The Wellness for Life program is a voluntary wellness program in which you can earn reward dollars by participating activities that promote a healthy lifestyle. The program runs from June 1, 2023, to May 31, 2024. For Bargaining Unit Faculty members, the program will run from July 1, 2023, to June 30, 2024.

• Depending on the activity you complete, you will earn Health Incentive Reward Dollars.
• Activities range from preventive care to coaching.
  • Faculty and Staff can earn up to 200 Health Incentive Reward Dollars by earning 200 points.
    • Bronze Level: 50 points
    • Silver Level: 100 points
    • Gold Level: 150 points
    • Platinum Level: 200 points
    
    You will receive $50 on your Consumer Advantage card for each level you complete.
  • Bargaining Unit Faculty in Panther Advocate can earn up to 200 Health Incentive Reward Dollars.
  • Bargaining Unit Faculty in Panther Gold, Panther Plus, or Panther Basic can earn up to 125 Health Incentive Reward Dollars.
  • Panther Basic members (including Bargaining Unit Faculty) will have their Health Incentive Reward Dollars added to their September 2024 paycheck.¹
• Covered spouses/domestic partners can also earn up to 200. Bargaining Unit Faculty spouse/domestic partners can earn reward dollars (Panther Advocate $200, Panther Gold, Plus, and Basic $125).

• Reward dollars are funds that are loaded on to a UPMC Consumer Advantage debit card. They can be used to pay for qualified medical, prescription, dental, and vison care expenses, as well as qualifying over-the-counter (OTC) health care purchases, as defined in IRS Code 213(d).
• Funding: The University of Pittsburgh will fund the UPMC Consumer Advantage card when you complete a level. (Bargaining Unit Faculty members will receive funds when they complete activities.)
• Accessing funds: When you incur an eligible health care expense or receive an invoice for an eligible service, you can use your UPMC Consumer Advantage debit card to cover the cost or pay out-of-pocket and request reimbursement. Be sure to keep your itemized receipts.
• Requesting reimbursement/substantiating purchases: Log in to your online account and:
  • Click on File Claim.
  • Follow the instructions to enter the required information and upload your receipts.
  • If the purchase was made using your UPMC Consumer Advantage debit card and substantiation is required, you will receive a notice from UPMC Consumer Advantage to submit your receipt(s).
    • Credit card statements, non-itemized cash register receipts, and canceled checks cannot be used to substantiate a claim.
• Reimbursement claims processing: We will promptly process your request and reimburse you by check or direct deposit (if you sign up for that feature). You will receive your funds sooner if you use direct deposit.
• Account management: Regularly visit your account to check your balance and access health education tools.

1. The health care FSA comes with a "use it or lose it" requirement (except for the $610 health care FSA rollover allowance [$570 for Bargaining Unit Faculty]).
2. You don't have to accrue a balance in your health care FSA before you can use the funds. By contrast, you do have to accrue Health Incentive Reward Dollars before you can use them. For example, if you elect to put $2,000 into your health care FSA, you can use the entire amount at the start of your plan year, even though you will not have made that amount of deferrals from your paycheck.

The University of Pittsburgh's annual Health Incentive Reward Dollars contribution will be based on the metal level you complete. If you complete all four levels, you will receive 200 Health Incentive Reward Dollars for single coverage or 400 Health Incentive Reward Dollars for family coverage (two or more people).²

For Bargaining Unit Faculty Gold, Plus, and Basic members, the maximum reward is 125 Health Incentive Reward Dollars for single coverage and 250 Health Incentive Reward Dollars for family coverage.²

Bargaining Unit Faculty in Panther Advocate can earn up to 200 Health Incentive Reward Dollars, $400 for family coverage.

²The faculty/staff member (including Bargaining Unit Faculty) or their covered spouse/domestic partner may earn only half of the family incentive reward maximum. For example, if the maximum family incentive is 400 Health Incentive Reward Dollars, then the faculty/staff member may earn up to 200 Health Incentive Reward Dollars. The covered spouse/domestic partner may earn the remaining 200. Only faculty/staff members and their spouses/domestic partners can earn incentive rewards. Dependents are not eligible to earn Health Incentive Reward Dollars. In parent/child(ren) contracts that cover one parent plus a child or children, the parent may earn the full 400 Health Incentive Reward Dollars.

• You can use Health Incentive Reward Dollars to pay for your out-of-pocket qualified health costs related to medical, prescription, dental, or vision care, as well as the applicable costs of your dependents. Health Incentive Reward Dollars can also be used toward qualifying OTC health care expenses, as defined in IRS Code 213(d). If you have an FSA and reward dollars, your account balances will be maintained on one card. The FSA will pay first. This will protect you from losing any unused Health Care FSA funds. Health Incentive Reward Dollars will apply once your FSA balance is $0.
• A qualified medical expense is a cost for medical care as defined by Internal Revenue Code Section 213(d). The expense must be primarily to improve or prevent a physical or mental defect or illness, including dental and vision care. Most expenses for medical care will fall under Internal Revenue Code Section 213(d); however, some expenses do not qualify. Examples are surgery for cosmetic reasons, health club dues, illegal operations or treatment, maternity clothes, toothpaste, toiletries, and cosmetics.

You can earn reward dollars (up to your plan's maximum) by completing eligible activities from your personalized list.³ You may already complete many of the eligible activities, such as getting a flu shot or having an annual physical.

³The faculty/staff member (including Bargaining Unit Faculty) or their covered spouse/domestic partner may earn only half the family incentive reward.

• If you are a Panther Gold or PPO member, you will have your Health Incentive Reward Dollars deposited into your Consumer Advantage Card each time you complete a level (Level 1 – 50 points, Level 2 – 100 points, Level 3 – 150 points, Level 4 – 200 points). You will receive $50 on your UPMC Consumer Advantage card for each level you complete to use toward qualified health care expenses and some OTC items (view a list of covered items). If you are a Panther Basic member, any earned incentive(s) will be applied to your September 2024 paycheck. (You must be actively employed through September 2024 to receive the incentive.)
• If you are a Bargaining Unit Faculty member enrolled in Panther Gold, Advocate, or Plus, you will have your Health Incentive Reward Dollars deposited onto your Consumer Advantage Card a few days after you complete an eligible activity. The funds will be available through a UPMC Consumer Advantage debit card to use toward qualified health care expenses and some OTC items (view a list of covered items). If you are a Panther Basic member, any earned Health Incentive Reward Dollars will be applied to your September 2024 paycheck. (You must be actively employed through September 2024 to receive the incentive.)
• Individuals on long-term disability or workers' compensation as of September (after the plan year) are eligible to participate in this incentive program. Monetary incentives are considered taxable income, according to the IRS.

• Faculty and staff members: Once you complete a metal level, 50 reward dollars will be placed on your UPMC Consumer Advantage debit card. This should occur within a few days of completing the level.
• For Bargaining Unit Faculty: It depends on the activity.
  • Online activities, such as the MyHealth Questionnaire, take three to five days.
  • Coaching-based activities can take up to seven days.
  • Claim-based activities can take up to six weeks.

Log in to MyHealth OnLine, then click under Better Health and Wellness and select Wellness for Life.

Yes. All current faculty and staff subscribers with UPMC Health Plan coverage have single sign-on access from my.pitt.edu to the MyHealth OnLine member website. Just follow these instructions:

• Log in to my.pitt.edu.
• Follow this path: Search for MyHealth Access > Select the MyHealth Access (all campuses) tile

• Faculty and Staff members and their covered spouse/domestic partner will have variety of activities to choose from. These include featured activities, activities recommended by UPMC Health Plan, and personalized activities based on their MyHealth Questionnaire results.
• Bargaining Unit Faculty will receive a personalized list of activities once they complete their MyHealth Questionnaire.

Faculty and Staff can access the MyHealth Questionnaire by following these instructions:

• Log in to my.pitt.edu.
• Follow this path: Search for MyHealth Access > Select the MyHealth Access tile > Select Better Health and Wellness > Select Wellness for Life > Select My Results

• Log in to my.pitt.edu.
• Follow this path: Search for MyHealth Access > Select the MyHealth Access tile > Select Better Health and Wellness > Select Wellness for Life > Select MyHealth Questionnaire

• Visit upmchealthplan.com/members.
• Register for a new account, or log in with an existing account.
• Follow this path: Better Health and Wellness > Wellness for Life > MyHealth Questionnaire

A biometric screening is a health exam that can tell you your risk for certain health conditions, such as high blood pressure, diabetes, or high cholesterol. The screening measures your cholesterol, glucose, blood pressure, and height and weight, and it can help you understand where you should take action to improve your health.

1. Quest Patient Service Center – To schedule an appointment online at my.questforhealth.com. If you are a first-time user, use PITT2023 as your registration key. If you are a returning user, log in with your existing login credentials. If you are close to the main campus there is a Quest location that you can choose at 120 Lytton Avenue, Suite 100 C, Pittsburgh, PA 15213. Otherwise, you can select a location that is convenient for you.
2. Visit The Hub at 4041 Fifth Ave., Pittsburgh, PA 15213. To schedule an appointment, please call 412-383-4372.
3. If you have a screening performed by your physician, you should ask them to complete the Proof of Service lab form and follow the directions to return it.

You are eligible for annual preventive services every plan year, starting July 1. You do not have to wait 365 days from your last exam for it to be covered.

Your provider will submit the claim to UPMC Health Plan. Please allow up to six weeks for submission and processing. Your credit will appear within a week of the claim being paid. If you have questions about receiving credit, please contact Member Services at 1-888-499-6885 (TTY: 711). The provider must submit the claim as a preventive exam for the claim to be paid at 100 percent (no member cost share). This will allow you to earn the incentive.

You can view your account balance(s) and transactions, file claims, upload receipts, and track your expenses through the UPMC Consumer Advantage website. You can also use the UPMC Consumer Advantage app to access your account.

To access the portal through MyHealth OnLine, log in to my.pitt.edu.

For Panther Gold/PPO members, Health Incentive Reward Dollars from the previous year will roll over to the new benefit year. Panther Basic members (including Bargaining Unit Faculty) will have their Health Incentive Reward Dollars added to their September 2024 paycheck.1 The Health Incentive Reward Dollars rollover maximum is the plan year deductible amount for individual or family coverage, depending on the plan in which the member is enrolled. For Bargaining Unit Faculty with the Panther Advocate plan, Health Incentive Reward Dollars from a previous year will roll over to the new benefit year up to two times the plan year deductible. For Bargaining Unit Faculty Panther Gold/Plus members, Health Incentive Reward Dollars from the previous year will roll over to the new benefit year. The rollover maximum is $125 for an individual and $250 for an employee plus spouse/domestic partner.

Yes. Claim-based activities, health coaching, and RxWell� activities will count for incentive credit between June 1 and when the program goes live.

1. To be eligible to contribute to an HSA, you must be covered by a qualified HDHP and not have first-dollar coverage (insurance that provides payment for the full loss, up to the insured amount, with no deductibles).
2. You may use your HSA to pay for medical expenses that are covered under an HDHP, as well as other common qualified medical expenses.
3. Unused HSA funds will remain in your account, and you may be able invest them (as long as your account meets the minimum balance requirement). This will allow the funds to increase. Ask your financial institution whether investing is an option for your account.

HSAs work in conjunction with an HDHP. All the money you (or your employer) deposit in to your HSA�up to the annual contribution limit�is excluded from federal income tax, FICA (Social Security and Medicare) tax, and state income tax (in most states). You can use these tax-free dollars to pay for eligible expenses that are not covered under your HDHP until you meet your deductible. UPMC Health Plan will pay for covered medical expenses above your deductible (except for any coinsurance). You can pay coinsurance costs with money from your HSA. You can also use your HSA to pay for dental and vision costs and alternative medicines.

• Be covered by a qualified high-deductible health insurance plan (such as Panther Basic).
• Not be covered under other health insurance.⁴
• Not be enrolled in Medicare.
• Not be another person's dependent.

• Vision expenses, including glasses, frames, contacts, prescription sunglasses, goggles, vision copayments, optometrists or ophthalmologist fees, and corrective eye surgery.
• Dental expenses, including dental care, deductibles and copayments, braces, x-rays, fillings, and dentures.

• Contributions are tax-free.
• Earnings are tax-free.
• Withdrawals are tax-free when they are made for eligible medical expenses.

• Employee contributions are deductible over the line. This means they are deductible even by individuals who don't itemize their taxes.
• Employer contributions are excluded from income and employment taxes.
• Salary reduction contributions are made through a Section 125 cafeteria plan.

• Qualified long-term care insurance.
• Health insurance while you are receiving federal or state unemployment compensation.
• Continuation of coverage plans, such as COBRA.
• Medicare.

• Surgery for cosmetic reasons
• Health club dues
• Illegal operations or treatment
• Maternity clothes
• Toothpaste, toiletries, and cosmetics

• When an individual within a family reaches the individual out-of-pocket limit. At this point, only that person will have their benefits covered at 100 percent for the remainder of the benefit period.
• When a combination of family members' expenses reaches the family out-of-pocket limit. At this point, all covered family members are considered to have met the out-of-pocket limit and will have their benefits covered at 100 percent for the remainder of the benefit period. Any combination of one or more family members can contribute toward and meet the family's total maximum.