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Behavioral Health and Substance Use Disorder

Highmark processes all claims for behavioral healthcare services and can recommend qualified network providers* in your area.

Find a Provider

To find a network behavioral health provider, call Highmark at 888-835-2959.

Or, find a provider online:

  1. Go to highmarkbcbs.com.
  2. Select Find a Doctor or Rx tab.
  3. Select Find a Doctor, Hospital or other Medical Provider.
  4. Enter the first three letters of your member ID.
  5. Select Specialty.
  6. Select Submit.

Pre-Certification

Pre-certification is required** for some behavioral health and substance use disorder services. To learn more about which services require pre-certification, visit the Pre-Certification page on pensions.org.

Filing Claims

In most cases, network providers will file claims for you. Claims should be sent to 

Highmark Blue Cross Blue Shield
120 Fifth Avenue Place
Suite 2035
Pittsburgh, PA 15222 

Employee Assistance Program

Members also are entitled to free counseling through the Employee Assistance Program (EAP), which can be arranged by calling Cigna at 866-640-2772 or visiting its website. To learn more about the services provided through the EAP, visit the Employee Assistance Program page on pensions.org. Cigna EAP services are not available to those enrolled in the Medicare Supplement Plan.

* PPO: If you elect to use an out-of-network provider, benefits are paid on an out-of-network basis.
  EPO: Out-of-network providers are not covered; member pays 100 percent of costs for out-of-network services.

** Before claims for services without required pre-certification are considered for reimbursement, the plan’s utilization review consultant, Highmark, determines the appropriateness and medical necessity for the services retroactively.

Take the first step toward wholeness, a pastoral care team chair urges.