(2) Services are limited to those listed on the Highmark Preventive Schedule (Women's Health Preventive Schedule may apply). Deductible The deductible is a specified dollar amount you must pay for covered Major Medical services each benefit period before Highmark begins to provide payment for benefits. If you need assistance, contact your university help desk. Brand Drugs, Nonforumulary. Employee Assistance Program (SEAP) Whether you want to talk about an issue, seek counseling, find legal resources, or get advice about a financial concern, SEAP is a free confidential program to all State System employees; this includes everyone who lives in your house, as well as your parents, adult children, and siblings regardless of where The Patient Protection and Affordable Care Act (PPACA) - also known as Health Care Reform - requires that employer plans provide a uniform Summary of Benefits Coverage (SBC) for all group health plans which are subject to this reporting requirement. You may contact the Medicare Advantage concierge unit at Highmark Blue Shield by calling 1-888-431-2831 (TTY: 711), Monday – Friday, from 8:00 a. Retail cost based on industry averages, 2023. The following documentation must be provided to your Human Resources office: Your baby's original birth certificate with your name listed as the parent. Highmark is available Monday – Friday, 8 a. Out-of-network coverage. You will need to obtain a form from your human resource office to convert/port any existing coverage with CIGNA. Health Care FSA. SPFPA Security/Police. BCBS FEP Vision is responsible for the selection of in-network providers in your area. What's included in your benefit: Unlimited use of the SEAP hotline at no cost to you. You must enroll your child within 60 days of birth for coverage to continue uninterrupted. SEAP Hotline 1-800-692-7459 1-800-824-4306 TDD Available 24 hours a day or log on to www. The office assists with the organization, set-up, and commencing of the Monroe County Veterans Day Parade. Fast Facts. passhe. View a summary of the benefits for these employee groups. Family - $362. appropriate. PART A: General Information . OMB No. lowest possible cost to students. You don’t have to pay federal income taxes on the money you put into your account. Covered – No member cost after Medicare Part B Deductible . Nonrepresented Benefit Summary. The requested funding reflects PASSHE’s goal of freezing tuition for another year while addressing inflation and other costs. edu /healthyu New Health Insurance Marketplace Coverage . Family Deductible employment with the Pennsylvania State System of Higher Education (PASSHE). Employee Webmail (OWA) Employee Benefits. A Wide Range of Member Support. VISION PLAN BENEFIT DETAILS. 522. pebtf. Monthly Buy-Up Cost $71. Paydays, Holidays, and Work Schedules; Leave Overview HR Resources for Supervisors 2300 Vartan Way, Suite 207 Harrisburg, PA 17110 Mar 1, 2024 · Step 2: Determine the amount of insurance units in thousands of dollars (For example, $200,000 of coverage is 200 units) Step 3: Multiply rate (Step 1) rate by units (Step 2) to obtain your monthly cost. Outpatient Surgery . Pennsylvania State System of Higher Education Scholarship Program (PASSHE): Employees and their dependents attending a PASSHE institution or PennWest are eligible for up to $3,000 (full-time students) and $1,500 (part-time students) per academic year. 13 per set. Next, complete the NCC student survey. The plan will help students build skills they need to find good-paying jobs and build a life in Pennsylvania. Patient is responsible for the amount over $150, af. QuestSelect (PPO and Bronze Plans) Muscle & Joint Physical Therapy (Aetna and Highmark Members) COVID-19 Benefits. Vision. Conversion. Federal tax laws generally provide that participation in this type of benefit Plan through a salary reduction arrangement will be on a pretax basis. If a disability were to occur during the time period you are participating in a phased retirement arrangement, the benefit would be calculated based on your reduced salary To determine the tier (1 – 5) of your prescription medication, there are three options: Option 1: Call the Medicare Advantage concierge team at 1-888-431-2831. 1. State System's Mailing Address. 0% of their salary when they retire. United Concordia Dental Options (UCCI) www. As a result, employees in those positions can enter the defined benefit pension plan. Benefits Participation Overview – Displays the current benefit programs for which an employee is currently enrolled. The following insurance programs are available to all initial payment of 25% of eligible costs and determines a monthly reimbursement based on cost and length of treatment plan. Urgent Care Clinic . 07$362. explanation of some benefits terms found in your Summary of Benefits and a description of how your benefits are applied. There is no need to have your care coordinated by a Primary Care Physician (PCP) Jan 26, 2024 · Shapiro’s plan entails investing more heavily in public colleges so that state residents earning up to Pennsylvania’s median income — about $70,000 a year — would pay no more than $1,000 in tuition and fees per semester at PASSHE and community colleges. You may self refer for medically necessary care. Oct 13, 2022 · Premiums starting at about $13 per month, depending on location. ☐ 30 days before retirementFinalize Your Pension/Annuity Paperwork. PASSHE provides cost-effective, quality education across all of its schools. Dental Benefit. com access code: Pennsylvania. Under 65 Booklet. PASSHE would use $99 million for student financial aid and $13 million to provide student support services and supplement high-cost, high-growth programs to help students enroll and start careers in six high-growth fields. In addition to a want to participate in some or all of the benefit Plans offered by the Employer agree to have their salaries reduced by a specified amount in order to cover the cost of participation. The System Office comprises a small policy staff that works in the Office of the Chancellor (OOC) plus a combined group of staff from around the system who serve the universities and the OOC through shared services. The Work-Life Philosophy: This philosophy recognizes that employees who achieve high levels of performance thrive in Voluntary Long Term Disability Insurance. AHCP Monthly Rate Information. Final Board-approved plans from July 2021 are available online — West and Northeast. Google Career Contact the PEBTF Call 1-800-522-7279 or email openenrollment@pebtf. Pick the plan that fits. The university holds a veteran meet-and-greet every academic semester, a 9/11 moving flag tribute and a Veterans Day celebration. Offices of Human Resources, Employee Benefits, and Labor Relations provide support to the universities and the Office of the Chancellor. We would like to show you a description here but the site won’t allow us. The chart below provides monthlyCOBRA rates for the plans that may be available to former employees andtheir dependents/or These rates include the 2% administrative fee and apply. PASSHE is requesting a state appropriation of $623. $1,500 Single/$3,000 Family. Flexible Spending Account (FSA) Plan Options: Health Care FSA (Health Care FSA) Pay for items like prescriptions, copays, eyeglasses, lab fees and deductibles for you, your spouse, and your federal tax dependents. Please feel free to call Highmark at 1-888-399-0833 (TTY: 711) for assistance with any questions you may have. They manage compliance with directly to tsadeferral@passhe. If you became a SERS member on or after 1/1/19 as an employee in one of the law enforcement or security positions, you can choose the A3 class of service with the option to elect the A4 class within the first 45 days of SERS membership. – 4:30 p. Summary. As applications fell, acceptance rates went up. By sponsoring no-cost tuition and the cost of course materials, computers, WiFi, and other technology supports to qualifying applicants, many prohibitive barriers are removed. leTwo-PartyFamily$131. On/After August 1, 2003 - If you currently have single coverage and are enrolled in the Choice PPO, you will pay an additional biweekly cost to add dependents. They manage compliance with Jan 11, 2019 · All faculty who receive dental and vision benefits through the Pennsylvania Faculty (PAFAC) Health and Welfare Fund: Please take the time to read the Vision Benefit. Download The PARSE & Vision & Dental Application. With Exclusive Member Extras, savings never looked so good. Forms & Benefits. Your copayment obligation is the amount specified in the Summary of Benefits, or the cost . (PASSHE) is the state-owned public university. The offices are responsible for processing and distributing pay, providing human resources consulting and SAP services to university staff. system of the commonwealth. To assist you as you evaluate ESU is a member of the Pennsylvania State System of Higher Education (PASSHE), a system of universities that combine to enroll the largest number of Pennsylvania residents among all four–year colleges and universities in the Commonwealth. When key parts of the health care law take effect in 2014, there will be a new way to buy health insurance: the Health Insurance Marketplace. The out-of-pocket limit refers to the specified dollar amount of coinsurance incurred for covered services in a benefit period. 65All employees enrolled in an HMO, pl. Faculty tentative agreement 2023–27 (login required) Coach tentative agreement 2023–27 (login required) Policies; Bylaws; Coaches; Temporary Faculty; CAP: Our Political Voice; Committees The ECE PDO at PASSHE is working to remove barriers that often get in the way of early childcare providers’ ability to advance their education and professional development. For example, PASSHE plans to use $56. All benefit limits, deductibles and copayment amounts are described in the Summary of Benefits included at the end of this booklet. 07. Durable Medical Equipment (DME) Prosthetics, Orthotics, Diabetic and Medical Supplies Benefit. health care costs, just use your Optum Financial payment card. (Note: "All Costs" include tuition, fees, housing, and dining, unless noted otherwise. - Portability vs. APSCUF Faculty retiring who are enrolled in the active Highmark PPO: Retirement Date - 07/01/23 – 06/30/24. com 1-888-320-3321. Prescription drug benefits are not subject to the overall program deductible or coinsurance. UPMC Business Advantage Primary Care Provider: $20 Copayment per visit HMO Specialist: $30 Copayment per visit Deductible: $400 / $800 Dec 21, 2016 · Humana offers vision insurance plans starting at $16 to $18 per month, and VSP offers plans starting at less than $17 per month per person, according to each insurer’s website. This summary highlights the Pennsylvania State System of Higher Education Health Program, Supplemental Benefits Program (non-faculty), Health and Welfare Fund (faculty) and leave entitlements for Pennsylvania State System employees covered by the APSCUF, OPEIU and SPFPA collective bargaining agreements, and These new benefits are available at no additional cost to you through your Commonwealth SEAP benefits. As a member of your Signature 65 program, you get important extras. For 2024, Health Care FSA contributions are limited to $3,050. 7279. 54. Prescription benefits are available from day one for a premium and at no additional cost after 30 days (effective August 1, 2024. to provide a high-quality education at the. Prior to August 1, 2003 - There is no additional cost to add dependents to your health benefits. to 4:30 p. Not covered. 7 million — a $38 million, or 6. Employee Self-Service (ESS) Screens - Benefits Page 1 of 11. 3. Our mission is. The State System enrolls all permanent employees in our group life insurance program administered by MetLife at no cost to the employee. This provision will no longer apply effective January 1, 2016. You may also. For more detailed information visit www. Covered – No member cost after State System Employee Benefits. m. $60. For the lowest out-of-pocket costs, use a network provider. PASSHE gives prospective students a range of options for their education - a school near the city versus a rural area, the size of university they are looking for, multiple division options for athletics, and an endless option for majors/minors. B. There are three health plan options for employees to choose from: In-Network Deductible*. For specific covered services, refer to the Summary of Benefits. State Employees' Retirement System (SERS) Participants. University Tuition and Fee Rates. cost of benefits that are expected to be incurred under the plan. • It has been determined that you qualify for this plan as an employee working an average of 30 hours per week. See your Summary of Benefits for the deductible amount. This new online initiative is open to PASSHE students and the community to help thousands of people get the skills for some of the most in-demand jobs. Step 4: Multiply monthly cost (Step 3) by 12 to determine your annual cost. 1-800-633-5461. Pennsylvania’s State System of Higher Education System Office - AHCP Benefits 2300 Vartan Way, Suite 207 Harrisburg PA 17110 Voluntary Group Life (VGLIP) and Accidental Death and Dismemberment (ADD) insurance. 2024 into 2025 - $610. Mar 1, 2024 · Step 1: Find the above Monthly rate for you and/or your dependents. AHCP enrollment and sick leave payout will not occur until the State System verifies your pension/annuity has been established. 2. Contact us at 1-888-550-. (2583) BLUE. Forms & Benefits; Special Services for APSCUF Members; APSCUF Expense Form; Members-Only Benefits; Contracts & Documents. Summary of Benefits for the percentage amounts paid by the program. Option 2: Post January 2025, you may request a hard copy formulary via mail by contacting Highmark Blue Shield at 1-800-550-8722. Benefit Department - COBRA OE. You may visit any vision provider, though out-of-pocket expenses are generally lower at in-network providers. Being part of PASSHE brings ESU—and you—significant benefits, the most important of which are cost Jun 7, 2024 · SB 1248 and HB 2398 will invest in higher education after decades of disinvestment, lower college costs for students, and serve as an economic driver for generations to come. Any additional state funding provided above the requested amount would help to further The home of PASSHE Employee Self-Service, Manager Self-Service & eTime. edu Phone: 717-720-4153 FAX: 717-720-4162. 1993 Benefit Plan/Prefunded Benefit Plan – $33. Benefit Period Your benefit period is the specified period of time during which charges for covered services must be incurred in order to be eligible for payment by PENNSYLVANIA’S STATE SYSTEM OF HIGHER EDUCATION GROUP HEALTH COBRA PROGRAM July 1, 2023to June 30, 2024COBRA RATES. Day Care FSA (DCFSA) Pay for items like daycare, summer camps, and custodial care for dependent adults. al and prescription drug coverage under the Prescription Benefits. $30. Who should I contact if I have questions about the new customized Freedom Blue PPO Plan? You may contact Highmark Blue Shield’s dedicated Medicare Advantage concierge call center at 1-888-399-0833 (TTY: 711), Monday – Friday, from 8 a. initial payment of 25% of eligible costs and determines a monthly reimbursement based on cost and length of treatment plan. This is a wonderful opportunity for the 10 PASSHE colleges and 15 community colleges to work together to develop a system that is accessible, affordable and creates opportunities for Pennsylvanians across the Commonwealth. Options and Your Health Coverage . 1 - Based on weighted average of sample transactions; EyeMed Insight network/$10 exam copay/$10 materials copay/$150 frame or contact lens allowance. 54$296. orgMedicare InformationIf Medicare eligible when you retire, enrollment in Medicare Parts A & B is required to be eligible for medi. Member is respo. Information can also be found at the Pennsylvania State System of Higher Education’s Life and Disability Insurances. Cost sharing for necessary urgently needed services is at the In Network level of benefits, regardless of network status. View the TSA Deferral Handout for more information. You'll have access to exclusive offers from popular brands totaling over $3,000 in savings. 5 million to provide direct financial relief to education students, saving Med: HMF50 2022 1 2022_HMO_LRG . frame, every calendar year. – 4:30. For specific amounts, refer to your Summary of Benefits. Contact PEBTF Health Advocate Call 1-855-855-4238 to help locate network health care providers. org 1. Your VGLIP/ADD coverage will cease on your last day of employment. Your dentist will complete an examination and recommend needed treatment. Covered – No member cost . 27$291. gov to complete. Over 65 Booklet. Out-of-network. For more information, refer to your Summary Plan Description or contact PEBTF. If you Benefit Period(1) Contract Year Deductible (per benefit period) Individual Family None $100 $300 Plan Pays – payment based on the plan allowance 100% 80% after deductible Out-of-Pocket Maximums (Once met, plan pays 100% for the rest of the benefit period) None $380/individual Lifetime Maximum None $1,075,000/person. Family Deductible Special Offers and Savings. Certain prescription drugs are subject to prior authorization requirements, quantity level limits, or other management programs to ensure that these medications are being used in a safe and effective manner, and to help both you and the health plan control costs. For any changes or questions regarding your REHP coverage after your retirement: State Employees' Retirement System (SERS) Participants. ARP or PSERS Participants contact PEBTF www. You should not use the same cards as when you were an active employee, as your group number will change. If you are in a retiree plan (AHCP) under COBRA, contact RetireeBenefitHelp@passhe. Pennsylvania State System of Higher Education – Updated August 2016 . Contact the HR Service Center (or your local HR ofice if your Visit Employee Self Service at www. Two-Party - $296. Hearing Aid Benefit. Provide tax savings for you, your spouse, and your federal tax dependents on your out-of-pocket medical, dental, vision, or prescription expenses not paid by insurance. Jan 16, 2024 · PASSHE has kept salary payments flat, lowered health care costs and operating expenses, and reduced pension costs by $20 million after rising through 2018. OPM negotiates benefits and rates with each carrier annually. When the specified dollar amount is attained, your program begins to pay 100% of all covered expenses. or TTY: 1-800-523-2847 for the names of participating providers or to request a provider directory. $3,000 Single/$6,000 Family; plan payment 70%, member pays 30% of the next $13,250 single/$26,500 family after which the plan pays at 100%. FSA Options. Basic PPO. 6 days ago · Rate and Booklet Information. To modify primary beneficiary elections, change the percentage after each person and/or Highmark Blue Shield has created a dedicated Medicare Advantage concierge call center to answer your questions regarding the new customized Freedom Blue PPO Plan. $50. pa. Copays for Prescriptions or Doctor Office Visits. Fashion Advantage Vision Plan, provided by Highmark’s Vision subsidiary, Davis Vision, Inc. ucci. 5%, increase over the current fiscal year. Exam copays starting at $15, and slightly more for contact lenses. Laser vision discounts. myworkplace. Teladoc. All beneficiaries eligible for a medical plan are eligible for the Vision Plan. visit the healthy u website at www. 84. (3. United Concordia also accepts any standard dental claim form. 2300 Vartan Way, Suite 207. age. com. ible for amount over $150. Copayment The copayment is the specific, upfront dollar amount you pay for covered medications which will be deducted from the provider's allowable price by Highmark. The amount of term life insurance is equal to the nearest $1,000 of basic annual salary, up to the applicable maximum. The Chancellor is the Chief Executive Officer of the State System and is responsible for its management. Summary of Benefits Coverage (SBC) Healthcare Exchange Notice. Network care is covered at a higher level of benefits than out-of-network care. Voluntary Long-Term Disability Insurance (LTD) Income protection equal to 60% of gross annual base salary to a maximum of $5,000 monthly benefit with an option for a Office of the Chancellor. Lower your taxes When you contribute to a Health Care FSA, you’re setting aside pre-tax dollars. Claim forms are available at a participating provider office. edu or by fax to 717-720-4162. Affordable Coverage —the lowest cost self-only health plan option is 8. to COBRA subscribers previously employed in an Jan 26, 2024 · “I am encouraged by Governor Shapiro’s vision for a new blueprint for higher education in Pennsylvania. The plan development process has been broadly consultative and transparent. First, apply to PASSHE for tuition assistance here . OPEIU Nurses. The Benefits Philosophy: This philosophy espouses a commitment to providing employee benefits comparable to those at peer institutions, incorporating a shared-cost proposition and a strong commitment to employee wellness. Dental, Vision, and Hearing Aid Coverage PA State System of Higher Education. Employees can obtain up to a 90-day supply through the plan. The policy/ plan documents control in the event of a conflict with this benefits summary. Employees in the APSCUF Faculty and Coaches, Nonrepresented, OPEIU (Nurses), POA (PASSHE Officers Association), SPFPA (Security/Police) Employee Groups have their health care benefits administered by the State System office. 7/1/24 Rates Enrollment/Change Form. 00 per set. Actual savings will depend on benefits, as well as provider, frame and lens selections. ESU extends credit for military training and service, DANTES, and CLEP tests. This benefit program provides for salary continuation up to 60% of your covered monthly earnings if you become disabled. All services must be prescribed by a physician, optometrist or optician. ook located at www. Employees hired 7/1/2013 or later - If your spouse is eligible for coverage through their own employer, they must be enrolled in that plan for primary coverage. 02$356. Maximum Carryover: 2023 into 2024 - $570. Pennsylvania’s State System of Higher Education. 62 single/ (for retirees, who as active employees, were hired on or after 8/1/03) $143. During this process, universities have been working together to develop plans that align with the State System’s vision for university integrations. Group Life Insurance Employer paid term life policy provided by the State System for permanent employees based on one-time salary up to a maximum of $40,000 (AFSCME, SEIU and PDA) or $50,000 (SCUPA). Consider them as your personal navigator who will help to match you with a PDO education partner that meets your needs and future vision. The Medicare Open Access PPO allows you to see any doctor as long as they are eligible to receive Medicare payment and accept the plan. Out-of-Pocket Limit. ) You may contact the Medicare Advantage concierge unit at Highmark Blue Shield by calling 1-888-431-2831 (TTY: 711), Monday – Friday, from 8:00 a. Brand Drugs, Formulary. Otherwise, your cost will not change. Moved Permanently. Below are links to university/campus websites for tuition and fee rates. Employees hired before 7/1/2013 - If your spouse is offered fully-paid employer based Pennsylvania’s State System of Higher Education (PASSHE) and Google are partnering to offer Google Career Certificates to thousands of for-credit and non-credit students. Form Approved . Your copayment obligation is the amount specified in the Summary of Benefits, or the cost View all benefits on the Live and Work Well website. liveandworkwell. Limited to 1 set of frames every 24 months. Employees enrolled in a HMO, please contact your university for rate information. Benefits include a routine vision examination and payment for vision correction via the use of eyeglasses (frames and lenses) or contact lenses. 633. 24 family No buy-up cost All benefits are limited to covered services that are determined by the plan to be medically necessary. Home > Students > University Tuition and Fee Rates. VSP Members get an extra $20 to spend on select frame brands, and save up to 40% on non-covered lens enhancements when seeing a VSP network doctor. Vision Benefits Once enrolled, you will receive an identification card from National Vision Administrators. Highmark Blue Shield has created a dedicated Medicare Advantage concierge call center to answer your questions regarding the new customized Freedom Blue PPO Plan. You may also check the formulary online by following these steps: • Visit https://medicare. Newborns are automatically covered for 31 days after birth under your State System health benefits. Harrisburg, PA 17110. The document has moved here. This employee data is used by the Human Resource Office for the purpose of paying your salary and administering your human resource programs, including your employee benefits. 800. Email: RetireeBenefitHelp@passhe. Frame: Provider -supplied$150 credit, plus a 20% discount for a provider-supplied. Maximum Election for 2024 - $3,050. The ability to directly view your personal and payroll data in the PASSHE Human Participating faculty members shall be charged for sick leave usage as a part time faculty member in accordance with the following: A part-time faculty member shall be charged one-half (1/2) day of sick leave for absences on days where he/she is scheduled to teach one (1) class, and a full day of sick leave when two (2) or more classes are Employee Webmail (OWA) Employee Benefits. Step 2: Determine the amount of insurance units of ten-thousands of dollars (For example, $200,000 of coverage is 20 units) Step 3: Multiply rate (Step 1) rate by units (Step 2) to obtain your monthly cost. org. Single Vision LensesMembers are entitled to 1 pair of eyeglasses with lenses of standard plastic, oversize The System Employee Benefits Office provides employee benefit plan management and administration on behalf of all State System universities and the Office of the Chancellor. 5461. $100. 39% or less of an employee’s household income. As a Signature 65 member, you will enjoy the security of knowing that your identification card is recognized and accepted by Medicare-participating hospitals and physicians throughout the United States. C. ID card (s) will be received AFTER enrollment begins. (1) Your group's benefit period is based on a Calendar Year which runs from January 1 to December 31. edu for new rates. Copays start at $15 for a 30-day supply of generic medications. $150 allowances for contacts and frames, meaning the plan will cover costs up to that amount and gives 20% off additional costs over that. leTwo-PartyFamily$133. Employer paid term life provided for permanent employees based on one- time salary up to a maximum of $40,000 (OPEIU, POA, SPFPA) or $50,000 (Faculty, Coaches, and Nonrepresented). Single - $133. Third, student applicants will be contacted by a PASSHE ECE Professional Development Coordinator. -Term Disability Insurance (LTD) Income protection equal to 60% of gross annual base salary to a maximum of $5,000 monthly benefit You may enroll your eligible spouse and/or stepchildren within 60 days of the date of marriage. 84APSCUF Coaches retiring who are currently enrolled in the active Highmark PPO will contribute 3. 0% x fi. Health Advocate. CBF/1992 Benefit Plan – $14. 1210-0149. 4. Step 5: Divide your annual cost (Step 4) by your pay frequency (20 Employee Self-Service (ESS) Screens - Benefits Page 7 of 11. Urgent Care is covered worldwide. The institute also raised concerns over academic rigor. Contracts. Highmark. ESS – Benefits – Benefits Participation Overview . In-state tuition for most PASSHE campuses runs $7,716 a year. ef sv at pk ja ld by uu kk ey