When you need a prescription or retail over-the-counter items, your D-SNP coverage can help keep your payments low.
If you need to download a copy of the HIPAA Form, you can download it here.
If you have any questions, you can call Member Services at 1-800-685-5209 during the hours of:
8 a.m. to 8 p.m.
Monday – Friday (TTY: 711)
Please return the completed form to:
Privacy Officer
Highmark Wholecare
Four Gateway Center
444 Liberty Avenue, Suite 2100
Pittsburgh, PA 15222
© by Highmark Wholecare SM
This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania.