Table of Content
- Header
-
Page
- Welcome
- Benefits Overview Information
- AFLAC
- UPMC Provider Directory's
- How To Enroll
- Resources and Mandatory Documents
- Considering Medicare Coverage?
- NFP Contacts
- Footer
Welcome
Your plan year runs from March 1, 2024 through February 28, 2025.
Please review all 2024-2025 Benefits Overview Information.
PACS has an electronic Benadmin enrollment system called Employee Navigator.
Benefits Overview Information
- UPMC Medical Plans - Two UPMC plans to choose from
Gold EPO $1,000 $40/$50 - PARTNER NETWORK (Allegheny Employees - narrower network) - Class 1 Employees will pay 25% of employee only coverage and 100% for dependents. EMPLOYER will cover 75% of employee only coverage.
Gold EPO MCA $2,000 $35/$50 - PREMIUM NETWORK (Non-Allegheny Employees - broader network) - Class 2 Employees will pay 20% of employee only coverage and 100% of dependent coverage. EMPLOYER will cover 80% of employee only coverage.
- UPMC Dental Plan
- UPMC Vision Care Plan
- UPMC Flexible Spending Account (FSA) - Rollover FSA up to $640 for 2024
- AFLAC Accident - Voluntary (separate section)
- AFLAC Hospital Indemnity - Voluntary (separate section)
AFLAC
AFLAC - VOLUNTARY BENEFITS
Pittsburgh Area Community Schools, Inc. values their employee's well-being and is offering two voluntary AFLAC products.
These two voluntary products can help cover the costs should you get in an accident or be should ever be hospitalized.
- Aflac Accident Advantage Policy
- Aflac Choice - Supplemental Hospital Confinement Indemnity Insurance Option 1
AFLAC Rep Contact Info
Travis Ling
Benefits Advisor
email: travis_ling@us.aflac.com
810 River Ave., Suite 230
Pittsburgh, PA 15212
Office 412-323-8855
Fax 412-323-8555
https://alfac.com
UPMC Provider Directory's
PARTNER Network - You will choose Network Accepted then Partner Network
MyCare Network - You will choose Network Accepted then MyCare Advantage PPO/EPO
How To Enroll
Your employer will setup your profile in Employee Navigator and then will trigger an email for you to go into the ENAV system.
Once you receive that email from Employee Navigator you will go in and elect and/or waive any benefits which can't be changed until next open enrollment unless you have a qualifying life event. (example: divorce, married, have a baby, adopt a child or lose other coverage) You have 30 days from the date of the event to notify HR to make appropriate changes.
Please write down your username and password as every year at open enrollment you will be required to go in and re-elect or waive your benefits.
Resources and Mandatory Documents
UPMC brochures, flyers and a link for the UPMC website are provided.
Summary of Benefits and Coverage (SBC) for each plan which are required to be given to all employees.
Employee Benefits Notices are attached per the ACA guidelines which are required for all employees.
Section 125 Form (this is your pre-tax form allowing your employer to take out of your pay your contributions pre-taxed - must be kept in your employee file and completed each year.)
Considering Medicare Coverage?
Medicare Services from NFP
NFP is proud to support you when it comes to Medicare and understanding your coverage options.
Our team has served as a trusted advisor in the individual markets for over 20 years and is comprised of experienced and knowledgeable licensed agents who specialize in Medicare coverage. We offer independent and individualized consultations to help you to:
• Understand your coverage options
• Determine if you are eligible for subsidies to lower your healthcare costs
• Establish a timeline for applying for coverage
• Choose a plan that fits both your lifestyle and your budget
• Find coverage that allows you to access the doctors and hospitals you want most
• Enroll in the plan that works best for you
And the best part is, there is never a fee for our services!
NFP Contacts
For Service questions and needs such as:
- Understanding what your medical, dental or vision benefits cover
- Help finding in-network providers
- Assistance with prescription or pharmacy issues
- Questions regarding bills you receive from your doctor, hospital, dentist, optometrist or lab
- Claims you believe haven’t been paid properly
Account Team Contacts
Casey Maschue
Producer / Sales Consultant
casey.maschue@nfp.com
814-289-4228
Tracy Tirko
Account Manager
tracy.tirko@nfp.com
814-289-4229