Penn Home Medical Supply

Table of Content

  1. Header
  2. Page
    1. Introduction
    2. PPO $1,250 Deductible Plan & PPO $3,500 Deductible Plan
    3. What You Need Need To Do
    4. Additional Resources
    5. Contact Us
  3. Footer

Page

Introduction

It is the annual medical open enrollment for Penn Home Medical, Penn Home Health and Penn Hospice.


Annual enrollment is your opportunity to learn about the 2022 Medical plans being offered.

Please review the medical benefits and make a decision between the PPO $1,250 deductible plan and the $3,500 deductible plan.


There are no changes to either of the medical benefit plans for 2022.


PPO $1,250 Deductible Plan & PPO $3,500 Deductible Plan

Click the down arrows below to view the two medical benefit summaries available on January 1, 2022.

We have also included for you to view the government required summary of benefits and coverages (SBC) for each plan. Again please click the down arrows below.


Your cost per pay for the PPO $1,250 deductible plan:


Employee Only - $ 93.12

Employee/Child(ren) - $349.82

Employee/Spouse - $518.25

Family - $547.17


Your cost per pay for the PPO $3,500 deductible plan:



Employee Only - $ 59.86

Employee/Child(ren)- $282.91

Employee/Spouse - $429.25

Family - $454.38




UPMC PPO $1,250 Benefit Summary

UPMC PPO $1,250 Benefit Summary

UPMC PPO $3,500 Deductible Plan

UPMC PPO $3,500 Deductible Plan

PPO $1,250 Deductible SBC

PPO $1,250 Deductible SBC

PPO $3,500 Deductible SBC

PPO $3,500 Deductible SBC

What You Need Need To Do

UPMC Enrollment & Change Form

UPMC Enrollment & Change Form

Action Required

If you decide to keep the same plan you are currently on - nothing.


Otherwise complete the UPMC enrollment & change form found by clicking the down arrow on the left for the following:

Adding or dropping a dependent.

Changing medical plans.

Terminating your coverage.


Please contact Amy Yarkowski for any questions concerning open enrollment or if you want to make any changes.

814-471-0627

ayarkoswki@pennhomemedical.com


Turn your completed forms into Amy no later than December 30, 2021.

Contact Us

You can also contact Benefits Network/NFP for any questions on the benefits being offered.


Click the down arrow on the right to view our contact information.

Contact Sheet

Contact Sheet