Have you seen a doctor or caregiver mistreat a child or adult?
Mistreatment could include actions that cause physical, mental, or financial harm. These situations are called critical incidents. They raise serious red flags about whether a Highmark Health Options Duals member is being treated fairly and safely.
Tell us right away if you think doctor or paid caregiver is involved in a critical incident and has mistreated a Highmark Health Options Duals member.
Here’s what to look out for:
Check your Medicare D-SNP benefits documents or Medicaid Member Handbook.
To find an in-network provider, search your Medicare D-SNP Provider Directory or search your Medicaid Provider Directory.
Call a Member Services Representative, Monday–Friday, 8 a.m.–5 p.m.:
Duals Member Services: 1-855-401-8251 (TTY 711)
Duals Select Member Services: 1-844-722-5837 (TTY 711)
Member Services: 1-833-957-0020 (TTY 711)