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As a UPMC Health Plan member, you have access to much more than top-ranked care. Your plan includes online health tools, award-winning customer service, health and wellness programs, travel coverage, and many more benefits and services.
UPMC Health Plan and Community Care Behavioral Health Organization (Community Care) have received the top score of 100 on the Human Rights Campaign Foundation's 2023-2024 Corporate Equality Index, the nation's foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace equality. This is the sixth consecutive year that UPMC Health Plan has earned the award and the fifth year for Community Care.
The integration of resources from UPMC Health Plan, UPMC, Community Care Behavioral Health, and the University of Pittsburgh School of Pharmacy helps create a challenging Managed Care Residency Program. Highly motivated pharmacy residents have the opportunity to apply safe and effective evidence-based medicine practices to individual patients as well as to larger populations. The Health Plan has access to complete health management information for members, including data on hospital admissions, laboratory values, diagnoses, and pharmacy claims.
PGY1 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists responsible for medication related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.
To provide a quality, hands-on educational experience with the goal of shaping a well-rounded model practitioner. We will accomplish this by offering a variety of rotations both onsite and through our external partnerships.
To build upon the Doctor of Pharmacy (Pharm.D.) education and outcomes to develop pharmacist clinicians with diverse patient care, leadership and education skills who are eligible for board certification and postgraduate year two (PGY2) pharmacy residency training. A managed care pharmacy residency will provide systematic training of pharmacists to achieve professional competence in the delivery of patient care and managed care pharmacy practice. To prepare pharmacists for positions in a managed care organization, health plan, or pharmacy benefit manager. Residency graduates will be qualified for a position in prior authorizations, clinical programs, MTM, disease state management, formulary utilization management, quality, account management, pharmacy benefit management, consulting, or a similar type of position within managed care.
The integration of resources from UPMC Health Plan, UPMC, Community Care, and the University of Pittsburgh School of Pharmacy helps create a challenging Managed Care Residency Program. Highly motivated pharmacy residents have the opportunity to apply safe and effective evidence-based medicine practices to individual patients as well as to larger populations. The Health Plan has access to complete health management information for members, including data on hospital admissions, laboratory values, diagnoses, and pharmacy claims.
Applicants must have completed a Doctor of Pharmacy program and be eligible for Pennsylvania licensure. Resident is required to obtain Pennsylvania licensure no later than 90 days after the start of the residency year.
An interview is required. Candidates must submit application materials through the Pharmacy Online Residency Centralized Application Service (PhORCAS). A completed application includes:
Questions about student health coverage? For general plan inquiries, contact the University's Benefits Department by calling 833-852-2210 or submit an inquiry online. For enrollment questions, contact UPMC Health Plan by calling 1-888-499-6885.
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.
In order to keep coverage affordable for families with children in the 2023-24 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 and Pre/Post-doctoral Fellows and Certificate Trainees (as Defined in University Policy). 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 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 Advantage Plus 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.
Davis Vision by MetLife 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 by MetLife 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.
LifeSolutions is the University of Pittsburgh's Assistance Program that provides a broad range of services to assist University students and their household members to balance school and the stresses of daily life. This includes a specialized program for students like you! LifeSolutions offers personalized care services, 24-hour support, online resources and tools, and more, all at no cost to you. The LifeSolutions Assistance Program services include:
Through UPMC Health Insurance, University travelers are automatically eligible for Assist America services. Assist America services include emergency medical services such as help with hospital admissions, referrals to qualified physicians, and emergency medical evacuation. In addition, it also provides assistance with trip preparation such as advisement on required immunizations and location of medical facilities at your destination. You can search for information at assistamerica.com before or during your trip for help.
NOTE: Eligibility for Assist America is for UPMC Health Plan policyholders traveling more than 100 miles from home for less than 90 days. Expatriate coverage is available for purchase for trips exceeding 90 days. Contact Assist America for the enrollment form.
Pitt employees may choose from a variety of medical benefit plans offered by UPMC Health Plan, including a health maintenance organization (HMO) plan and preferred provider organization (PPO) options that provide greater flexibility to meet specific health care needs. All plans offer a broad range of comprehensive benefits, including wellness and preventative-care benefits and the same Prescription Drug Program.
The most popular of Pitt's medical plans, Panther Gold HMO has a low deductible and lower costs per visit than other plans when members choose providers within the UPMC Advantage and UPMC Health Plan networks. Members are responsible for copayments except for wellness and preventative care services.
Note: If you live, or are planning to live, outside of the Western PA area, it is recommended that you do not select the Panther Gold Plan. The coverage/in-network area for the Panther Gold (HMO) plan is limited to the Western PA area. Counties excluded from this Western PA network include: Bucks, Chester, Delaware, Franklin, Fulton, Juniata, Mifflin, Montgomery, Montour, and Philadelphia.
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