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Highmark Health Insurance Reviews And Ratings

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Highmark Ratings
Overall Rating
Claims Processing
Customer Service
Value for Price
Website & Apps
Customers who recommend 72%
Who Plan to Renew 91%
AM Best Financial Strength Ratings A

About Highmark

Member services:(877) 298-3918
Corporate HeadquartersFifth Avenue Place
120 Fifth Avenue
Pittsburgh, PA 15222-3099

The history of Highmark began during the 1930s when the Blue Cross and Blue Shield movement was formed. Highmark’s predecessor companies were established to help Pennsylvania’s residents pay for health care. Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield) and the Pennsylvania Medical Society backed the founding of Pennsylvania Blue Shield (now Highmark Blue Shield) operated as separate entities until 1996.

The consolidation of Blue Cross of Western Pennsylvania and Pennsylvania Blue Shield, resulted in Highmark Inc. Highmark began operations on December 6, 1996.

In 2010, Blue Cross Blue Shield of Delaware signed an affiliation agreement with Highmark. In order to reflect its relationship with Highmark, Blue Cross Blue Shield of Delaware became Highmark Blue Cross Blue Shield Delaware (Highmark Delaware) in 2012.

In 2015, Highmark merged with Blue Cross of Northeastern Pennsylvania (BCNEPA).

Highmark coverages

  • Individual and family plans
  • Employer plans
  • Dental
  • Vision
  • Travel
  • Children’s Health Insurance Program (CHIP)
  • Medicare, Medicare Advantage and Medicare Gap plans

Best Health Insurance Companies 2021: Highmark

Highmark is a health insurer in Pennsylvania, associated with the Blue Cross Blue Shield organization. Highmark also writes policies in both West Virginia and Delaware. Highmark is the fourth-largest overall Blue Cross Blue Shield-affiliated organization and provides coverage to more than 5.6 million members in Pennsylvania, Delaware, and West Virginia.

Highmark is part of the Blue Cross Blue Shield association, which is a national association of 36 independent, community-based and locally operated Blue Cross Blue Shield companies. The BCBS association provides healthcare coverage to more than 107 million members in all 50 states, Washington, D.C., and Puerto Rico. Nationwide, more than 96 percent of hospitals and 95 percent of doctors and specialists contract with Blue Cross Blue Shield companies which is more than any other insurer.

How Highmark stacks up

Highmark earned a 3.5 out of 5-star rating in our annual review of Best Health Insurance Companies. They got 3.5 out of 5-star ratings across the board in claims, price and customer service and 4-star ratings in website & apps.

When we asked Highmark customers if they would recommend the company to others, 72% said yes and 91% said they planned to renew their plan.

How likely customers would recommend this company?

33% I would definitely recommend this company
39% I would probably recommend this company
23% Neutral
3% I would probably not recommend this company
2% I would not recommend this company

Reasons for Buying

Customers of Highmark originally decided to purchase from the company for these reasons:
  • 47% It's a health plan my employer offers
  • 14% Reputation
  • 11% Recommended by friend or family member
  • 10% Offered best price
  • 9% I have/had other insurance with this company
  • 4% Saw TV commercial
  • 2% My parent's health company
  • 2% Saw online ad
  • 1% The company website and mobile apps are easy to use and helpful

Would you renew?

  • 91% Yes
  • 9% No

Ratings on Website & Apps

  • Completely satisfied / Outstanding website & apps that give me what I need and more 21%
  • Fairly satisfied / Fulfills my needs OK 42%
  • Average website and apps 23%
  • Very unsatisfied / digital offering is severely lacking 8%
  • Unsatisfied / website and/or apps are not fulfilling my needs 3%

How do you prefer to deal with insurer and policy?

  • In person 46%
  • Phone 19%
  • Email 4%
  • Interactive website 19%
  • Mobile App 12%

Customer Complaint Ratio

info

The complaint data is gathered from the NAIC Complaint Index, which collects complaint information from state insurance regulators and then compares a company’s performance to other companies in the same insurance market. The national average is always calculated to be 1.00; those above 1.00 are worse than the national average and those below are better (have less complaints) than the national average. Read more at the NAIC website.

Note: Many companies have a variety of subsidiaries listed with the NAIC, the one rated here may be different than the one that writes your policy. Check with your company/agent for specific information.

Highmark’s customer complaint ratio for Individual Health insurance is 0.47
Highmark’s customer complaint ratio for Group Health insurance is 0.22

In which states is Highmark available?

Customer Reviews

Our survey asked policyholders to share experiences or give feedback that they would like to share with others looking to potentially buy from their current insurance company. Here's what they had to say:

Customer Reviews

103 Reviews. 3.5 Stars out of 5
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