Let's Get Started

Welcome to Highmark Wholecare!

We're so glad you decided to join the Highmark Wholecare family. As members, you have access to a wide variety of tools and resources designed to keep you and your family healthy.

Your Next Steps

If you haven't already done so, follow these simple steps to get the most out of your Highmark Wholecare partnership.

Member Handbook

Review a list of our dental, vision, hearing and transportation services benefits.

Sign up for the Member Portal

Manage your health benefits, change your primary care provider, talk to an expert, view claims and more.

Choose a Provider

Search for in network primary care physicians (PCPs), specialists, and pharmacies.   

Grievances and Appeals

Find forms and contact information



With a Highmark Wholecare Case Manager


With a Highmark Wholecare Representative

Member Rights and Responsibilities

Highmark Wholecare and its network of providers do not discriminate against members based on race, sex, religion, national origin, disability, age, sexual orientation, gender identity, or any other basis prohibited by law.

As a Highmark Wholecare member, you have the following rights and responsibilities.

This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, 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.

Copyright 2023 by Highmark WholecareSM