If I am participating in a clinical research trial, observational study or pharmaceutical trial, with a physician managing my trial that will be considered out-of-network on July 1, 2019, how will my care be handled after June 30, 2019?

Due to clinical trial protocols, you will remain under the care of your treating out-of-network physician for the existing trial. All other care will need to be transitioned in-network by July 1, 2019 to remain at an in-network cost level. No new clinical trials will be covered by Highmark out-of-network without first going through Highmark’s medical review procedures to determine if a medical appropriate in-network option exists for you. Please remember that clinical trials must be recognized by the Federal Government in order to be an eligible service.

To assist you with this process, call My Care Navigator at 1-888-258-3428

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