Conversion Coverage

Conversion coverage may be offered by your employer if you lose your group coverage plan. Coverage starts immediately with conversion plans — in fact, it's retroactive to the date you lost prior coverage.

Did you recently lose Highmark coverage from your employer?

Individuals or families losing group coverage from a Highmark group plan may be eligible for a conversion product.

These plans provide retroactive coverage to the date your group plan ended.

IMPORTANT: You have a limited amount of time to apply for a conversion plan, or you will lose your right to this coverage.

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Need help with conversion coverage?

Talk to a Highmark representative to learn more about conversion coverage and how to enroll. Call: Talk to a Highmark representative to learn more about conversion coverage and how to enroll. Call: 1-855-856-0316

Where am I eligible?

For enrollees who live in Bradford, Clinton, Carbon, Lackawanna, Luzerne, Lycoming, Monroe, Pike, Sullivan, Susquehanna, Tioga, Wayne, Wyoming counties.  This is an Exclusive Provider Programs (or, Organizations) (EPO) plan. An EPO health care plan provides benefits when care is received from network providers, and for emergency care when received at either network or out-of-network providers.

Did you recently lose coverage from an insurer other than Highmark?

You may qualify for an individual conversion plan from Highmark thanks to the Health Insurance Portability Act (HIPAA).

To be HIPAA-eligible:

• You must have had previous coverage through a group, government, or church health plan.
• You must have used up any COBRA or state continuation coverage.
• You must not be eligible for Medicare or Medicaid.
• You must not have other health insurance.

Your window for applying for HIPAA conversion coverage lasts 63 days from the end date of your previous coverage. Your HIPAA coverage starts retroactive to that end date.

To enroll in Highmark HIPAA conversion coverage, you must complete:

• An application.
• A HIPAA eligibility checklist.
• A HIPAA Prior Coverage Disclosure and Authorization.

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Need help with HIPAA conversion coverage?

Need help with HIPAA conversion coverage? Talk to a Highmark representative to learn more about HIPAA conversion coverage and how to enroll. Call: 1-855-856-0316

Your plan option

This plan option is for both Conversion and HIPAA Conversion Coverage.

Plan Type: my Priority Blue Flex EPO Bronze 3800

Summary of Benefits and Coverage

2024 Product Information

Enrollment Application