Table of Content
- Header
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Page
- INTRODUCTION
- BENEFITS OVERVIEW
- UPMC RX MAXIMIZER PROGRAM
- HOW TO ENROLL
- NEW HIRES
- CONSIDERING MEDICARE COVERAGE?
- ADDITIONAL RESOURCES
- NFP CONTACTS
- Footer
INTRODUCTION
Your Employee Benefits landing page 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 plan year runs from October 1, 2024 through September 30, 2025.
Please review all 2024-2025 Benefits Overview Information.
*If NO changes are needed, then your current benefits will just roll over into the new plan year.
BENEFITS OVERVIEW
- UPMC MyCare Advantage EPO MCA $1,000 $15/$30 - Medical Grid
- UPMC MyCare Advantage EPO MCA $2,500 $20/$40 - Medical Grid
- UPMC MyCare Advantage EPO MCA $5,000 $30/$60 - Medical Grid
- UPMC Premium Dental PPO - Dental Grid
- UPMC Premier Plus $0 Copay - Vision Grid
- Employee Benefit Notices (Health Plan Compliance Notices)
- Summary of Benefits and Coverage (SBC) 10/1/2024 through 9/30/2025
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)
HOW TO ENROLL
- If you'd like to change your existing coverage or make new elections, you must do so by September 20.
- Your current medical, dental and vision elections will carry forward to 2023-2024 if you don't make a new election.
NEW HIRES
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.
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!
ADDITIONAL RESOURCES
Below is additional UPMC Brochures and Flyers for more information on other resources.
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