Table of Content
- Header
-
Page
- INTRODUCTION
- BENEFITS OVERVIEW
- ACTION REQUIRED
- HOW TO ENROLL
- NEW HIRES
- UPMC RX MAXIMIZER PROGRAM
- HRA ADDITIONAL INFORMATION
- CONSIDERING MEDICARE COVERAGE?
- CONTACT US
- Footer
INTRODUCTION
Pediatric Care Specialists sincerely believes that our employees are our greatest asset. Offering a competitive and affordable employee benefits package is a top priority.
NFP is a leading insurance broker and consultant that provides employee benefits, property and casualty, retirement, and individual private client solutions through licensed subsidiaries and affiliates. Pediatric Care Specialists' employee benefits will be managed by the team at NFP's local office in Somerset, PA. By partnering with NFP, we are committing to continuing to improve the employee benefits experience for all Pediatric Care Specialists employees. For more information about NFP, visit www.NFP.com
Annual enrollment is your opportunity to learn about your health care benefits, review your current coverage and choose the best options for you and your family.
Your Medical, HRA, Dental, Vision and Aflac plans runs from January 1, 2025 through December 31, 2025.
Voluntary Benefits offered:
PetPartner Insurance - plan runs from January 1, 2025 through December 31, 2025
Norton Lifelock - plan runs from January 1, 2025 through December 31, 2025
Please review all 2025 Benefits Overview Information.
Aflac Representative:
Travis Ling
810 River Avenue, Suite 230
Pittsburgh, PA 15212
Cell: 814-241-6657
Office: 412-323-8855
Fax: 412-323-8555
travis_ling@us.aflac.com
aflac.com
BENEFITS OVERVIEW
- Medical Plan - Highmark EPO Blue $5,000 or Performance Blue EPO $5,000
- Dental Plan - Highmark Blue Edge Dental Preferred 10W with Ortho
- Vision Plan - Vision Benefits of America (VBA)
- Pet Insurance Plan - PetPartner Benefits
- Identity & Devices Protection - Norton LifeLock
ACTION REQUIRED
Please review the mandatory documents:
- Employee Benefit Notices
- Summary of Benefits and Coverage for both Highmark Plans
HOW TO ENROLL
Pediatric Care now has an electronic election of benefits platform which is through ENAV.
Once you are setup as an employee you will get an email with a link to create a password in order to sign up and electronically elect your benefits.
NEW HIRES
If you are a NEW HIRE and need to enroll for the FIRST time, please see above section How to Enroll.
UPMC RX MAXIMIZER PROGRAM
Effective July 1, 2022, UPMC Health Plan, Express Scripts Inc. and SaveOnSP are pleased to provide the SaveOnSP specialty cost share assistance service for our Health Plan members.
This service targets a specific list of high-cost specialty medications and leverages manufacturer patient assistance program funds to lower the price for members who enroll.
SaveOnSP will help enroll eligible members in the service and will work with UPMC Health Plan’s preferred specialty pharmacies (Chartwell and Accredo) to apply manufacturer assistance to eligible pharmacy claims to reduce or eliminate the member’s cost-share obligation.
Please note that eligible members are starting to be notified of their opportunity to participate in the service.
**Members can also check the SaveOnSP drug list to see if their medication is eligible at saveonsp.com/upmc (click on this link for web site and document)
HRA ADDITIONAL INFORMATION
- ISolved Health Reimbursement Account Information
- Health Reimbursement Account (HRA) Form
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!
CONTACT US
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
Brianna Rainey
Account Executive
brianna.rainey@nfp.com
814-289-4232
Debra Barron
Producer / Sales Consultant
deb.barron@nfp.com
814-289-4227