We are in the Highmark High Performing Narrow Network of Services under the Community Blue EPO and PPO plans. This means some UPMC Hospitals will be out-of-network. Some Highmark/UPMC Joint Ventures Hospitals will be in network.
UPMC Children’s Hospital and Western Psych will remain in network until 2029. There are also some other key agreements that are agreed to during this 10-year period. Members will have access to Emergency Rooms without having to worry about being balanced billed for whatever their insurer wouldn’t pay. Also, specific conditions that are considered rare where only UPMC has a specialist (ex. Cystic Fibrosis), will be covered under this agreement. However it is essential that it is confirmed that Highmark will cover said specialist.
Please see the links below for clarification on your particular needs.
High Performing Network F.A.Q.s
In-Network vs. Out-of-Network Letter