MEDICAL
UPMC is only available to team members in Pittsburgh/Southwest PA
Gold PPO Plan
- A good choice if you want to pay more from your paycheck for lower costs when you get care.
- $1,000 individual deductible and $4,000 out-of-pocket max in-network.
- Pay set copays for office visits and telemedicine.
- Preventive care is covered 100% in-network.
- You’ll pay less if you stay in-network for services and prescriptions.
- You can enroll in a Heath Care Flexible Spending Account (FSA).
Why choose this plan? You expect regular doctor visits and want predictable costs for care and prescriptions.
Who’s eligible? All full-time team members and part-time team members working 30+ hours/week (excluding Hawaii and Puerto Rico residents).
Silver PPO Plan
- Lower paycheck costs than the Gold PPO, but you’ll pay more when you get care.
- $1,800 individual deductible and $6,000 out-of-pocket max in-network.
- Office visits and prescriptions have higher copays than the Gold PPO.
- Preventive care is covered 100% in-network.
- You can enroll in a Health Care Flexible Spending Account (FSA).
Why choose this plan? You're generally healthy but want a backup for unexpected medical needs.
Who’s eligible? All full-time team members and part-time team members working 30+ hours/week (excluding Hawaii and Puerto Rico residents).
Bronze HDHP + Health Savings Account (HSA)
- Lowest cost from your paycheck.
- $2,500 individual deductible and $4,500 out-of-pocket max in-network.
- You can open an HSA and get tax-free savings for care now or later.
- Preventive care is covered 100% in-network.
- You pay full cost for care and prescriptions until the deductible is met, then you share costs.
Why choose this plan? You’re healthy, want to save money, and prefer to control how you spend for care with an HSA.
Who’s eligible? Full-time team members and part-time team members working 30+ hours/week (who aren’t enrolled in Medicare or another plan; also excluding Hawaii and Puerto Rico residents).
Kaiser HMO Plan (for CA and HI team members only)
- No deductible and low out-of-pocket costs.
- You must use Kaiser doctors and facilities.
- Most services have small, flat fees—like $20 for a doctor visit.
- Preventive care and telemedicine are covered 100%.
- You can enroll in a Heath Care Flexible Spending Account (FSA).
Why choose this plan? You want easy-to-understand costs and don’t mind using Kaiser’s network.
Who’s eligible? California and Hawaii team members.