Medicaid
As a Highmark Medicaid plan member in New York, you get many benefits with little to no costs or copays.
Highmark can help you get the most out of your Medicaid benefits.
Get vision care, dental benefits, prescriptions, mental health services and more! See doctors and pick up prescriptions close to home. Use our 24/7 NurseLine to get reliable medical advice any time, day or night.
New to Highmark?
As a new member, we know you have questions. We also know you’re short on time! Learn the basics about your health plan on the New Member Welcome page.
What you get with Highmark
Your health is important to us. That’s why you get important care and services like:
*Starting April 1, 2023, your prescriptions will be covered by NYRx, the Medicaid pharmacy program.
Eligibility
We offer New York State-sponsored Medicaid programs. Highmark will help you get the most out of your Medicaid benefits.
You may be eligible for Medicaid if:
You may be eligible for SSI if you:
Families who don’t qualify for Medicaid may still get health care for their children.
To find out more about eligibility, visit the New York Medicaid website or call NY State of Health, The Official Health Plan Marketplace at 855-355-5777 (TTY 711).
Enroll
Have enrollment questions?
Please call Member Services at 866-231-0847 (TTY 711) Monday through Friday from 8:30 a.m. to 6 p.m.
We are happy to help you with your health care!
Extra Benefits
Get what you need to live your healthiest life. As a Highmark member, you get extra benefits, called value-added benefits, like:
Log in to your secure account to get started today!
Limitations and restrictions apply. Benefits may change.
You can redeem some benefits online through your secure account. Discover the extra benefits you’re eligible for on the Benefit Reward Hub or call Member Services at 866-231-0847 (TTY 711) Monday through Friday, 8:30 a.m. to 6 p.m. Eastern time.
Log in to your secure account to get started today!
Highmark Healthy Rewards
Healthy Rewards is a no-cost, optional program for eligible members enrolled in our health plan. The program encourages members to seek the care they need to improve their health and create a healthy lifestyle.
Discover the extra benefits you are eligible for on the Benefit Reward Hub or call Member Services at 866-231-0847 (TTY 711) Monday through Friday, 8:30 a.m. to 6 p.m. Eastern time. To begin earning rewards, log in to your secure account.
Personal protective equipment
You do not have to pay doctors in your plan network for personal protective equipment, like masks, gloves, or gowns required during visits. If you paid for this type of gear, you should contact the doctor for a refund. To submit a complaint to us about charges for personal protective equipment from a doctor in your plan network, please contact Member Services at 866-231-0847 (TTY 711).
Member materials
Use these resources to help get the most from your benefits.
Your member handbook
The member handbook is your go-to guide for health services. It tells you how you can get the most from Highmark. You’ll find answers to these items:
Pharmacy
Beginning April 1, 2023, All Medicaid members enrolled in Highmark BCBS will receive their prescription drugs through NYRx, the Medicaid Pharmacy Program. Information about the Medicaid Pharmacy Program can be found here. General information about NYRx, the Medicaid Pharmacy Program can be found here along with information for Members and Providers.
LiveHealth Online
LiveHealth Online allows you to visit a doctor through live video chat on your computer, tablet or smartphone. It’s an easy way to get care for you or your family at any time, day or night, without leaving your home.
As a Highmark, you can use LiveHealth Online at no cost to you. Sign up today so you can:
It’s easy to get started. Sign up for free on the LiveHealth Online website or download the app:
*Prescription availability is defined by physician judgment.
LiveHealth Online is the trade name of Health Management Corporation, a separate company providing telehealth services on behalf of Highmark.