Children’s Health Insurance Program Reauthorization Act (CHIPRA)
CHIRPA requires employers offering group health plans to notify employees of their potential rights to receive premium assistance under a state’s Medicaid or CHIP program. CHIPRA has added two different rules that could benefit certain employees of the University. First CHIPRA added a new premium assistance program for participants who are eligible for a Medicaid or a state CHIP program. If you are such an individual and you are eligible for health coverage from the University but are unable to afford the premiums, the state CHIP program may help you pay for coverage under the University health plans. If you or your dependents are already enrolled in Medicaid or CHIP, you can contact your state Medicaid or CHIP office to find out if premium assistance is available. Second, CHIPRA has added two new qualified Status Change events. The Qualified Status Change events occur either when an eligible employee’s enrollment ends in Medicaid or a state’s CHIP program or when an eligible employee becomes eligible for the premium subsidy and can then enroll in the University’s coverage. If either of those two events occur, the employee must request coverage from the University within 60 days of the event.
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
In accordance with the Health Insurance Portability and Accountability Act of 1996, a group health plan such as the University's group health plan must give plan participants notice of their rights and the plan's legal duties with respect to protected health information (PHI) and how the plan may use and disclose PHI. Learn more »
Healthcare Reform Notice
The official Healthcare Reform Notice that was created by the federal government to be distributed to members of the University community announcing the availability of healthcare exchanges, now known as the Health Insurance Marketplace, was distributed to the University community on September 26, 2013.
PPACA Model Notice and Information Coming Soon.
The University of Pittsburgh Medical Plan Privacy Notice notifies The University of Pittsburgh's long standing commitment to the rights of our prospective, current, and former faculty, staff, and covered dependents concerning the privacy of their protected health information.
The Privacy Notice of the Medical and Health Plans of the University of Pittsburgh has been amended and posted as of September 20, 2013.
Summary of Benefits and Coverage/Uniform Glossary
The University is required under the Health Care Reform Act to provide you with a Summary of Benefits and Coverage (SBC), an easy-to-understand summary about the health plan’s benefits and coverage.
Additional Medical Plan Notices
- Assisted Fertilization
- Behavioral Health Care
- CHIPRA Notice
- Claims Review and Appeal Procedures
- COBRA Initial Notice
- Creditable Coverage Notice
- Emergency Services
- Genetic Information Nondiscrimination Act Compliance
- Life Insurance Conversion and Portability
- Loss of Coverage/Termination of Employment
- Military Leave under USERRA and NDAA
- Newborns’ and Mothers’ Health Protection Act
- Notice of Rescission of Coverage
- Patient Protection Notice
- Personal Health Information
- Qualified Medical Child Support Orders
- Women's Health and Cancer Rights Acts
- Women's Health Care
Medical Plan Features
- Discounts available to those who participate in the UPMC Health Plan
(Refractive Eye Surgery and Healthy Living Rewards)