The following HMO plans will no longer be offered:
o Geisinger HMO
o Keystone HMO Central
o Keystone HMO East
Employees who are enrolled in a HMO plan that is no longer offered will be enrolled in the same tier of coverage in the Highmark PPO plan. If you have a dependent change or would like to waive coverage, you are required to change your election during open enrollment.
UPMC Plan Changes
Employees enrolled in the UPMC HMO can continue in the plan, with increased copays and deductibles that match the Highmark PPO plan.
Prescription Drug Management Implementation
Employees will be subject to drug management programs and prior authorization on certain drugs. In addition, specialty medications will be required to be filled at Walgreens Specialty Pharmacy. These programs are already in effect for the other employee groups.
Nonrepresented, OPEIU, SPFPA
Increased Hearing Benefit
Employees and their eligible dependents, who are enrolled in a State System health plan (the Highmark PPO Plan) will have an enhanced hearing plan which will provide a maximum benefit of $1,250 per ear every 36 months. This maximum benefit is inclusive of hearing aid examinations, and the purchase of hearing aids, including necessary, non-warranty covered repairs and maintenance of hearing aids