Benefits are listed by your Highmark group number. You were provided your group number when you enrolled in AHCP or when you transitioned to Signature 65 coverage. You may also contact the Central Benefits Office or Highmark to obtain your group number. View the booklets page to review your plan information.
Open Enrollment is an annuitant's only opportunity to add/remove dependents from their health care coverage without experiencing a qualified life event. Enrolled annuitants will receive a communication via email or US mail. A sample communication is provided for reference. Included in the communication will be the Medicare Notice of Creditable Coverage as well.
Notes:
- Any changes made during Open Enrollment will be effective July 1 , 2023.
- No action is necessary to continue coverage beyond July 1, 2023.
Annuitants that may have been enrolled in 2019 with AllClear ID for credit monitoring services may receive an email from AllClear ID announcing that Experian will be providing the services in 2020. Please refer to the following link for more information about this service provided to Highmark members at no-cost.
Agreement to Cancel AHCP FormAnnuitant Health Care Change FormAuto Debit Banking FormDelayed AHCP Election FormDelayed Surviving Spouse Election FormDisabled Dependent Certification FormMajor Medical Claim FormStudent Certification Form
Identity Protection Services from ExperianBlue 365 DiscountHow to Print a Temporary ID CardMedicare Benefits SummaryMedicare Part D Notice of Creditable CoverageSignature 65 Prescription Drug Discount PlanBlueCross BlueShield International Travel (Pertains to Under 65 PPO members only)
Note: If enrolled in Signature 65 and are traveling internationally, members submit out of network claims directly to Highmark using the address on the back of their ID card and label the claim as a "foreign claim." The claim will be processed against the Major Medical benefit as Medicare would not apply.
Highmark Blue Shield 1-888-745-3212State Employees' Retirement System (SERS) 1-800-633-5461Public School Employees' Retirement System (PSERS) 1-888-773-7748
Alternative Retirement Plan (ARP)Fidelity 1-800-343-0860TIAA 1-800-842-2252
Medicare 1-800-633-4227Social Security Administration 1-800-772-1213
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Have a question?Email: RetireeBenefitHelp@passhe.eduPhone: 717-720-4153FAX: 717-720-4162
Pennsylvania’s State Systemof Higher EducationSystem Office - AHCP Benefits2300 Vartan Way, Suite 207Harrisburg PA 17110
