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2022 BENEFITS INFORMATION
Please review all 2022 Benefits Overview Information.
EPO $2,500 $20/$40 In Area Plan
EPO $2,500 $20/$40 In Area Pla
EPO $2,500 SBC - In Area
PPO $2,500 $20/$40 Out of Area Plan
PPO $2,500 $20/$40 Out of Area
PPO $2,500 SBC - Out of Area
1/1/22 to 12/31/22 Benefits Notices
1/1/22 to 12/31/22 Benefits No
Enrollment Change Form
If you are a NEW HIRE and need to enroll for the FIRST time please see above section How to Enroll.
All enrollment forms are attached for download.
Below is additional UPMC Brochures and Flyers for more information on other resources.
UPMC HealthPlan Website
2022 Preventive Service Guide
Premium Network Hospital Listing
Premium Network Hospital Listi
Express Scripts Form
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