Benefits and services

Using your benefits

To get covered services through your Highmark Health Options plan, your covered services must be:

• Medically necessary
• From providers in the Highmark Health Options network
• Received when showing your Highmark Health Options member ID card
  

Working with your Primary Care Provider (PCP) 

For most benefits, you’ll need to work with your doctor or primary care provider (PCP). Your PCP will provide covered services, including:

• Medical
• Behavioral
• Dental
• Vision

Also, your PCP can refer you to other providers if needed. Your Provider Directory shows where to go in-network services. 

Note, there are some services that don’t require PCP referrals. You can make these appointments yourself.

USE DIRECTORY

WVCHIP benefits and services 

Know about covered benefits for WVCHIP members. 

KNOW MORE

Extra benefits

Highmark Health Options offers WV Medicaid and WVCHIP members “extra” benefits. These aren’t normally offered with standard Medicaid benefits.

VIEW BENEFITS