Child Health Plus
With Highmark's CHPlus plan, your child will have access to a wide range of services including dental and vision care and prescription drug coverage.
New to Highmark Child Health Plus?
As a new member, we know you have questions. We also know you’re short on time! Learn the basics about your health plan on the New Member Welcome page.
What you get with CHPlus
Your child can get well-checkups, immunizations, vision care, dental care and more with Highmark.
Get benefits like:
When you need a referral
For some services, you’ll need a referral from your primary care provider (PCP) before getting care. You’ll need to see your PCP before:
Get these services from us without a referral
For most services, you’ll go to your PCP or another doctor in your plan. We’ll pay for some services you get from a doctor who isn’t in your plan, including:
You should not be charged for your child’s personal protective equipment.
You do not have to pay doctors in your child’s plan network for personal protective equipment, like masks, gloves, or gowns required during visits. If you have paid these charges, you should contact the doctor for a refund. If you would like to submit a complaint to us about charges for any personal protective equipment from a doctor in your child’s network, please contact Member Services at 866-231-0847 (TTY 711).
Who’s eligible?
Highmark offers the New York State-sponsored Child Health Plus program. We can help you get the most out of your Child Health Plus benefits so you can help your family get and stay healthy.
Your child may be eligible for Child Health Plus if your child:
To find out more about eligibility, visit the New York Child Health Plus website.
Already a member and have questions?
Please call Member Services at 866-231-0847 (TTY 711)
Monday – Friday from 8:30 a.m. – 6 p.m. Eastern time.
Extra benefits
Get what you need to live your healthiest life. As a Highmark member, you get extra benefits, called value-added benefits, like:
Limitations and restrictions apply. Benefits may change.
You can redeem some benefits online through your secure account. Discover the extra benefits you’re eligible for on the Benefit Reward Hub or call Member Services at 866-231-0847 (TTY 711) Monday through Friday, 8:30 a.m. to 6 p.m. Eastern time.
Log in to your secure account to get started today!
Earn rewards for healthy activities
Healthy Rewards is a no-cost, optional program for eligible members enrolled in our health plan. The program encourages members to seek the care they need to improve their health and create a healthy lifestyle.
To understand extra benefit eligibility and start earning rewards, log into your Benefit Reward Hub or call Member Services at 866-231-0847 (TTY 711) – available Monday through Friday, 8:30 a.m. to 6 p.m. Eastern time.
Member handbook
Your go-to guide for health services
Your member handbook tells you how you can get the most from Highmark. You’ll find answers to these items:
Member resources
CHPlus Pharmacy benefits
Your pharmacy benefits include a wide range of prescription and over-the-counter (OTC) drugs. We work with CarelonRx to provide these benefits. There are no copays for covered drugs.
Specialty Pharmacy Services
BioPlus Specialty Pharmacy, a Carelon company, is an in-network option for your specialty pharmacy needs. These medications are used to treat complex and chronic conditions that are covered under your pharmacy benefits. They can be delivered to your home or your doctor’s office.
BioPlus offers a truly elevated experience focused on your whole health through:
- Compassionate care and individualized support
- Disease management programs to help you manage your condition
- Over 30 years of trusted specialty pharmacy expertise
- Convenient processes and digital tools
It’s easy to get your specialty medication
With BioPlus, you get:
- Free shipping with confidential, on-time delivery
Order your medicine online at any time. You can track your order until it arrives and get reminders when you need a refill. - 24/7 access to trained professionals
A Care Team led by highly trained pharmacists and nurses is ready to assist you. They can talk to you about your condition and are specially trained to help. You can reach the Care Team at 833-549-2115 (TTY 711), 24 hours a day, seven days a week. - Individualized care
If you have side effects, your Care Team will work with you to manage them. Nurses are available to assist with infusions in your home. They can also instruct you on how to inject medications.
Using BioPlus is not required; it is an optional choice as part of your pharmacy network benefit through your health plan. Find other in-network pharmacies.
Member Resources
Log in to your account to manage your specialty prescriptions. You can:
Your Care Team support
Call BioPlus at 833-549-2115 (TTY 711) anytime day or night to speak with your Care Team.
You can also call the Pharmacy Member Services number on the back of your ID card.
LiveHealth Online
LiveHealth Online allows you to visit a doctor through live video chat on your computer, tablet or smartphone. It’s an easy way to get care for you or your family at any time, day or night, without leaving your home.
As a Highmark member, you can use LiveHealth Online at no cost to you. Sign up today so you can:
It’s easy to get started. Sign up for free on the LiveHealth Online website or download the app:
*Prescription availability is defined by physician judgment.
LiveHealth Online is the trade name of Health Management Corporation, a separate company providing telehealth services on behalf of Highmark.