Retirees between the Ages of 62 and 65
The medical coverage for retirees between the ages of 62 and 65 is a continuation of the same
plans available to active faculty and staff. The medical plans are administered by UPMC Health Plan.
Option to Change or Terminate Coverage
Participants have the option to disenroll from the Universitys sponsored coverage and elect to take the defined dollar
benefit (DDB) credits at any time at age 62 or older. However, once you elect to take DDB credits, you do not have the
option to revert back to University coverage on a cost sharing basis. The plans will be available to you but you must
apply the DDB credits against the full cost of coverage.
Changes in elections may be made if you have a family status change that includes gain or loss of employment,
divorce, deletion of a dependent, death of a spouse, relocation etc...
OVERVIEW
Medical Plan SPD:
Panther Gold
Advantage Plan
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Panther Gold
Enhanced Access HMO
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Panther Premier
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Panther Plus
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Panther Basic
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UPMC Network
To locate participating doctors, please visit UPMCs website at
www.upmchealthplan.com,
and click on Provider Directory. Doctors can be changed at any time during the plan year.
To change doctors, or if you have a question regarding a claim, please contact UPMC
directly at 1-888-499-6885.
Each plan covers the same medical treatments, surgical procedures, and other eligible
expenses and services. The differences among the plans are the managed care requirements,
self-referral flexibility, choice, and out-of-pocket expenses. This summary is intended as
a general overview.
Medical Plan Definitions and Explanations
Medical Plans & Premium Rates for Each Plan
Coverage for dependents under your policy (spouse,
domestic partners, and children)
Prescription Drug Plan (same for all four plans)
Medical Plan Features
To locate participating physicians and facilities in the UPMC network if you reside in Western Pennsylvania:
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Go to www.upmchealthplan.com
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Click on "Provider Search."
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To locate physicians for all plans, click on "Provider Search" and select a type of provider.
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To locate the full listing of Advantage Network Facilities for the Panther Gold Plan, select "UPMC Advantage Network Facilities."
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To locate the full network of UPMC hospitals and facilities, click on "Provider Search" and select either hospitals or services and facilities.
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Benefits Department · 200B Craig Hall · Pittsburgh, PA 15260 · 412-624-8160
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