New for 2015-Human Resources - Carnegie Mellon University

New for 2015

Medical

Certain coverage levels are changing for the PPO 1 and PPO 2 plans. View the PPO 1 and PPO 2 Plan Change Comparison [pdf].

The PPO 3 plan options will be eliminated. Current PPO 3 plan participants who do not make a new election during Open Enrollment will be automatically enrolled in the PPO 2 plan (with the same medical carrier) effective January 1, 2015.

All UPMC Health Plan members will receive new ID cards in 2015 as the customer service phone number for the provider will change.

Prescription
Caremark Option A now includes an out-of-pocket maximum* of $2100/individual and $4200/family.

*Out-of-pocket maximums limit a member’s out of pocket expenses. It is the highest amount you are required to pay in coinsurance/copays for covered expenses in a calendar year.
Employee Assistance Plan (EAP) A new Employee Assistance Plan (EAP) provider will be available for 2015. More information coming soon.

Highmark and UPMC: The University will continue to offer plan options with Highmark, UPMC, and HealthAmerica. Most of the contracts between Highmark and UPMC will end on December 31, 2014. The state of Pennsylvania has enforced a “Consent Decree,” which may protect UPMC in-network access for some Highmark members. More information can be found online at http://stayinformed.pa.gov/. Employees with concerns about network access in 2015 should contact the health plan provider directly.