Highmark Health Plan

Highmark Delaware

The Blue Choice Deductible PPO Plan and Blue Choice PPO Plan are funded by the University of Delaware Group Health Fund through health premiums paid by you and the University. These plans are administered by Highmark Delaware.

Bariatric Surgery Coverage

All bariatric surgeries are required to be completed under your Lantern benefit with a surgeon in the Lantern network. Bariatric surgery is not covered under your Aetna or Highmark Delaware non-Medicare health plan and will not be eligible for a financial incentive.

Choosing the Right Care

The University of Delaware wants you to get the best value out of your benefits by choosing the right care! This includes understanding your care options, where to go for services, how much services cost and making informed decisions to ensure you and your family receive the high quality, safe and affordable care you deserve. Making informed decisions regarding your care is an important step to help control rising health care costs and to maintain high quality, affordable benefit options.

Log in to Highmark Delaware’s online Care Cost Estimator to compare your care options.

Resources for non-emergency care for the treatment of colds, flu, rashes, back pain, etc.

  • Primary Care Provider  (PCP) - You are encouraged to have a PCP. With access to your complete medical history, they know you best. Having a PCP is important as they will assist you in managing your care with your other health care providers.

  • 24/7 Nurse Line - If you have health-related questions, call the 24-hour Nurse Line at 1-844-325-6251.  

  • Telemedicine (Virtual Medicine) - If you can’t get a quick appointment with your Primary Care Provider (PCP), consider using telemedicine instead of going to an urgent care center or ED. Telemedicine is a service that allows you to have an online video consultation with a doctor whether you are at home or on the go, by using your computer, tablet or smartphone. You can use telemedicine services and speak with a doctor to receive a diagnosis and get recommended treatment for minor illnesses, such as a sore throat, runny nose, or fever. The doctor can even prescribe medications when appropriate.

  • Urgent Care - (Medical Aid Units) - For symptoms that are not life threatening, an in-network urgent care facility is an appropriate option if you cannot get a same day appointment with your Primary Care Provider (PCP).

Emergency Room - Use the Emergency Room (ER) only for emergencies. For example, when you have chest pain; severe shortness of breath; fainting, sudden dizziness, weakness; sudden confusion; and uncontrolled bleeding. 

Not sure if you should go to the ER? Contact the 24/7 Nurse Line at 844-459-6452

  • Lab Work (Blood Work) Services - Save time and money by having your outpatient lab work (blood work) services completed at in-network non-hospital affiliated preferred labs. In Delaware, LabCorp and Quest Diagnostics are Highmark Delaware’s only preferred labs.

  • Imaging/Radiology Services - Save time and money by having your outpatient imaging/radiology services completed at in-network non-hospital affiliated freestanding facilities. These facilities provide similar quality as hospital affiliated locations and are often more convenient.

Outpatient Surgery Services - Save time and money by having your outpatient surgery services completed at in-network non-hospital affiliated Ambulatory Surgery Centers (ASCs). These facilities provide similar quality as hospital affiliated locations and are often more convenient.

High-quality facilities with better outcomes, fewer complications and readmissions for specific procedures – Orthopedic, Spine, Bariatric and Transplants

Highmark Blue Distinction Centers - Highmark Delaware has designated certain health care facilities within their provider network as Centers of Excellence, or simply COE Facilities. Centers of Excellence have been identified as delivering high quality services and superior outcomes for specific procedures or conditions. This means improved outcomes and reduced cost, which includes delivering surgery and post-operative care more efficiently and with lower risk of complications and readmissions. Get the quality of care you and your family deserve!

Additional Highmark Resources