Value Based Benefit Design

PPO Blue Plan members who have been diagnosed with the following chronic conditions may enroll in Value-Based Benefit Design (VBBD).

  • high blood pressure
  • high cholesterol
  • diabetes (type-1 or type-2)

This program encourages individuals to manage these health conditions by keeping the individual's out-of-pocket expenses low. With VBBD, all office visits, lab work and medical supplies related to these conditions are covered at 100% with no co-pays or coinsurance.

In order to take advantage of this voluntary benefit, plan members must enroll directly with Highmark each year, remain in the PPO Blue Plan, and follow their in-network physician's plan of care.

For more information about VBBD or to enroll, call Highmark at 800-914-4384 beginning January 1 for returning subscribers, or at any time of the year for new subscribers.