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1. School of Dental Medicine Department of Oral Biology Student Insurance Plan Year September 1, 2014 – August 31, 2015 dasdfgfsd afgafg

2. Importance of Health Insurance • Insurance is Mandatory for all international students. • Mandatory under Health Care Reform (PPACA) • Coverage is also available through the Individual Marketplace • Complete and comprehensive coverage is required • It does not have to be a UPMC or Pitt sponsored plan • Be cautious of out-of-pocket expenses, gaps, limitations • Pay attention to enrollment periods O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

3. Medical Benefits O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

4. Student Plan Rates O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

5. Plan Design O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

6. Dental Coverage O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

7. Dental Coverage • Coverage through United Concordia, a division of Highmark • Available to: • Graduate Students with or without an Academic Appointment • Health Sciences Fellows, Post and Pre Doctoral Fellows • Visiting Fellows on J-1 visas O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

8. Dental Coverage • United Concordia Plus DHMO – Graduate Student Dental Plan • Plan Details • Concordia Plus DHMO Network • Primary dental office selection required in the State of Pennsylvania • No annual deductible • No annual plan maximum • 100% coverage for exams, cleanings, and x-rays • Reduced member copays and coverage for crowns, root canals, oral surgery, and fillings • Orthodontic coverage for children to age 19 • In-network benefits only • No claims to file O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

9. United Concordia Plus DHMO – Graduate Student Dental Plan • For questions regarding the dental plan, contact United Concordia’s Customer Service Department at 1-877-215-3616 • Representatives are available from 8 a.m. to 8 p.m., Monday through Friday, Eastern Standard Time O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

10. Vision Coverage O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

11. Vision Coverage • Coverage through Davis Vision, a division of Highmark • Available to: • Graduate Students with or without an Academic Appointment • Health Sciences Fellows, Post and Pre Doctoral Fellows • Visiting Fellows on J-1 visas O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

12. Vision Coverage • No copayments for eye exam or basic eyewear • Covered-in-full eye exam • Covered-in-full for select eyeglasses from Davis Vision’s collection or receive: • $60 frame allowance toward a frame of your choice • $75 contact lens allowance • Additional lens options available at discounted member price • One-year breakage warranty on plan eyewear O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

13. Davis Vision– Student Plan • For questions regarding the vision plan, contact Davis Vision Customer Service Department at 1-877-923-2847 O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

14. General Provisions • Deadline to enroll is September 15, 2014 • If elected, coverage will begin on September 1, 2014 and will end on August 31, 2015 • Unless you experience a qualified status change (e.g., marriage, divorce, birth of a child, etc.), this will be your only opportunity to make changes until the next open enrollment period • International or domestic travel of a dependent during the plan year is not an approved life event to remove a dependent from coverage • As part of the enrollment process, international students will be required to attest to having other U.S. based medical insurance coverage or enroll through a University sponsored program • If you have not enrolled or attested by September 15, 2014, a registration hold will be placed on your student account by Student Health Services • Students who hold an academic appointment should select the $0 payment option • If this is not available, then they should not enroll in health insurance and contact their academic department O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

15. Enrollment • Single-Sign-On from my.pitt.edu to EBenefits for enrollment and payment • Log on to the Pitt Portal • Go to my.pitt.edu • Enter your University username and password • Select the “My Resources” tab • Select “Student Health Insurance” on the drop down menu • Select “Student Health Insurance” on the “My Pitt” page and continue through the online enrollment and payment process • Payment can be made on a monthly, recurring basis via a credit or debit card, or through a checking or savings account • Instructions are also available online at: • http://www.hr.pitt.edu/benefits/student-be/how-enroll • Payment is deducted monthly beginning on 10/3/2014 O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T

16. Contact Us • University of Pittsburgh Benefits Department • 320 Craig Hall • Phone: (412) 624-8160/ Fax: (412) 624-3485 • www.hr.pitt.edu/benefits • Hours of Operation • Monday – Friday, 8:00am – 5:00pm • UPMC Health Plan • 1-888-499-6885 • Hours of Operation • Monday – Friday, 7:00 am – 7:00 pm; Saturday, 8:00am – 3:00 pm • Pitt Dedicated Concierges can assist with enrollment and payment questions, as well as medical and pharmacy benefits O F F I C E O F H U M A N R E S O U R C E S | B E N E F I T S D E P A R T M E N T