Welcome to the State System's Annuitant Health Care Program (AHCP) webpage. Details about your Pre-Medicare (under 65) and Medicare eligible health care coverage are found here in additional to important forms and notices for retirees, dependents, or survivor spouses.
Add/Drop Dependents Becoming Medicare Eligible (Age 65) Death/Survivor Spouse Info FAQs
Pre-Medicare
Pre-Medicare retirees/dependents are enrolled in the applicable coverage based upon their bargaining unit/employee group and retirement date from the State System. Once you receive your new Highmark ID card, you can find your coverage’s medical benefit booklet after logging into the Highmark member website.
- BlueCross BlueShield International Travel (Pertains to only Pre-Medicare group numbers 025079-60 through 025079-66).
Questions
Please contact Highmark Blue Shield regarding coverage questions by calling 1-888-745-3212 (phone number listed on back of ID card).
Medicare Eligible
Medicare-eligible retirees / dependents residing in the United States are enrolled into the customized Highmark Freedom Blue PPO Medicare Advantage Plan.
This plan requires that Medicare-eligible retirees/dependents are enrolled in Medicare Part A and Medicare Part B. This private Medicare plan bundles all the coverage provided with Medicare Part A (facilities), Medicare Part B (providers) and Medicare Part D (prescription drug) into a single Medicare Advantage Plan (also known as Medicare Part C).
Further details, such as the following, may be accessed by visiting Pennsylvania’s State System of Higher Education Freedom Blue PPO public member room:
- Plan Details and Information
- Plan’s Extra Perks - Davis Vision, SilverSneakers, and more!
- Plan Forms
- Quick Links to other relevant websites
Questions
If you have questions after reviewing the material above, please contact Highmark
Blue Shield’s dedicated Medicare Advantage concierge call center 1-888-431-2831 (TTY:711), 8 a.m. – 8 p.m. everyday.
Other Helpful Links
- State Employees’ Retirement System (SERS) 1-800-633-5461
- Public School Employees’ Retirement System (PSERS) 1-888-773-7748
- Alternative Retirement Plan (ARP)
Forms
Agreement to Cancel AHCP Form
Annuitant Health Care Change Form
Auto Debit Banking Form
Delayed AHCP Election Form
Delayed Surviving Spouse Election Form
Disabled Dependent Certification Form
Medicare Part D Notice of Creditable Coverage
Student Certification Form
State System Contact Info
Email: RetireeBenefitHelp@passhe.edu
Phone: 717-720-4153
FAX: 717-720-4162
Pennsylvania’s State System
of Higher Education
System Office - AHCP Benefits
2300 Vartan Way, Suite 207
Harrisburg PA 17110
