Medical Insurance is provided by Highmark Blue Cross Blue Shield of Western New York. Enrollment in our medical plans includes prescription drug coverage at no additional cost, however, coverage is provided through Pharmacy Benefit Dimensions. Enrollment into medical coverage through Highmark BCBS will automatically enroll you in prescription drug coverage and no additional enrollment is needed. You will receive two cards in the mail. A medical insurance card from Highmark BCBS of WNY and a prescription insurance card from Pharmacy Benefit Dimensions. Please note they will be mailed separately.
Health Insurance Card Example
- Subscriber Prefix
- Subscriber ID
- Subscriber Member Prefix
Rx Insurance Card Example
Rx Coverage through Pharmacy Benefit Dimensions (PBD)
Learn more about your Rx coverage, review the drug formulary, find a Pharmacy, set-up mail order for your prescriptions, find information on Specialty Rx, and download forms for prior authorization.
Explore their website: https://www.pbdrx.com/
Have a question or need assistance with your Rx benefit?
The Pharmacy Benefit Dimensions’ member services department is here to help with questions regarding your plan, benefits, etc. To reach them, call 1-888-878-9172, Monday through Friday between the hours of 8 a.m. to 11 p.m. You can also email servicing@pbdrx.com.
Health Insurance through Highmark BCBS of WNY
Learn more about your health insurance plan and additional benefits such as case management, disease management, telemedicine, find a Doctor tool, treatment cost estimator, and more!
Tools and resources for the best path to care – Visit www.bcbswny.com/login to access benefit information.
Have a question or need assistance with your health insurance benefit?
You can always reach out to the Benefits Team in the HR Department, however, for some situations you may want to contact Highmark BCBS of WNY directly.
The Highmark BCBS of WNY member services department is here to help with questions regarding your plan, benefits, etc.
Toll Free (800) 544-BLUE (2583) (TTY 711)
Local (716) 884-2800
Monday – Friday: 8:00 a.m. – 7:00 p.m.
Saturday & Sunday: Closed
Health Insurance Options
- Bronze Plan (POS 8200) – CSEA and AFSCME members only
- Value Plan (POS 204)
- Core Plan (POS 203)
- Enhanced Plan (POS 202)
If you are making a change or adding a dependent to your coverage, please submit your changes through UKG Kronos Employee Self-Service during the open enrollment period.
UKG Employee Self-Service Link
Health Reimbursement Account (HRA)
An HRA is an employer funded account provided to eligible employees (depending on their collective bargaining agreement or MC affiliation) enrolled in the BlueCross BlueShield Value plan. HRA funds can be used to reimburse eligible health care expenses such as insurance copay, glasses, etc.
Unused HRA credits will rollover to the following year until an employee separates from employment.
Lifetime Benefit Solutions is the administrator of our HRA and other optional FSA accounts. The same debit card will be utilized for your HRA and FSA. Claims will be paid through your FSA account first and then once depleted your HRA account will be utilized. More information on Lifetime Benefit Solutions can be found on the FSA page here: https://www.lifetimebenefitsolutions.com/members/login/
Dependent Coverage
Children can remain on your medical insurance until the end of the month in which the child turns 26. You will receive COBRA paperwork through our third party administrator, P&A group, in the mail providing you with the option to continue their coverage at the full premium.
2023 Health Insurance Rates
Premiums rates are subject to change annually. The employee responsibility of the premiums is negotiated by your collective bargaining agreement if you’re in a union position or by ECMCC policy if you are Management Confidential (MC). The medical premiums for 2023 did change and the applicable rates are provided on the ECMC Intranet under Human Resources.
Discounted Vision Plan
Highmark Blue Cross Blue Shield (BCBS) health insurance members receive free access to the Davis Vision discount program. Davis Vision offers savings on eye care and eye wear. To receive your discount, simply show your Highmark BCBS I.D. card when visiting participating Davis Vision providers.
| Available | All Medical Plans |
|---|---|
| Benefits | Member Cost |
| Eye Exam | Covered in full every year |
| Frames | 35% off retail price |
| Lenses Single-vision / bifocal / trifocal / lenticular |
$35 / $55 / $65 / $110 |
| Lens options (tint, UV, antireflective, etc.) | Member cost varies based on lens options |
| Contact lens (disposable / conventional / planned replacement) |
15% discount off retail |
Waiver of Coverage
A waiver of coverage is a biweekly/monthly payment, based on union/MC affiliation, to the employee from ECMC when a benefit eligible employee declines medical insurance. CSEA, AFSCME, and MC employees are not eligible for the waiver if they are insured by an ECMC or Erie County employee. When waiving medical insurance the employee may still enroll in dental insurance at the full premium rate.
You can enroll in the waiver during Open Enrollment through UKG Kronos Employer Self-Service.
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