Penn Home Medical Supply

Table of Content

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  2. Page
    1. OPEN ENROLLMENT
    2. BENEFITS OVERVIEW
    3. WHAT YOU NEED TO DO
    4. ADDITIONAL RESOURCES
    5. CONTACT US
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OPEN ENROLLMENT

MEDICAL, DENTAL AND VISION OPEN ENROLLMENT

Annual enrollment is your opportunity to learn about your employee benefits, review your current coverage and choose the best options for you and your family. 

UPMC Medical plans are effective January 1, 2025 through December 31, 2025. 

There are two medical plans to choose from: 

UPMC PPO $1,250 $20/$20 $8/$38/$76 RX 

UPMC PPO $3,500 $20/$40 $8/$38/$76 RX 

United Concordia Dental plan is effective June 1, 2025 through May 31, 2026.

Highmark Vision plan is effective July 1, 2025 through June 30, 2026. 

If you are a new employee, you have the opportunity to elect coverages: 

Medical - effective 1st of the month following 60 days of employment - you have a max of 30 days from the effective date to make a decision. 

Dental - effective 1st of the month following 90 days of employment - you have a max of 30 days from the effective date to make a decision. 

Vision - effective 1st of the month following 90 days of employment - you have a max of 30 days from the effective date to make a decision. 

BENEFITS OVERVIEW

Please review:

  • ALL the Benefit Summaries for medical, dental and vision

  • Medical Summary of Benefits and Coverage (SBC) for each medical plan

  • Mandatory Benefit Notices (Health Compliance Notices)
UPMC Medical Benefit Summary

UPMC PPO $1,250 Benefit Summary

UPMC Medical Benefit Summary

UPMC PPO $1,250 Benefit Summar ...

UPMC Medical Benefit Summary

UPMC PPO $3,500 Benefit Summary

UPMC Medical Benefit Summary

UPMC PPO $3,500 Benefit Summar ...

United Concordia Dental

United Concordia Dental Benefit Summary

United Concordia Dental

United Concordia Dental Benefi ...

Highmark Vision Benefit Summary

Highmark Vision Benefit Summary

UPMC Medical SBC

UPMC PPO $1,250 SBC

UPMC Medical SBC

UPMC PPO $1,250 SBC

UPMC Medical SBC

UPMC PPO $3,500 SBC

UPMC Medical SBC

UPMC PPO $3,500 SBC

Employee Benefit Notices

Health Plan Compliance Notices

Employee Benefit Notices

Health Plan Compliance Notices

WHAT YOU NEED TO DO

ACTION REQUIRED:

If you are currently enrolled in the medical, dental or vision plan(s) and you decide to keep the same benefits you do nothing as your plans will roll over into the next plan year.

If you have been an employee and waived the coverages during your new hire enrollment period: 

Open enrollment is your opportunity to elect coverages. 

Please complete the appropriate application(s). 

If you are currently enrolled in the medical, dental or vision plan and you need to make changes: 

  • Adding or dropping a dependent
  • Change of address
  • Changing medical plans 
  • Terminating your coverage 

You will also need to complete the appropriate application(s).

Please contact with any questions concerning open enrollment or if you want to make any changes:

Amy Yarkowski 

814-471-0627 

ayarkowski@pennhomemedical.com

Your completed forms should be sent to Amy Yarkowski NO later than 30 days from your effective date of coverage. 

UPMC Application

UPMC Medical Application/Change or Termination Form

UPMC Application

UPMC Medical Application/Chang ...

United Concordia Application

United Concordia Dental Application/Change/Termination Form

United Concordia Application

United Concordia Dental Applic ...

Highmark Application

Highmark Vision Application

Highmark Application

Highmark Vision Application

Highmark Change

Highmark Vision Change/Termination Form

Highmark Change

Highmark Vision Change/Termina ...

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