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Highmark BCBS
Member Portal: https://www.highmark.com/member/bcbswny.html
Customer Service: 1-844-639-2441
The District offers two health insurance plans, which have the same medical coverage but differ in their prescription benefits:
POS 200 Class 02 - Generic $5 Rx Class 02 Benefit Summary
POS 200 Class 11 - Tiered $7/$15/$35 Rx Class 11 Benefit SummaryVision Coverage
- Both plans have the same Vision Coverage: Vision Benefit Summary
- https://www.bcbswny.com/content/wny/find-a-doctor/vision.html
Select "I do not have a metal plan name"
Select "My employer does have a vision program through Davis Vision using my BCBS ID card."
Prescriptions
- Formulary (medication list): Search: https://client.formularynavigator.com/Search.aspx?siteCode=7053599805
Download: https://fm.formularynavigator.com/FBO/9/Highmark_WNENY_Closed_Formulary.pdf - Pharmacy Member Service: 1-866-264-4685
- Express Scripts: https://www.express-scripts.com/ 1-800-282-2881
- Accredo - Specialty Pharmacy: https://www.accredo.com/ 1-877-222-7336
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Glossary of Health Coverage and Medical Terms
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2024-25 Premiums
2024-25 Premium Cost Per Month*
POS CL02 ($5 Generic Rx)
Individual $891.30
2 Person $1,827.41
Family $2,752.34POS CL11 ($7/15/35 Tiered Rx)
Individual $881.69
2 Person $1,807.81
Family $2,723.55*Refer to your union contract for your employee contribution amount.
Employee contributions for benefits are taken over 20 pay periods starting Sep 27, 2024. For your biweekly amount, take the total employee cost for the year (July 2024 - June 2025) and divide by 20.
