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HighmarkCommercial · Coverage · Provider Bulletin · PAMedium impact

CPA: Choice Blue Going Away – Starting Jan. 1, 2027

Act
by Dec 31, 2026
Effective date
Jan 1, 2027
Identified
Aug 26, 2026

Summary

Highmark is discontinuing the Choice Blue product in nine counties in Central Pennsylvania (CPA) effective January 1, 2027. Existing members will transition at their 2027 benefit renewal and do not need to take action now. Billing teams should prepare for member migrations to alternative Highmark plans, particularly Performance Flex Blue.

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What to do

by Dec 31, 2026 · 4 steps
01Billing team must prepare for patient transitions from Choice Blue to alternative Highmark commercial plans (primarily Performance Flex Blue).
02Update member eligibility verification processes to recognize plan changes during 2027 renewals.
03Verify current member benefits via Availity Essentials before the transition date.
04No immediate action required, but monitor Highmark communications for additional renewal transition details as 2027 approaches.
If missed: Failure to update eligibility records may result in claim denials or delays if old Choice Blue information remains in the billing system.

Original notice

CPA: Choice Blue Going Away – Starting Jan. 1, 2027
providers.highmark.com · Always check the source before changing claims.
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