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Pennsylvania Medicare D-SNP

Pennsylvania Medicare D-SNP

Coverage That Helps Your Whole Life

Coverage That Helps Your Whole Life

Our Medicare Dual Eligible Special Needs Plan (D-SNP) gets you hospital and doctor visits, prescription drugs and additional benefits like transportation, food and utilities.

Our Medicare Dual Eligible Special Needs Plan (D-SNP) gets you hospital and doctor visits, prescription drugs and additional benefits like transportation, food and utilities.

Highmark Wholecare D-SNP Benefits

In 2025, you’ll choose how to spend the monthly dollar amounts for a variety of benefits using one card.

  • senior couple shopping at outdoor market

    Grocery Benefits


    D-SNP plan members can purchase items such as fruits, vegetables, meats, dairy items and more using their My Health Flex Card.

  • Older man sitting at table in kitchen drinking coffee and looking at bills

    Utility Benefits


    My Health Flex Card funds can help D-SNP members pay for utility costs like gas, electric, mobile phone, and more.

  • man in wheelchair with woman pushing him down the aisle in a pharmacy

    Over-the-Counter Benefits


    Highmark Wholecare D-SNP members can use their My Health Flex Card to pay for items like cold medicine, vitamins, dental care and more.

senior man sitting at table in  front of a laptop on the phone

Joining a Highmark Wholecare D-SNP is Easy

Joining a Highmark Wholecare D-SNP is Easy

Whether you're new to Medicare or currently enrolled in a plan, we can help find the best plan for you.

Whether you're new to Medicare or currently enrolled in a plan, we can help find the best plan for you.

Getting D-SNP Coverage

You can join a Highmark Wholecare D-SNP plan if you live in our service area, and are eligible for Medicare and Medicaid.

  • Medicaid Eligibility


    To qualify for D-SNP, you'll need to either qualify for or already receive Medical Assistance (Medicaid).

  • Medicare Eligibility


    You may be eligible for Medicare Parts A and B if you are age 65+, younger than 65 with certain disabilities or have ESRD.

  • Pennsylvania Residence


    Highmark Wholecare D-SNP is available to individuals living in one of our 57 Pennsylvania service area counties.

Senior couple smiling while looking at a laptop on a table

Your Medicare D-SNP Choices

When you select a Diamond D-SNP or Ruby D-SNP, you’ll get:

  • $0 to low monthly premiums
  • Dental, vision and hearing allowances
  • Transportation to and from appointments
  • Over-the-counter, food, and utility allowances

You’ll also get many kinds of treatment for zero – or little – cost along with personalized coaching for health conditions.

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Accessing Your Member Portal

As a Highmark Wholecare member, you’ll use your online member portal to change your primary care provider (PCP), request ID cards, view claims and more.

Interested in Medicaid?

Interested in Medicaid?

Highmark Wholecare Medicaid provides a wide range of benefits to help you live a healthy and happy life.

Highmark Wholecare Medicaid provides a wide range of benefits to help you live a healthy and happy life.

Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.

Medicare Ombudsman Website
Best Available Evidence
Y0037_1359_M_2025

Last Updated: Oct 1, 2024