CommercialCoverageMedium impact
CPA: Choice Blue Going Away – Starting Jan. 1, 2027
Highmark·PA·Provider Bulletin
Effective date
Jan 1, 2027
We identified it
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.
Action Required
By December 31, 2026: Billing team must prepare for patient transitions from Choice Blue to alternative Highmark commercial plans (primarily Performance Flex Blue). Update member eligibility verification processes to recognize plan changes during 2027 renewals. Verify current member benefits via Availity Essentials before the transition date. No immediate action required, but monitor Highmark communications for additional renewal transition details as 2027 approaches. Failure to update eligibility records may result in claim denials or delays if old Choice Blue information remains in the billing system.