Highmark Blue Cross Blue Shield
adultBasic

adultBasic

Covered benefits

adultBasic Benefits* Include:

  • Doctor Office Visits
  • Immunizations
  • Diagnostic Testing
  • Emergency Care
  • Outpatient Surgery
  • Inpatient Hospital
  • Home Health Care (in lieu of hospitalization)
  • Rehabilitation Therapies
  • Skilled Nursing Facility Care (in lieu of hospitalization)
  • Maternity
  • Preventive Care
  • Prescription coverage for diabetes supplies and insulin and immunosuppressants related to transplants

*There may be copayments required and limits on visits or services. Please call for details.

adultBasic coverage offers discounts on prescription drugs. Diabetes supplies and insulin and immunosuppressants related to transplants are covered in full when purchased at PremierGold network pharmacies. Covered services are paid-in-full when performed by network providers. In western Pennsylvania, eligible adults receive benefits through the Keystone Health Plan West Network of participating providers. Highmark offers the adultBasic program in 29 counties.

This health care program may not cover all of your health care expenses. Read your subscriber agreement and member handbooks carefully to determine which health care services are covered.

Highmark is a registered service mark of Highmark Inc.