General Student Plans

The general student health plan provides comprehensive coverage with a modest deductible. The dental plan includes a defined network of providers that features the providers from University Dental Health Services on the Pittsburgh Campus. Davis Vision offers a vision plan with comprehensive coverage at a reasonable cost.

Academic Year 2019 - 2020

Check out the Student Health Insurance Summary Guide for Academic Year 2019 - 2020.

For information about your eligibility for enrolling in specific student health plans, visit Student Health Coverage Eligibility.

Health and Wellness Coverage: UPMC Health Plan

The General Student Medical Plan is 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

*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.

About UPMC Health Plan

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.

General Student Plan Description

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, 2019 – August 31, 2020

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

Graduate Student Plan Rate Schedules

There are two schedules of premiums based on your student type. The details of the General Student Plan remain the same, regardless of the schedule in which the student participates.

Schedule 1: Graduate Students without an Academic Appointment and Full-Time Undergraduate Students

Level 2019-20 Monthly Premium
Student Only $201.83
Student + Spouse $403.66
Student + Spouse + 1 Child $605.49
Student + Spouse + 2 Children $807.32
Student + Spouse + 3 or more Children* $1,009.15
Student + 1 Child $403.66
Student + 2 Children $605.49
Student + 3 or more Children* $807.32
*4th child under age 21 is free

Schedule 2: Health Science Fellows, Pre-Doctoral Fellows, Post-Doctoral Fellows (Dental Residents), Certificate Trainees

Level Total 2019-20 Monthly Premium Monthly University Subsidy Monthly Student Contribution
Student Only $201.83 $0.00 $201.83
Student + Spouse $403.66 $201.83 $201.83
Student + Spouse + 1 Child $605.49 $328.67 $276.82
Student + Spouse + 2 Children $807.32 $478.49 $328.83
Student + Spouse + 3 or more Children* $1,009.15 $680.32 $328.83
Student + 1 Child $403.66 $201.83 $201.83
Student + 2 Children $605.49 $328.67 $276.82
Student + 3 or more Children* $807.32 $478.49 $328.83
*4th child under age 21 is free

Important Information about Rate Schedules

The 2019-2020 Student Health Insurance Rate Filing Guidance issued by the Pennsylvania Insurance Department has mandated how fully-insured student health insurance plans can develop family premiums in 2019. This change requires that the individual premium rate applies to each person on the family plan equally, including the student subscriber, spouse, and each dependent child. Prior to this year, the University was able to rate dependent children premiums in a way that was reflective of their total health care costs, and therefore lower than the subscribers and spouses.

In order to keep coverage affordable for families with children in the 2019-2020 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. For more information, please visit the insurance.pa.gov website.

Alternative Coverage for Your Dependents (CHIP)

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.

Dental Coverage: United Concordia

The General Dental Plan is available to:

  • Full-time undergraduate students

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

About United Concordia

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.

Dental Coverage Plan Description

United Concordia Flex - Undergraduate Student Dental Plan
Highlights and Monthly Costs
Effective: September 1, 2019 – August 31, 2020

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

Level

2019-20 Monthly Premium
Student Only $15.74
Student + 1 Dependent (1 Adult OR 1 Child) $31.50
Student + Family $48.82

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

Preventive Incentive Benefit

Vision Coverage: Davis Vision

The Vision Plan is 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

About Davis Vision

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.

Vision Coverage Plan Description

Davis Vision – Student Vision Plan
Highlights and Monthly Costs    
Effective: September 1, 2019 – August 31, 2020

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
Level 2019-20 Monthly Premium
Student Only $7.54
Student + 1 Dependent $15.06
Student + Family $18.08

For questions regarding the Vision plan, contact Davis Vision at 1-877-923-2847 and enter Client Control Number 4382 when prompted.

Details of the Plan

Review the Details of the Student Vision Plan for additional information


Academic Year 2018 - 2019

Health and Wellness Coverage: UPMC Health Plan

Provider Information: UPMC Health Plan

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.

General Student Plan Description

UPMC Panther Blue - General Student Medical Plan
Highlights and Monthly Costs
Effective: September 1, 2018 – August 31, 2019

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 LEVEL

MONTHLY PREMIUM
Student Only $188.57
Student + Child(ren) $525.92
Student + Spouse/Domestic Partner $546.45
Student + Family $603.42

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

Dental Coverage: United Concordia

Provider Information: United Concordia

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.

Dental Coverage Plan Description

United Concordia Plus - Undergraduate Student Dental Plan
Highlights and Monthly Costs
Effective: September 1, 2018 – August 31, 2019

Carrier: United Concordia

Available to:

  • Full Time Undergraduate Students

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 licensed dentist
  • No referrals needed for specialty dental care
  • Utilizing network providers saves you money

TIER LEVEL

MONTHLY  PREMIUM
Student Only $15.74
Student + 1 Adult $31.50
Student + 1 Child $31.50
Student + Children $48.82
Student + Family $48.82

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

Preventive Incentive Benefit

Vision Coverage: Davis Vision

Provider Information: Davis Vision

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.

Vision Coverage Plan Description

Davis Vision – Student Vision Plan
Highlights and Monthly Costs    
Effective: September 1, 2018 – August 31, 2019

Carrier: Davis Vision

Available to:

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

Student Vision Plan Highlights:

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

TIER LEVEL

MONTHLY  PREMIUM
Student Only $7.54
Student + 1 Dependent $15.06
Student + Family $18.08

For questions regarding the Vision plan, contact Davis Vision at 1-877-923-2847 and enter Client Control Number 4382 when prompted.

Details of the Plan

Review the Details of the Student Vision Plan for additional information