Member Resources 

Hi. We’re glad you’re here.

Thank you for choosing Highmark Health Options Duals (HMO SNP). Your Dual Eligible Special Needs Plan (D-SNP) comes with lots of helpful benefits. And you have a care team to help make it easier to get the care you need.

Know What Happens After Applying

Congratulations on applying for a Highmark Health Options Medicare D-SNP. These are some of the communications you’ll receive before your coverage begins.  

Member Access Card with Confirmation Letter 

When you’re approved, you’ll get a confirmation letter with your Member Access card via U.S. Mail. This is the card you’ll need whenever you get care or a prescription filled.  

Member Packet 

You can review D-SNP benefits documents and helpful information when you receive your Member Packet.  

Welcome Phone Call 

Our Member Services Team will call to welcome you and talk about scheduling a Health Risk Assessment (HRA) with your Primary Care Physician (PCP). Your HRA helps identify any areas you may need to work on to stay healthy. 

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Your Next Steps After Applying 

You can start using our tools for setting up your new D-SNP benefits as soon as you apply. Not waiting means you can use your benefits as soon as you need them.  

Health Plan Steps 

To save time when you need care, you can:

 

Prescription Drug Steps 

To get prescriptions covered and filled, you can:

Member Forms and Documents 

Finding Medicare D-SNP member forms and documents is easy. 

GET FORMS AND DOCUMENTS

Health and Wellness 

You can learn about ways to make better health decisions using Highmark Health Options’ helpful videos and tools. Some topics include:

  • Making fast, healthy meals
  • Getting and staying active
  • Ways to reduce stress
  • Quitting smoking

 

LEARN ABOUT HEALTH AND WELLNESS

Appeals and Grievances

As a Highmark Health Options D-SNP member, you have rights and can file:

  • Authorized representative requests
  • Prior authorization requests
  • Appeals
  • Grievances
  • Complaints

 

REVIEW APPEALS AND GRIEVANCES

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Highmark Health Options Duals is offered by Highmark Blue Cross Blue Shield. Highmark BCBSD Inc. d/b/a Highmark Blue
Cross Blue Shield offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.

Medicare Ombudsman Website
Best Available Evidence
H7710_24_4461_M_2025_B


Last updated on March 25, 2025.