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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 through BCBS - must use a provider who participates with Davis Vision
- Both plans have the same Vision Coverage:
- https://www.bcbswny.com/content/wny/find-a-doctor/vision.html
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
- Both plans have the same Vision Coverage:
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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.