Insights

PA State Updates - 2015 Jan 10 No.01


On Jan. 29, 2015, Gov. Wolf announced a resolution between Magee-Womens Hospital of UPMC and Highmark. The hospital is no longer an in-network provider of Highmark. However, pursuant to the resolution, certain pregnancy and related care expenses will be covered at in-network rates for calendar year 2015. To qualify for the in-network coverage, the woman must have a) sought pregnancy related care prior to Dec. 31, 2014 at the hospital; and b) maintained Highmark insurance coverage. Employers that sponsor a group health insurance policy with Highmark will want to take note of this provision for any affected participants.

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