Rooted in the community, recognized nationwide
At Highmark Blue Shield of Northeastern New York, we offer a variety of diverse, expansive networks — so you can choose the coverage that best suits your unique needs. The following information explains what to expect with our network options.
Preferred Provider Organization (PPO)
This network provides both local and national coverage. Services received by a participating provider both inside and outside the Capital Region are considered in-network through the national Blues network.
Ideal for: Employees who travel often and/or receive services outside of Northeastern New York.
Exclusive Provider Organization (EPO)
Access to national in-network coverage. In Blue Shield’s service area, members use a Blue Shield participating provider for in-network coverage. Outside of the 13 counties, members have access to BlueCard® for in-network coverage.
Ideal for: Employees who travel often or have family members living outside the area.
Expanded network (EX)
This network offers an extensive variety of quality health care professionals both locally and across the country — all at the same in-network cost. A local primary care physician (PCP) must be on file and seen for your routine physical.
Ideal for: Employees who live or work in a Northeastern New York county*, but live near other counties and receive services in both areas.
Health Maintenance Organization (HMO)/Point-of-Service (POS)
With this network, care is coordinated through the primary care physician. All participating health care services received within the thirteen counties of Northeastern New York* are considered “in-network,” and are provided at the lowest cost-share available to you.
Ideal for: Employees who receive care within the thirteen counties of Northeastern New York*.