Highmark vs UPMC Health Plan: Which is Better[2021]?

Highmark is a charitable healthcare firm and combined Delivery Network sited in Pittsburgh, Pennsylvania, USA. It is one of the largest not-for-profit health insurance providers in the United States which controls many for-profit subsidiaries. Highmark is available as Highmark Blue Cross Blue Shield in 29 counties of western Pennsylvania and as Highmark Blue Shield in 21 counties in Central Pennsylvania and the Lehigh Valley. Also, Highmark is available in the border areas of eastern Ohio and all of West Virginia through its subsidiary, Highmark Blue Cross Blue Shield West Virginia.

UPMC Health Plan is another fastest-growing health service provider in the United States. Located in Pittsburgh, Pennsylvania, UPMC Health Plan is owned by the University of Pittsburgh Medical Centre (UPMC). It is an integrated health care delivery system that provides its members with better health, more financial security, and peace of mind. UPMC Health Plan collaborates with UPMC and community network providers to provide the highest quality health care at the most affordable price.

So, which is better between UPMC and Highmark? To make a decision, we will request you to read the whole article:

Highmark

At Highmark, the doctors and other healthcare professionals work relentlessly to create a remarkable health experience for its members and the patients. Their vision is “A world where everyone embraces health.” They believe in the following core values –

  • People matter
  • Stewardship
  • Trust
  • Integrity
  • Customer-focused collaboration
  • Courage
  • Innovation
  • Excellence

Is Highmark a Medicare?

Highmark provides Medicare plans for its customers. Highmark Choice Company, Highmark Senior Health Company, and Highmark Senior Solutions Company are Medicare Advantage plans with a Medicare contract. HM, Health Insurance Company is a PDP plan with a Medicare contract.

Types of Health Plans

Highmark offers robust health care plans for individuals, families, employers, and much more. Here are some of the health care plans that you can afford at Highmark:

Medicare

Medicare is a health insurance program offered by the government for people who are 65 years old or above that age. People under the age of 65 can also avail this program if they have certain disabilities and serious illnesses. This insurance covers expenses like hospital stays, hospital care, medical bills, and other extra expenses.

The Medicare Basic plans consist of Medicare Advantage, Medigap, Dental & Vision, etc. The Medicare Advantage plans are of various types, such as HMO, PPO, and HMO-POS. It covers both the Original Medicare Part A and Part B.

The Medigap plan or the Medicare Supplemental Insurance helps cover some of the expenses that Medicare Parts A and B don’t. It helps you pay for copayments, coinsurance, deductibles, etc. You can also add dental and vision insurance plans if you pay a little extra money.

Individual and Family

Highmark provides high-quality and affordable health insurance plans to its members. These plans are offered through the Affordable Care Act (ACA). Highmark gives the highest priority to its customers’ health, and they make sure you receive the necessary care you need. Like other health insurance providers, they also waive all costs for people who are getting treatment at hospitals for coronavirus.

CHIP

The Children’s Health Insurance Program (CHIP) offers comprehensive health insurance coverage to children under the age of 19. It does not matter whatever their household income is, or there are no medical questionnaires and no pre-existing condition limits.

Employers

Highmark offers a wide range of health insurance plans for employers of Western Pennsylvania. These plans include a huge number of hospitals, doctors, and other healthcare facilities. The following are the health plans offered by Highmark for employers:

  • Community Blue Plans
  • Community Blue Flex Plans
  • Connect Blue Plans
  • Conemaugh Region Flex Blue
  • EPO Plans
  • HMO Plans
  • PPO Plans
  • Traditional Plans
  • Blue Edge Dental Plans
  • Blue Edge Vision Plans
  • Performance Flex Blue
  • Balanced Funding
  • Performance Blue

UPMC Health Plan

UPMC invents new models of accountable, cost-effective, patient-centered care for the benefit of its customers. It has 40 academic, community, and specialty hospitals with over 4900 doctors and other health care professionals. Their aim to offer high-quality health care at a lower price.

UPMC Available Services

UPMC Health Plan is a health care provider owned by the University of Pittsburgh Medical Center (UPMC). The UPMC Services Division include:

  • UPMC Health Plan
  • Work partners
  • UPMC for Life
  • UPMC for You
  • UOMC for Kids
  • UPMC Community HealthChoices
  • Community Care Behavioural Health

UPMC offers a wide range of health care services and programs to its members at a very low price. Here are some of the services available at UPMC:

Adult Sickle Cell Disease Program

At UPMC, they treat people with sickle cell disease or thalassemia who are over the age of 21. They aim to help the patients manage their disease and improve their quality of health and life.

Black Lung Program

Black Lung disease program, also known as coal workers’ pneumoconiosis or COPD, is also offered at UPMC. This program helps coal miners and others get the necessary care and compensation they need to better their quality of life. The program is funded by the collaboration of the Health Resources and Services Administration of the U.S. Department of Health and Human Services.

Behavioral and Mental Health Services

UPMC Western Psychiatric Hospital provides behavioral and mental health services to people suffering from psychological and behavioral disorders. Their treatment includes addiction, autism, ADHD, bipolar disorder, depression and anxiety, early psychoses, and much more.

Cardiology

The UPMC Heart and Vascular Institute are one of the world’s leading centers for extensive cardiovascular treatment. With improved medical devices and new models for treatment, they are trying to help people to overcome the most complex heart and vascular diseases.

Chronic Kidney Disease

At UPMC, patients can get treatment of kidney diseases from the UPMC Kidney Disease Center. Their expert nephrologists use modern technologies to provide treatment for any kind of kidney disease and disorder.

Endocrinology

The UPMC faculty members are trying to upgrade their laboratory findings so that they can provide treatments for endocrine and diabetes problems. Their services include:

  • Diabetes
  • Gender-affirming hormone therapy
  • Obesity
  • Osteoporosis
  • Pituitary, adrenal, reproductive, and other hormonal disorders
  • Thyroid disorders

Gastroenterology

The UPMC Digestive Disorders Center (DDC) provides full support of digestive health care services available at UPMC. With their innovative technologies, they aim at providing high-quality care for patients.

Healthy Lifestyle Program

The UPMC Healthy Lifestyle Program provides information and education to help people cope with stress. Moreover, they provide a better understanding of stress’s mental and physical effects and develop skills to lead to better health.

Neurology

The UPMC Department of Neurology offers comprehensive care and treatment for patients with neurological disorders. It is one of the nation’s most advanced and leading neurologic research and training programs. Their services include –

  • General Neurology
  • Headache Center
  • Epilepsy Center
  • Movement Disorders Clinic
  • Neuroimmunology/Multiple Sclerosis Division
  • Neuromuscular Disease Center
  • UPMC Stroke Institute
  • Division of Pediatric Neurology
  • Women’s Neurology

Besides these, there are other services and programs available at the UPMC. These include Pediatrics, Obstetrics and Gynecology, Rehabilitation, Stroke care, Thyroid, Transplant surgery, Urology, Women’s cancer program, and much more.

Highmark and UPMC are both two of the leading health care providers in the United States with advanced technologies. Although their service areas are different, they offer a lot more than most other organizations. You can get more information related to their services at https://www.upmc.com and https://www.highmark.com.

Related Post: