Updates being covered:

• Pennsylvania Medigap Updates
• West Virginia Medigap Updates
• Delaware Medigap Updates
• Register NOW for Tomorrow’s Webinar Wednesday Focusing on Diabetic Coverage!
• Changes to MA and D-SNP Application Process Beginning August 1, 2025
• Contacts and Additional Resources

Pennsylvania Medigap Updates


Rate Adjustments Annual premium rate adjustments have been approved and will become effective July 1, 2025. July 1 Medigap Rates For Southwest PA Region rates, click here. (Allegheny, Fayette, Greene, Indiana, Washington, and Westmoreland counties)

For Northwest PA Region rates, click here. (Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Crawford, Elk, Erie, Forest, Huntingdon, Jefferson, Lawrence, McKean, Mercer, Potter, Somerset, Venango, and Warren counties)

For Northeast PA Region rates, click here. (Wayne, Pike, Monroe, Carbon, Luzerne, Lackawanna, Wyoming, Susquehanna, Bradford, Sullivan, Lycoming, Clinton and Tioga counties)

For Central PA Region rates, click here. (Adams, Berks, Centre, Columbia, Cumberland, Dauphin, Franklin, Fulton, Juniata, Lancaster, Lebanon, Lehigh, Mifflin, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Union, and York counties)

To view the full updated Outline of Coverage (OOC) for Highmark Blue Cross Blue Shield
click here. (Southwest, Northwest, Northeast PA Regions)

To view the full updated OOC for Highmark Blue Shield, click here. (Central PA Region)  

West Virginia Medigap Updates

Rate Adjustments Annual premium rate adjustments have been approved and will become effective July 1, 2025. West Virginia’s new premium rates are effective from 7/1/2025 through 6/30/2026. To view the updated Outline of Coverage (OOC), click here.

Delaware Medigap Updates

Rate Adjustments Annual premium rate adjustments have been approved and will become effective July 1, 2025. Delaware’s new premium rates are effective from 7/1/2025 through 6/30/2026. To view the updated Outline of Coverage (OOC), click here

Changes to MA, D-SNP, and Medigap Application Submission Process Beginning August 1, 2025

Please be advised of an important update regarding the submission process for Medicare Advantage (MA), Dual Eligible Special Needs Plan (D-SNP), and Medigap applications. We are transitioning to a fully digital submission process to improve efficiency, accuracy, and tracking for all parties involved.

For applications submitted on August 1, 2025 or later, commissions will no longer be paid for MA, D-SNP, and Medigap applications received via fax.

To ensure you continue to receive timely and accurate commission payments, we require all applications to be submitted through our secure online portals: Medicare Advantage and Medigap – Producer Portal: Access the Producer Portal here: producer.highmark.com Highmark Wholecare (PA D-SNP) – Cavulus:  Using your Chrome browser, access Cavulus for Highmark Wholecare by Clicking Here Highmark Blue Cross Blue Shield Delaware D-SNP – Cavulus: Using your Chrome browser, log into the Producer Portal (producer.highmark.com), select D-SNP Line of Business, and click the Enroll button. This will redirect you to Cavulus. If you do not have access to these online portals, please contact your Channel Sales Representative or Sales Support for immediate assistance.

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