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Highmark Individual and Family Plans

Highmark Individual and Family Plans

Health plans that keep up with your life

Health plans that keep up with your life

Our plans are packed with benefits including in-network access to quality care and doctors. Plus, coverage is affordable — nearly 90% of people qualify for savings.*

Our plans are packed with benefits including in-network access to quality care and doctors. Plus, coverage is affordable — nearly 90% of people qualify for savings.*

Have you recently lost your coverage?

If you’ve encountered a life event that has affected your coverage, see if you’re eligible to enroll in a plan through a Special Enrollment Period.

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Loss of Medicaid Coverage

Highmark has you covered with plenty of low-cost plans to choose from. You can enroll in an Individual and Family plan during a Special Enrollment Period.

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Eligibility for Special Enrollment

Under Affordable Care Act (ACA) guidelines, if you’ve had a baby, moved to a new ZIP code, or lost your job, you can sign up for coverage outside of Open Enrollment periods.

Highmark plans comparison tool

Highmark plans comparison tool

We make it easy for you to preview affordable health plans. Find out if you qualify for financial help that may lower the cost of your coverage.

We make it easy for you to preview affordable health plans. Find out if you qualify for financial help that may lower the cost of your coverage.

Why choose a Highmark health plan?

There’s so many reasons for choosing a Highmark health plan. We can think of three big ones right off the top of our heads.

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Coverage for all your health

Healthy teeth and eyes are part of overall health, and regular checkups can help you stay ahead of potential health issues. That’s why we offer plan options with adult dental and vision.

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No referrals needed

Having one of our plans means you never need a referral to see a specialist. You can see the in-network specialists you want, whenever you want — putting you in control of your care.

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Easy access to care

With our plans, you get easy access to high-quality, lower-cost health care services in your area. You also get 24/7 support with virtual health options and access to Blues On CallSM.

Let’s cover some ACA basics

We'll help you simplify the process and understand how to compare your plan options.
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Ways to save


There are two types of savings programs that can help you pay for your health insurance. Based on your household size and income, you may be eligible for both types of financial help.

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Deductibles and premiums


Your premium and deductible are like a see-saw: When you lower one, you generally raise the other. It's important to find the sweet spot between the two based on your healthcare needs and finances. 

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Know your metals


ACA plans are broken into metal levels — bronze, silver, gold and platinum. Metal levels reflect cost-sharing differences only. You get the same quality of care at any level.

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Prepare for Open Enrollment

The Open Enrollment period for individual and family plans varies by state. Anyone who qualifies for an ACA plan may enroll during this time period.

  • PA, DE, and WV: November 1 — January 15
  • NY: November 16 — January 31

Explore affordable health coverage in your area

Explore affordable health coverage in your area

All our plans give you in-network access to top-quality care, close to home. Whatever your health care needs and budget, we have a plan for you. All you have to do is choose.

All our plans give you in-network access to top-quality care, close to home. Whatever your health care needs and budget, we have a plan for you. All you have to do is choose.

* Based on 2024 ACA on-exchange membership that enrolled during the 2023 Open Enrollment Period.