

Covered services provided adhere to the Paul Wellstone and Pete Dominici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), 42 U.S.C. 18031(j), along with any subsequent amendments, federal guidance, and regulations related to those Acts. Comparative analyses are conducted following the guidelines outlined in MHPAEA. The latest comparative analysis can be found at Compliance with the Mental Health Parity and Addiction Equity Act Comprehensive Report: New York Medicaid Managed Care, Alternative Benefit Plan, and Children´s Health Insurance Program (ny.gov)

Health and Recovery Plan (HARP)

Highmark Blue Cross Blue Shield Health and Recovery Plan (HARP) is available for eligible Medicaid members ages 21 or older.

Learn more

Children’s Home and Community Based Services (HCBS)

Highmark covers Children’s HCBS for eligible Medicaid members.

Learn more in your Member Handbook

LiveHealth Online ― quick and easy access to care

Can’t get to your doctor? Visit a doctor 24/7 through video chat using LiveHealth Online. All you need is your smartphone, tablet, or computer. Don’t wait until your next sick day.

Learn more about LiveHealth Online