Business Details
Your Trusted Health Insurance Partner in Pennsylvania & New York
At Highmark Direct, we are committed to simplifying health insurance for our members. Our licensed Retail Store Associates provide personalized guidance to help you understand and select the right coverage, whether you're exploring Medicare options, individual and family plans, or seeking clarification on existing benefits. We offer in-store services including plan comparisons, premium payments, billing assistance, and provider network navigation. Our stores host educational seminars and wellness activities to support informed decision-making. With locations across Pennsylvania and New York, we combine local accessibility with comprehensive insurance solutions tailored to diverse healthcare needs.Our team prioritizes transparency, ensuring complex insurance concepts are explained in straightforward terms. We maintain flexible hours to accommodate busy schedules while providing both walk-in convenience and appointment-based consultations. Through digital tools like the myHighmark app, we help members manage accounts and access health resources efficiently. Our commitment extends beyond enrollment, offering ongoing support for claims resolution, financial assistance applications, and medical record coordination. By integrating community engagement with professional expertise, we aim to be a trusted partner in navigating healthcare coverage.
Services
Medicare Plans
Individual Coverage
Family Insurance
Premium Payments
Provider Network Access
Billing Assistance
Fitness Classes
Health Seminars
Highlights and features
- We provide personalized health insurance guidance from licensed associates
- Our stores offer free Medicare eligibility assessments and enrollment support
- We host educational seminars on insurance and wellness topics monthly
- With 12 locations, we serve Pennsylvania and New York communities directly
- We accept multiple payment methods including checks and credit cards
What people say
Expert Medicare advice
Clear plan explanations
Free wellness classes
Multiple store locations
Friendly staff assistance
Services
Medicare Plans
We offer comprehensive Medicare solutions including Advantage plans, Part D prescription coverage, and Medigap supplements. Our licensed advisors help seniors navigate enrollment periods, compare plan benefits, and understand coverage options. Through monthly seminars and one-on-one consultations, we provide personalized guidance to ensure alignment with individual healthcare needs and budget requirements.
Individual Coverage
Our ACA-compliant individual health plans provide flexible options for single policyholders. We assist with plan comparisons based on coverage scope, provider networks, and cost-sharing structures. The enrollment process includes eligibility verification for subsidies and financial assistance programs, ensuring affordable access to essential healthcare services tailored to personal medical requirements.
Premium Payments
We facilitate in-store premium payments for existing policyholders using checks, money orders, or electronic transfers. Our representatives verify payment processing timelines, update account statuses, and provide documentation for transactions. This service operates during extended business hours to accommodate varying customer schedules and financial management needs.
Provider Network Access
Our staff helps members locate in-network healthcare providers through digital directories and personalized referrals. We verify provider participation status, assist with appointment scheduling, and provide guidance on accessing specialist care. This service ensures policyholders maximize coverage benefits while minimizing out-of-network expenses.
Health Seminars
We host monthly educational programs covering insurance literacy, preventive care, and wellness topics. Medicare workshops explain enrollment periods and plan differences, while fitness classes promote active lifestyles. These community-focused events provide practical knowledge and foster engagement through interactive learning experiences at no additional cost to participants.
Questions
What insurance plans does Highmark offer?
We provide Medicare Advantage, Part D, Medigap, ACA individual/family plans, Medicaid through Highmark Wholecare, and supplemental insurance options.
Do I need an appointment for store services?
No appointments are required - walk-ins are welcome during operating hours. However, scheduled appointments ensure dedicated consultation time.
How can I pay my insurance premium?
Premium payments can be made in-store using checks, money orders, or electronic transfers. Some plans accept credit/debit card payments.
Are there educational resources available?
Yes, we host monthly Medicare seminars, fitness classes, and book clubs to educate members about healthcare options and wellness practices.
What documents should I bring for enrollment?
Bring identification, current insurance details, Medicare/Medicaid cards, and financial documents to ensure accurate plan comparisons and eligibility verification.
