Medical Benefits ITPI provides medical and pharmacy benefits through Highmark BC/BS. We opted for the PPOBlue Plan. There is no requirement to select a Primary Care Physican to coordinate you care. 401K Plan available Pittsburgh Teachers Credit Union membership available

1)Your group’s benefit period is based on a Contract year. The contract year is a consecutive 12-month period beginning on your employer’s renewal date. Contact your employer to determine the renewal date applicable to your program.

(2)Treatment includes coverage for the correction of a physical or medical problem associated with infertility. Infertility drug therapy may or may not be covered depending on your group’s prescription drug program.

(3)State mandated benefits (30 inpatient days and 60 outpatient visits annually with the right to exchange inpatient days for outpatient visits on a one for two basis) may apply to a diagnosis of serious mental illness. Serious mental illnesses include: schizophrenia, schizo-affective disorder, major depressive disorder, bipolar disorder, obsessive compulsive disorder, panic disorder, anorexia nervosa, bulimia nervosa, delusional disorder. Once mental health limits are exhausted, both inpatient and outpatient serious mental illness services must be provided by a network provider (see above reference benefits for plan limits).

(4)Member is required to contact Highmark Health Care Management Services prior to a planned inpatient admission or within 48 hours of an emergency or maternity-related admission. If this does not occur and it is later determined that all or part of the inpatient stay was not medically necessary or appropriate, the patient will be responsible for payment of any costs not covered.

(5)Prescriptions are covered as long as they are listed on the prescription drug formulary applicable to your plan. To obtain a prescription medication that is not included on this formulary, the physician must complete the “Prescription Drug Medication Form” and return it to the Pharmacy Affairs Department for clinical review. Under the mandatory generic provision, the member is responsible for the payment differential when a generic drug is available and the doctor or patient specifies a brand name drug. The member payment is the price difference between the brand drug and the generic drug in addition to the brand drug copayment or coinsurance amounts which may apply.