*** PLAN YEAR: APRIL 1, 2018 THROUGH MARCH 31, 2019 *** Gannon's healthcare and vision insurance plan - Highmark Blue Cross Blue Shield PO Blue - is administered by C. H. Reams and Associates. In addition to healthcare and vision care, the plan offers coverage when traveling abroad. Highmark Blue Cross Blue Shield Member Services: (800) 241-5704C. H. Reams and AssociatesContact: Tom Reams401 Cranberry Street, Suite 100Erie, PA 16507Phone: (814) 453-4357 or (800) 673-2518Fax: (814) 459-8600 Gannon's Premiums April 2018 Premium Rates with Wellness Initiatives April 2018 Premium Rates without Wellness Initiatives April 2019 Medical Premium Costs Spousal Coverage Surcharge: Effective with each new plan year (April 1 through March 30), when a colleague's spouse is eligible for coverage under his/her own employer's health insurance plan but elects to enroll or maintain enrollment in Gannon's health insurance plan, an additional $50 per pay (or $100 per month) will be added to the "Colleague Plus Spouse" or "Family" premium rates. Prescription Drug Coverage Effective April 1 colleagues are required to use the Express Scripts home delivery (mail-order) option for maintenance prescriptions. This plan saves participates 66% of normal copays on an annual basis. Click here for more information on how to get started using Express Scripts. More information about this option is available in the Human Resources Department. Healthcare Highmark BCBS PPO Blue: Summary Plan Description Highmark BCBS PPO Blue: Summary of Gannon Benefits and Coverage (effective 4/1/2018) Highmark BCBS PPO Blue: Reference Guide Facilities and Network Provider Directory Davis Vision Davis Vision serves as Gannon's provider for vision care. The vision plan is part of Gannon's Highmark BCBS PPO Blue Health Insurance Plan. Davis Vision: Summary Plan Description Benefits Summary Facilities and Network Provider Directory (Under: Find a Provider / Click: Eye Care Provider / Enter: Zip Code and Mile Radius) Direct Reimbursement Claim Form: (use this form for out-of-network provider services) Highmark and UPMC Agreement Highmark "Patient First" Summary - effective January 1, 2015 Highmark and UPMC Agreement Travel and Insurance Resources The Blue Cross Blue Shield symbols on your PPO Blue insurance ID card are recognized around the world. Therefore, your coverage travels abroad offering important protection for you and enrolled members of your family while traveling. Detailed information on the services provided are found in the Blue Cross Blue Shield Summary Plan Description in the section entitled The BlueCard Worldwide Program. Additional information is also available by contacting Member Services at (800) 241-5704.