Tenv3.highmarkhealthoptions.com

Highmark Health Options

WebCall 1-800-996-9969 or visit Delaware ASSIST to enroll. Get care for your physical and mental well-being, including prescription drug coverage—from the doctors, hospitals, and …

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URL: https://tenv3.highmarkhealthoptions.com/

Health and Wellness

WebHealth and Wellness Resource Center. Here you will find web links related to wellness, including chronic conditions and smoking cessation resources.

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Online Doctor Visits

WebHighmark Health Options members age 18 and older can use online doctor visits for mental health care. Therapists provide online counseling for anxiety, depression, stress, …

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About Highmark Health Options

WebAbout Highmark Health Options. Highmark Health Options is a managed care organization serving vulnerable populations that have complex needs and qualify for Medicaid. We …

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COVID-19 Resources Delaware Medicaid Highmark Health …

WebIf your PCP is not available, try HHO on the Go for an urgent care online doctor visit, anytime, anywhere. Call the 24-hour Nurse Line at 1-844-325-6251. If you’re having a …

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Benefits for Children

WebIf you’re not sure where to go for your child's health care or have questions about a health concern, call the 24-Hour Nurse Line at 1-844-325-6251. If you have questions about …

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Benefits for Long-term Services and Supports

WebBenefits for LTSS. The Diamond State Health Plan Plus (DSHP Plus) provides coverage for long-term services and supports – sometimes called LTSS. Highmark Health Options …

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Medicaid Member Rights Delaware Highmark Health Options

WebAlways show your member Highmark Health Options ID card and Delaware Medicaid card when you get health care services. Use the emergency room only in cases of an …

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New Benefits for Adults

WebFor adults age 21 and older, your coverage goes beyond the basics—even when you’re not sick—so you can live your best life.

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Provider Resources EPSDT Children's Medicaid Programs

WebThe Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are …

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Appeals and Grievances

WebHighmark Health Options Attn: Claims Review P.O. Box 106004 Pittsburgh, PA 15230. To submit a Clinical Provider Appeal, use the following contact information. Fax your …

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Provider Resources Delaware Highmark Health Options

WebStandard Rates for medical specialty drugs and injections are reimbursed at the Average Sale Price (“ASP”) minus 6%. For more information, call Provider Services at 1-844-325 …

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Medicaid Payment Policies Highmark Health Options

WebMedical Policies. Highmark Health Options medical policies explain the medical services we may or may not cover. They are based on objective, credible sources, such as the latest …

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Contact Provider Services

WebOur network providers and other health care professionals are our partners in the delivery of high-quality health care services to our members. Good communication is the key to this …

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Join Our Network

WebWhen joining Highmark Health Options, you get: Local market focus – We have dedicated provider account liaisons to help facilitate any updates or escalate concerns in the …

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Prior Authorization Lookup

WebWe can help. Review the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-855-401-8251 from 8 a.m. – 5 p.m., Monday through Friday. Or contact …

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