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Pennsylvania Medicare D-SNP

Pennsylvania Medicare D-SNP

Coverage That Helps Your Whole Life

Coverage That Helps Your Whole Life

Our Medicare Dual Eligible Special Needs Plan (D-SNP) gets you hospital and doctor visits, prescription drugs and additional benefits like transportation, food and utilities.

Our Medicare Dual Eligible Special Needs Plan (D-SNP) gets you hospital and doctor visits, prescription drugs and additional benefits like transportation, food and utilities.

Highmark Wholecare D-SNP Benefits

Choosing Highmark Wholecare helps you care for your physical and mental health.

  • senior couple shopping at outdoor market

    Food Allowance


    Highmark Wholecare’s D-SNP plans members may receive financial assistance for healthy foods and products from participating retailers.

  • Older man sitting at table in kitchen drinking coffee and looking at bills

    Utility Support


    D-SNP plan members may be eligible for an allowance to help with utility costs like gas, electric, mobile phone, and more.

  • man in wheelchair with woman pushing him down the aisle in a pharmacy

    Over-the-Counter Benefits


    All D-SNP members receive a quarterly allowance to spend at our OTC store on a variety of health and wellness items.

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Joining a Highmark Wholecare D-SNP is Easy

Joining a Highmark Wholecare D-SNP is Easy

Whether you're new to Medicare or currently enrolled in a plan, we can help find the best plan for you.

Whether you're new to Medicare or currently enrolled in a plan, we can help find the best plan for you.

Getting D-SNP Coverage

You can join a Highmark Wholecare D-SNP plan if you live in our service area, and are eligible for Medicare and Medicaid.

  • Medicaid Eligibility


    To qualify for D-SNP, you'll need to either qualify for or already receive Medical Assistance (Medicaid).

  • Medicare Eligibility


    You may be eligible for Medicare Parts A and B if you are age 65+, younger than 65 with certain disabilities or have ESRD.

  • Pennsylvania Residence


    Highmark Wholecare D-SNP is available to individuals living in one of our 57 Pennsylvania service area counties.

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Your Medicare D-SNP Choices

When you select a Diamond D-SNP or Ruby D-SNP, you’ll get:

  • $0 to low monthly premiums
  • Dental, vision and hearing allowances
  • Transportation to and from appointments
  • Over-the-counter allowances for items like aspirin or toothpaste
  • Food and utility allowances

You’ll also get many kinds of treatment for zero – or little – cost along with personalized coaching for health conditions.

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Accessing Your Member Portal

As a Highmark Wholecare member, you’ll use your online member portal to change your primary care provider (PCP), request ID cards, view claims and more.

Interested in Medicaid?

Interested in Medicaid?

Highmark Wholecare Medicaid provides a wide range of benefits to help you live a healthy and happy life.

Highmark Wholecare Medicaid provides a wide range of benefits to help you live a healthy and happy life.

Health benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.

Medicare Ombudsman Website
Best Available Evidence
Y0037_1359_M_2024

Last Updated: Oct  1, 2023