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April 29, 2010

Pitt Benefits

FitnessForLifeFY 2011 Open Enrollment

Open Enrollment for the 2010 – 2011 Plan Year continues through May 12, 2010. Remember that you DO NOT need to take action if you do not wish to make changes to your current elections.  Current elections will remain the same for the new plan year if a member does not make any changes. However, if you are making changes, you must complete your online enrollment form by May 12. A confirmation statement will be mailed to all benefits-eligible members at the end of the Open Enrollment period.

Benefit Changes and Highlights

The overall increase is 2.5 percent for Fiscal 2011. As in the past, the University will fund 80 percent of the cost of the program, including the FY2011 increase.

Changes for the forthcoming plan year include the following:

Inpatient Hospital Stay

The copayment increases from $100 to $250. The maximum number of inpatient hospital copayments in the plan year will be reduced from four to two.

Coverage of Adult Children

Act 4, signed into law by Pennsylvania Governor Edward G. Rendell, allows uninsured single, adult children up to the age of 30 to be covered under their parents’ health insurance plan. On the open enrollment form, please be certain to select the appropriate tier level if you are adding an adult child to your coverage. Certain provisions must be met before the dependent is added to coverage. Please complete the certification and other forms provided through the link on the Benefits web page:

Autism Spectrum Disorders

In compliance with the Pennsylvania Insurance Act (Act 62), coverage has been defined for the diagnostic assessment and treatment for autism spectrum disorders. These services are covered under the University’s medical program.

Prescription Drug Program

Copayment changes (30-day supply) in the prescription drug program apply to all medical plans. Changes are as follows:

Generic – Current $10; July 1, 2010 $10

Preferred brand –  Current $30; July 1, 2010 $32

Non-Preferred brand – Current $60; July 1, 2010 $64

Copayments are double for a 90-day supply when obtained via mail order, the Student Health Pharmacy or Falk Pharmacy. Members may obtain a 90-day supply of medications at any participating retail pharmacy. Unlike mail order or prescriptions obtained at the Student Health Pharmacy or Falk Pharmacy, the 90-day supply copayment at a retail pharmacy is three times the 30-day supply copayment. As an example, a 90-day supply of generic medication through mail order is $20. At a retail pharmacy, the copayment is $30.

Flexible Spending Accounts

The Benefits Department is pleased to announce that effective July 1, 2010, UPMC Health Plan will be the University’s flexible spending account administrator! The provisions of the program are largely governed by IRS code and our plan will remain the same for the new plan year. The health care and dependent day care accounts have a “use it or lose it” provision as well as a claim submission deadline that is six months past the end of the plan year (the deadline is December 31).

Flexible spending account participants can enjoy the following benefits of UPMC Health Plan’s MyFlex Advantage flexible spending administration:

● Combination member ID and MyFlex Advantage MasterCard for UPMC Health Plan members and Health Care FSA members. The multi-purpose card provides the benefit of swiping your UPMC medical ID card to pay for health care FSA-eligible items, such as doctor’s office co-pays, prescription drugs and other qualified medical expenses.

● Fewer instances of submitting documentation to substantiate claims after purchase. The MyFlex Advantage program provides a higher rate of claim substantiation because UPMC Health Plan will review transactions without the participant having to submit backup receipts.

● One call center for medical and flexible spending account questions, with all calls being answered by the JD Power Award-winning Pitt dedicated member services unit (1-888-499-6885).

● UPMC Health Plan’s Online Claims Submission (OCS). With OCS, participants can submit claims and download receipts by following a few easy steps. Utilizing OCS starts the review process of claims much sooner than traditional claim submission methods and reduces the need to fax or mail personal health information. The OCS tool is both safe and secure.

IMPORTANT:  Due to the Patient Protection and Affordable Care Act (PPACA), generally known as health care reform legislation, effective January 1, 2011, over-the-counter (OTC) items will not be reimbursable through a health care flexible spending account (FSA).

Any OTC expenses incurred before December 31, 2010, will be health care FSA-eligible expenses and may be submitted against the Plan Year 2011 (July 1, 2010, through June 30, 2011) health care FSA balance.

This change in legislation may require you to change or alter your monthly health care FSA contribution. Please contact the University’s flexible spending account administrator, UPMC Health Plan, at 1-888-499-6885 for more details about the changes to OTC eligibility.

Flexible spending participants will receive detailed information at their home addresses regarding the change to UPMC Health Plan in June.


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Benefits Fairs

Campus/Location ;  Date,  Time

Oakland–Scaife Hall, Room 1105 A, B, C ; April 29 , noon–3 p.m.

Johnstown–Student Union, Cambria Room ; May 3, 10:30a.m.–1:30 p.m.

Greensburg–Village Hall, Rooms 101 & 118; May 4, 11 a.m.–1:30 p.m.

Bradford–University Room;  May 5, 11 a.m.–2 p.m.

Titusville–Haskell Memorial Library;  May 6, 10:30 a.m.–1:30 p.m.

Important Vendor Contact Information

Benefits Department

Office hours: 8 am-5 pm EST

200B Craig Hall

412-624-8160 (Main Line) • 412-624-3485 (Fax)

Please visit our web site for FAQs, downloadable forms and other benefits information.


UPMC Health Plan

1-888-499-6885  •


United Concordia

1-877-215-3616   •


Davis Vision

1-800-999-5431 •



1-800-842-2776    •


1-800-523-1188    •

Flexible Spending Accounts







Faculty Records


UPMC HealthPlan

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