Is there a Health Care Plan available that doesn require approval from a Family Physician before treatment?
DirectBlue is Highmark’s newest health care plan and is called “Direct” because you have a right to self-refer to a specialist in the network without getting the approval of your Family Physician. The network of participating Doctors and Hospitals is quite large and includes most of the multiple Physician practices in the region. If you stay within the Network, the policy pays 90% of your eligible medical expenses for the first $15,000 and 100% of the eligible expenses thereafter up to the policy maximum of $5,000,000. Deductibles and higher co-payments apply if you seek medical care outside of the network. There are also separate co-payments for certain services like Emergency Care ($40) and Prescription Drugs ($10 generic). Call to discuss this plan or to have any questions answered.
