FQHC Look-Alike site
Highlands Health Somerset — Somerset, Pennsylvania
About Highlands Health Somerset
Highlands Health Somerset is an FQHC Look-Alike site in Somerset, Somerset County. It meets the same federal requirements as funded health centers, without HRSA grant money.
It has been in federal health center scope since 2025; it reports 40 operating hours a week, in line with the 40-hour median for health center sites in Somerset County.
JOHNSTOWN FREE MEDICAL CLINIC runs 1 other listed location.
HRSA Health Center Service Delivery Sites lists it; no source records whether GLP-1 medications are prescribed here.
GLP-1 coverage at Highlands Health Somerset
Part B pays for the visit at Highlands Health Somerset under the health center payment system, and the sliding fee scale can lower the cost of the visit for those who qualify; the drug is billed to Part D by a pharmacy.
HRSA lists Medicare billing number 6F4123 here, so the site bills Medicare directly.
Medicare's general GLP-1 rules are set out.
- Do you manage GLP-1 prescriptions for Medicare patients?
- Which Medicare plans do you take?
- What documents precede a prior authorization?
Insurance and Medicare at Highlands Health Somerset
Highlands Health Somerset is required to run a sliding fee scale by household income and size. Ask intake which documents prove it.
Pennsylvania expanded Medicaid and counted roughly 2,949,865 Medicare beneficiaries as of 2026-08. Dual eligibility usually brings Extra Help with Part D costs.
PA MEDI - Pennsylvania Medicare Education and Decision Insight answers formulary questions free at 1-800-783-7067; statewide rules sit.
Services and specialties
Highlands Health Somerset is required to provide or arrange, directly or by referral:
Weight management and diabetes care sit inside primary care, where a GLP-1 conversation would start.
- Primary care for all ages
- Behavioral health and substance use care
- Preventive dental care
- Laboratory and diagnostic services
Getting there and what to expect
Highlands Health Somerset is at 225 S Center Ave, Somerset, PA, 15501-2033, Somerset County.
Somerset measures 2,194 people per square mile: transit is usually practical, parking often paid.
HRSA records 40 operating hours a week here.
It publishes its own hours and intake details at highlandshealthclinic.com.
Call 814-443-5867 before travelling.
- Medicare card and any Part D card
- Photo ID
- Current medications and doses
- Recent labs or prescriber notes
- Income and household size, for the fee scale
Other options near Highlands Health Somerset
The nearest JOHNSTOWN FREE MEDICAL CLINIC site is Highlands Health Johnstown in Johnstown, 23.6 miles away.
The closest unrelated listing is Hyndman Area Health Center (Richland Township), listed under Community Care Access, 22.3 miles away. Distances are straight-line, so a drive is longer.
The full Pennsylvania list is.
| Resource | Type | Distance |
|---|---|---|
| Highlands Health Johnstown | Same network · Johnstown | 23.6 mi |
| Hyndman Area Health Center (Richland Township) | Community Care Access · Johnstown | 22.3 mi |
| HYNDMAN AREA HEALTH CENTER, INC. | Community Care Access · Hyndman | 23.2 mi |
| Hyndman Area Health Center- Mobile Unit #1 | Community Care Access · Hyndman | 23.2 mi |
| Johnstown Family Health Center | Community Care Access · Johnstown | 23.5 mi |
| Latrobe Health Center | Community Care Access · Latrobe | 26.7 mi |
| Connellsville Medical and Dental Center | Community Care Access · Connellsville | 27.2 mi |
| Hyndman Area Health Center | Community Care Access · Bedford | 30 mi |
| THOMAS G TOMCI MD | Telehealth · Eastwood | 30.5 mi |
| JEENA GEORGE MD | Telehealth · Eastwood | 30.5 mi |
| Community Health Clinic, Inc. | Community Care Access · Greensburg | 31.9 mi |
Common questions
Questions about Highlands Health Somerset
Does Highlands Health Somerset accept Medicare for GLP-1 prescriptions?
HRSA lists Medicare billing number 6F4123 for Highlands Health Somerset, so the site bills Medicare for the visit. The drug is separate, filled at a pharmacy against Part D. Call 814-443-5867 to confirm.
What kind of site is Highlands Health Somerset?
HRSA records Highlands Health Somerset as a permanent FQHC Look-Alike service delivery site, in federal scope since 2025. JOHNSTOWN FREE MEDICAL CLINIC operates it alongside 1 other listed location. That is a federal registration, not a service list.
What are the hours at Highlands Health Somerset?
HRSA reports 40 operating hours a week at Highlands Health Somerset. That is a weekly total, not a daily timetable. Call 814-443-5867 for open days.
Where is Highlands Health Somerset?
Highlands Health Somerset is at 225 S Center Ave, Somerset, PA, 15501-2033, Somerset County. The area measures 2,194 people per square mile.
Is there a sliding fee scale at Highlands Health Somerset?
Yes. Ask intake for the sliding fee application and bring income documentation for your household. The discount reduces what Highlands Health Somerset charges for the visit, not what a pharmacy bills Part D for the GLP-1 itself. Call 814-443-5867 if the required documents aren't clear.
Are there other JOHNSTOWN FREE MEDICAL CLINIC locations near Highlands Health Somerset?
Yes — see the nearby-locations table on this page for the closest JOHNSTOWN FREE MEDICAL CLINIC sites to Highlands Health Somerset and their distances. Sites sharing an operator typically share intake and billing arrangements, so a record started at one can often be pulled up at another.
What GLP-1 medications does Medicare cover in Pennsylvania?
Part D can cover a GLP-1 prescribed for an approved indication such as type 2 diabetes; weight-management coverage varies by plan. PA MEDI - Pennsylvania Medicare Education and Decision Insight reads Pennsylvania formularies free at 1-800-783-7067.