UPMC Panther Blue - General Student Medical Plan
Highlights and Monthly Costs
Effective September 1, 2017 – August 31, 2018

Carrier: UPMC Health Plan

Available to:

  • Full Time Undergraduate Students
  • Graduate Students without an Academic Appointment
  • Health Sciences Fellows, Post and Pre Doctoral Fellows, Certificate Trainees

General Student Medical Plan Highlights for In-network Coverage:

  • No pre-existing condition limitations
  • No annual benefit maximum
  • Primary Care Physician - $30 copayment per visit for illness/injury
  • Specialist - $40 copayment per visit
  • Urgent care - $40 copayment per visit
  • Emergency Room - $75 copayment per visit
  • Inpatient hospital stay – Covered 90% after $250 copayment
  • Pharmacy - $15 generic/$35 preferred brand/$70 non-preferred brand
  • Out of network coverage is provided at a lower benefit level
  • $250/$500 Family Deductible
Tier Monthly Premium
Student Only $174.73
Student & Child(ren)            $487.32
Student & Spouse/Domestic Partner $1,152.97
Student & Family $1,465.56

For questions regarding the medical plan, contact UPMC Health Plan Member Services for the University of Pittsburgh at 1-888-499-6885. Representatives are available from 7 a.m. to 7 p.m. Monday through Friday and 8 a.m. to 3 p.m. Saturday, Eastern Standard Time.

Details of the Plan

Review the details of the General Student Medical Plan for additional information. 

Review the details of the General Student Prescription Plan for additional information.

Summary of Coverage

Review the Summary of Coverage for details of the plan and what it costs.