International coverage at a glance.
Highmark is the Blue Cross Blue Shield licensee for Pennsylvania (western + central), West Virginia, Delaware, and parts of New York. Members access BCBS Global Core for international emergency coverage — same rules as other BCBS licensees.
PPO vs HMO vs HDHP.
Highmark PPO plans cover international emergencies at out-of-network rates through Global Core. HMO plans are emergency-only. HDHP plans require the deductible first. Highmark also markets Community Blue HMO in some areas — which is a standard HMO for international purposes.
What's covered, what isn't.
Typically covered
- Emergency room visits abroad through Global Core
- Emergency hospitalization and ambulance
- Urgent care on some PPO plans
- Medical evacuation — varies by plan; confirm specifics
Not covered
- Routine or preventive care abroad
- Dental or vision care internationally
- Pre-planned surgeries or medical tourism
- Prescription refills at international pharmacies
- Care in countries under US sanctions
The three things that actually matter.
Global Core Service Center, shared across all BCBS licensees. For emergencies, go to the nearest hospital first and call within 48 hours.
Global Core access in 190+ countries. Direct billing available at many international hospitals.
Save receipts and itemized bills from any international care — reimbursement claims require documentation.
Six questions to ask your carrier.
Call 1-800-810-BLUE (2583) and ask these directly. Get the answers in writing — verbal confirmation doesn't hold up at claim time.
- Is international emergency care covered at in-network or out-of-network rates?
- Is medical evacuation included, and if so, what's the dollar cap?
- Do I need pre-authorization for non-emergency international care?
- What's my out-of-network deductible and coinsurance for international claims?
- Is there a per-incident or annual cap on international coverage?
- What documentation do I need to file an international claim, and how long does reimbursement take?
The five steps that actually work.
Most international claims fail because of missing documentation or delayed filing. Do these five things and you'll maximize what you get back.
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Call your carrier's assistance line first if possible
For non-emergency care, call before you go in. Many carriers with international assistance lines can locate in-network facilities and arrange direct billing. In an emergency, go to the nearest hospital first; call within 48 hours.
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Pay with a credit card
Credit cards create an audit trail and give you dispute leverage if the hospital overbills. Save every charge slip.
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Collect every piece of documentation
Itemized bill, medical report, diagnostic codes, discharge summary, and proof of payment. Ask the hospital for English-language copies — most international facilities will provide them on request.
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Submit the claim promptly
Most carriers require claim submission within 90–180 days. Include translated copies if your documents are in another language. Track the submission confirmation number.
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Expect partial reimbursement
Carriers reimburse at their "usual and customary" rates, which can be 30–70% less than what you paid. Plan on a gap. This is the single biggest argument for a supplemental travel policy that direct-pays the hospital instead.
What a typical claim looks like.
Highmark PPO covered the emergency at out-of-network rates. You paid the Edinburgh hospital $2,100 upfront, filed a claim, and got back $1,250 after the deductible. Net: $850 — manageable, but a $40 supplemental policy would have covered the trip entirely.
Do you need supplemental?
Recommended. Highmark PPO handles emergencies through Global Core but doesn't consistently include evacuation. For high-cost destinations or longer stays, supplemental travel insurance is the high-value buy — typically $30–80 a week with evacuation coverage.
Popular supplemental providers: World Nomads, GeoBlue (BCBS affiliated), IMG Global, Allianz Travel, Travel Guard. Expect $30–80 for a weeklong trip, $60–200 for a month, with higher rates for adventure activities or pre-existing condition waivers.
Where you're going.
Every country has its own healthcare reality. Our country-specific guides cover emergency numbers, pharmacy access, medication restrictions, vaccinations, and water safety.
Highmark abroad, answered.
What we checked.
- Highmark
- BCBS Global Core
- GeoBlue (BCBS supplemental)
- US State Department — Travel Insurance Guide
- NAIC — National Association of Insurance Commissioners
⚠️ This guide provides general carrier-level information and does not constitute insurance or medical advice. Coverage varies by plan, employer, state, and year. Always verify your specific coverage with your insurance carrier before traveling. This page is not affiliated with or endorsed by Highmark.