Health Care Reform Information

Health Care Reform is now the law - there is a new way to buy insurance and we can be your guide!

With Health Care Reform, it’s more important than ever to find a health plan that is right for you.

 

2016 Open Enrollment is here

Now is the time to enroll, renew or change your health plan for 2016, and at Highmark we have the tools and resources to help you find a plan that meets your needs and your budget.

For more information about plan options, please contact the Federal Marketplace by visiting healthcare.gov or by calling 1-800-318-2596 to speak to a health care navigator, or by visiting Discover Highmark or your local Highmark Direct store.

Important dates for the 2016 enrollment period:

  • November 1, 2015: Open Enrollment started — first day you can enroll in a 2016 insurance plan through the Health Insurance Marketplace. Coverage can start as soon as January 1, 2016
  • December 15, 2015: Last day to enroll in or change plans for new coverage to start January 1, 2016
  • January 1, 2016: 2016 coverage starts for those who enroll or change plans by December 15
  • January 15, 2016: Last day to enroll in or change plans for new coverage to start February 1, 2016
  • January 31, 2016: 2016 Open Enrollment ends. Enrollments or changes between January 16 and January 31 take effect March 1, 2016

Important note:  If you don’t enroll in a 2016 health insurance plan by January 31, 2016, you can’t enroll in a health insurance plan for 2016 unless you qualify for a Special Enrollment Period.

Special Enrollment Period

After the open enrollment period ends on January 31, 2016, you may still qualify to select a new plan through a special enrollment period. You can only enroll in new coverage outside of Open Enrollment if you have a qualifying life event that grants you a Special Enrollment Period. If you are eligible, in most cases you must sign up for new coverage 60 days prior to the event or within 60 days after it happened. It’s important to remember that you can still be eligible for financial help if you enroll during a Special Enrollment Period.

Some of the qualifying life events include:

  • Getting married
  • Having a baby
  • Moving; making a permanent relocation
  • Losing your job

For a complete list of qualifying life events or if you think you qualify to purchase health insurance during the special enrollment period please call your local Highmark Direct Store so we can help you determine if your circumstances qualify you for the special enrollment period. 
 

How Highmark Direct Can Help 

At Highmark Direct we have the tools and resources to help you through the confusion and to help you find the health coverage that fits your lifestyle and budget.

Schedule an in-store appointment to meet one-on-one with a knowledgeable associate; Appointments are recommended - call or visit a Highmark Direct store near you or schedule an appointment online.

In order to have an efficient consultation with one of Highmark Direct's licensed associates, please bring the following with you to your appointment:

  1. Names, birthdates, and Social Security numbers (or document numbers for legal immigrants) for everyone in your family who needs health coverage
  2. Employer and income information (e.g., pay stubs, W-2 forms — Wage and Tax Statements)
  3. Health insurance policy numbers for anyone in your family who currently has health coverage
  4. If losing group coverage, a letter showing proof of cancelation
  5. Valid email address

For additional information, please visit Discover Highmark to learn how health care reform may affect your coverage and your budget. Get the information you need to stay up-to-date and comply with the new laws.

Convenient store locations to serve you

If you would like to schedule an appointment, but aren't sure which store is closest to you, visit our convenient store locator and enter your zip code to find a location.

Store Hours

All stores are open Monday through Saturday, 9:00 a.m. to 6:00 p.m. - except our Bartonsville, Dickson City, and Williamsport locations, which are open Monday to Friday 8:00 a.m. to 5:00 p.m.

 


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Join us for Social Events

Join us for Social Events

Take some time out for an engaging Book Club meetup where we discuss some of the latest bestsellers

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Attend a Medicare Seminar

Attend a Medicare Seminar

New to Medicare? Join us each month to learn the basics and speak with a licensed Medicare advisor

Find a Medicare Seminar in a store near you

Enroll in a Fitness Class

Enroll in a Fitness Class

We offer a variety of exercise classes like gentle yoga that incorporate balance and general fitness

Find a fitness class in a store near you