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Business Highlights: Health Plans


Highmark Inc. — the Pennsylvania-based leading company in our health plans business unit — and its affiliates operate health insurance plans that collectively represent one of the largest health insurance organizations in the nation. The health plans serve 5.3 million members — including individuals, families and group customers — in Pennsylvania, Delaware and West Virginia.

An independent licensee of the Blue Cross and Blue Shield Association, Highmark, together with its Blue-branded affiliated health plans, collectively comprise the fourth-largest Blue Cross and Blue Shield-affiliated organization in the U.S. and one of nation's largest providers of Medicare Advantage plans for seniors. In 2014, the health plan organization processed more than 114 million claims on behalf of customers. The health plans are also supported by more than 72,000 in-network physicians, serving one customer at a time.

The health plans' efforts in 2014 focused on the enterprise mission to provide customers with the highest quality services at affordable costs. Among the health plans' business highlights were working with members to ensure a smooth transition in a changing health care marketplace in western Pennsylvania; expanding into new markets, opening new channels and providing new tools to better serve members; and building on a long history of collaborative partnerships with health care providers by encouraging the growth of pay-for-value programs.

Read the community highlights related to the health plans. Read Highmark Health's financial overview. View Highmark Health's financial performance.

Fast Fact

5.3 million members

Highmark Inc. and its subsidiaries and affiliates provide health insurance to 5.3 million members in Pennsylvania, West Virginia and Delaware.

Awards & Recognition

Highmark Inc. receives A- rating from A.M. Best Company

In April 2014, A.M. Best Company assigned Highmark Inc. an A- (Excellent) Rating. A.M. Best is a global credit rating agency that focuses on the insurance industry.

Highmark Inc. among "Healthiest Employers in Western Pennsylvania"

For the fourth consecutive year, Highmark was named one of the "Healthiest Employers of Western Pennsylvania" by the Pittsburgh Business Times. Highmark was one of 11 companies in the 5,000+ employee range to receive the honor. The remarkable success of the Wellness Rewards program was noted, with a significant change seen from 2012 to 2013. The obesity rate dropped 0.5 percent, and the number of tobacco-free employees rose from 80.9 percent to 82.8 percent.

Highmark Inc. recognized with Goodwill of Southwestern Pennsylvania's "2014 Power of Work Award"

Goodwill of Southwestern Pennsylvania annually recognizes employers and organizations that make a major, positive impact on the lives of people with barriers to employment by providing employment opportunities and support programs. In 2014, Highmark was recognized for its national leadership in hiring individuals with disabilities and for supporting non-traditional populations and creating an environment where diversity and inclusion are essential parts of business and culture.

Highmark Inc. recognized as a top health insurance company by Professional Woman's magazine

Professional Woman's magazine honored Highmark as one of the "Best of the Best" in 2014 in the health care, health insurance, pharmaceutical and biotech industry category. The evaluation is based on an annual review from nonbiased studies. The magazine focuses on the advancement of multicultural, diverse women in the workplace.

From your eyes

"Computer Aid has been a customer of Highmark Blue Shield for more than a decade. We have found Highmark to be an outstanding partner when it comes to administering health care benefits to thousands of our employees and their families across a number of locations. The service has been very good, and we have enjoyed a true partnership relationship, as Highmark has tried to understand our needs, and they consistently work with us for the health plan that makes the most sense for our associates."

Cary Quarry
Corporate Benefits Manager
Computer Aid Inc.
Allentown, Pa.

In our words

"Every new customer is a new opportunity to exhibit the caring, one-on-one service we offer to customers through all of their health care needs. In 2014, we welcomed many new individuals, both on and off of the health insurance marketplace. Consumers find a high degree of value and peace of mind in carrying the Highmark health insurance card in their wallet. We're exceedingly proud to be able to serve them."

Deborah Rice-Johnson
Highmark Health Plan