UPMC Health Plan is part of the Insurance Services Division of University of Pittsburgh Medical Center (UPMC), one of the nation's top-ranked health systems. As part of an integrated health care delivery system, UPMC Health Plan partners with UPMC and community network providers to improve clinical outcomes as well as the health of the greater community.

UPMC Health Plan maintains an "Excellent" rating (the highest available from NCQA) for its commercial HMO/POS, Medicaid HMO and Medicare HMO products. Members have access to the world-class academic, advanced-care, and specialty hospitals of UPMC, as well as renowned community hospitals, cancer centers, physician practices, and long-term care facilities.

UPMC Health System has been recognized as one of “America’s Best Hospitals,” earning the 10th position in U.S. News & World Report’s annual guide for two years in a row.  In addition, UPMC is nationally ranked in 15 adult specialties and among the top 10 hospitals in eight specialties.

UPMC Health Plan provides a dedicated customer service unit comprised of a team of highly trained Health Care Concierges. UPMC Health Plan won the 2012 Global Call Center of the Year award in the large call center category from the International Customer Management Institute (ICMI). ICMI recognizes call centers that make a commitment to superior service and have done the most to deliver a quality customer experience. UPMC Health Plan’s call center ensures excellence for all its members by focusing on one-call resolution, by employing a service-driven and knowledgeable team, and also by utilizing state-of-the-art call center technology.

Graduate students without academic appointments or Fellows are eligible to choose between the general plan (this page) or the Graduate Student Medical Plan. Graduate students with academic appointments are only eligible for the Graduate Student Medical Plan.

UPMC Panther Blue - General Student Medical Plan
Highlights and Monthly Costs
Effective: September 1, 2022 – August 31, 2023

Carrier: UPMC Health Plan

Available to:

• Graduate Students without an Academic Appointment
• Health Sciences Fellows, Pre-Doctoral Fellows, Post-Doctoral Fellows (Dental Residents), Certificate Trainees
• Full-time undergraduate students

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

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, EST.

Details of the Plan

Summary of Benefits     |     Schedule of Benefits     |     Prescription Drug Benefits

Additional Plan and Rider Documents

• Student Plan Policy
• Student Preventive Services Guide
• Student Benefit Modification Rider
• Pediatric Dental Care: Schedule of Benefits  |  Certificate of Insurance
• Pediatric Vision Care: Schedule of Benefits  |  Certificate of Insurance
• Enrolling in Coverage
• Changing Your Benefits
• Creditable Coverage Notice

Premiums will differ based on your student type. The details of the General Student Plan remain the same, regardless of the difference in premium based on student type.

Graduate Students without an Academic Appointment and Full-Time Undergraduate Students

Health Science Fellows, Pre-Doctoral Fellows, Post-Doctoral Fellows (Dental Residents), Certificate Trainees

Important Information about Rate Schedules

In order to keep coverage affordable for families with children in the 2022-2023 plan, the University is providing subsidies to offset the total cost of the monthly child, children, and family premium for graduate students with an academic appointment. The subsidies are reflected in the premium charts in the Student Health Insurance Summary Guide and on the OHR website.

Alternative coverage may be available for your dependents through Pennsylvania's Children's Health Insurance Program (CHIP). CHIP may be able to provide free or reduced-cost coverage for those that qualify.

To learn more, visit the CHIP website. To find a list of health insurance companies that offer CHIP, visit the Find CHIP Coverage page on the CHIP website and select your county from the drop-down menu.

United Concordia Dental is one of the nation’s largest dental insurers, and has been providing exceptional value for more than 40 years.

United Concordia administers dental benefits for more than 8 million members and 26,000 clients, including state and local governments, unions and many of the top 100 Fortune® 500 companies. The AdvantagePlus network includes more than 73,600 unique dentists at more than 149,000 access points nationwide. Their network includes both University Dental Health Services and the University of Pittsburgh Dental Medicine Clinic. Both providers are located in Salk Hall.

United Concordia Flex - Undergraduate Student Dental Plan
Highlights and Monthly Costs
Effective: September 1, 2022 – August 31, 2023

Carrier: United Concordia

Available to:

• Full-time undergraduate students

For information about the Graduate Dental Plan, please visit the Graduate and Professional Student Plans page.

Undergraduate Student Dental Plan Highlights:

• Annual deductible: $50
• Plan maximum: $500
• 100% coverage for Exams, Cleaning, and X-Rays
• 50% coverage for Root Canals, Oral Surgery and Fillings
• National Dental Provider Network - Concordia AdvantagePlus
• Freedom to see any participating licensed dentist
• No referrals needed for specialty dental care
• Utilizing network providers saves you money

For questions regarding the dental plans, contact United Concordia’s Customer Service Department at 1-877-215-3616. Representatives are available from 8 a.m. to 8 p.m. EST, Monday-Friday.

Details of the Plan

Summary of Benefits     |     Certificate of Coverage

Manage Your Dental Benefits
Preventive Incentive Benefit
College Tuition Benefit

Davis Vision provides vision benefits, eye care and eyewear to over 55 million members and a seamless member experience with unparalleled ease of use and value. Davis Vision has a National provider network of ophthalmologists, optometrists and retailers at more than 35,000 points of access, in both private practice and retail settings.

Davis Vision’s is one of a select few vision care programs in the country with NCQA’s Certification in Credentialing, maintained since 2004. Davis Vision’s labs and Customer Service Center are the only ones in managed vision care to be certified to ISO 9001:2008 standards. Davis Vision also has the Cooperative Ophthalmic Lens Testing Service, Inc.’s (COLTS) Certification for Prescription Accuracy and FDA Conformance (impact-resistance). This provides third party certification and validation of prescription accuracy and quality from Davis Vision labs.

Davis Vision – Student Vision Plan
Highlights and Monthly Costs    
Effective: September 1, 2022 – August 31, 2023

Carrier: Davis Vision

Available to:

• Graduate Students with and without an Academic Appointment
• Health Sciences Fellows, Pre-Doctoral Fellows, Post-Doctoral Fellows (Dental Residents), Certificate Trainees
• Full-time undergraduate students

Student Vision Plan Highlights:

• 100% coverage for eye exam  every 12 months
• Covered-in-full for eyeglasses from Davis Vision’s Collection or receive a:
  • $60 frame allowance towards frame of your choice, or
  • $75 contact lens allowance
• Additional lens options available at discounted member prices
• One-year breakage warranty on plan eyewear

If you have questions about vision coverage and are not yet enrolled in coverage, contact Davis Vision at 1-877-923-2847 and enter Client Control Number 4382 when prompted.

If you have questions about vision coverage and are a current plan participant, contact Davis Vision at 1-800-999-5431 and enter Client Control Number 4382 when prompted.

Details of the Plan

Benefit Guide     |     Summary Plan Description