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Text Content

 
UPMC Health Plan
 
 
Find
Insurance
UPMC Health Plan

Have a question or need help choosing a plan?
Call 1-877-563-0292 (TTY: 711)
M-F: 8am-5pm
Sat: 9am-5pm
Sun: 10am-4pm


UPMCHealthPlan.com |Your Feedback |Contact Us |

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UPMC Health Plan

 




DO YOU HAVE A QUESTION OR NEED HELP CHOOSING YOUR PLAN?

 
1-877-563-0292 (TTY: 711)
 
Nov. 1, 2023, to Jan. 15, 2024, Monday to Saturday from 8 a.m. to 8 p.m.
 
Jan. 16 to Oct. 31, 2024, Monday through Friday from 8 a.m. to 5 p.m.
 


OPEN ENROLLMENT IS ALMOST OVER.
SELECT A PLAN BY JANUARY 15.

 
First, choose a starting date for coverage.

I am looking for insurance to start on: Select... 02/01/2024 03/01/2024

I need coverage for: (click all that apply)

Myself
My spouse/Domestic partner
My child(ren) age 20 and younger
My child(ren) age 21-25

Next

 




Financial savings are available
 
Thanks to financial savings, you may be able to lower the cost of your monthly
premiums. You can check to see if you are eligible by starting your shopping
experience.
 
We’re here for you every step of the way. Please call us at 1-833-776-4540 (TTY:
711) for help finding the option that will work best for you and your family.




INNOVATIVE PRODUCTS FROM UPMC


OUR NEW UPMC FIRST CARE™ PLAN ALLOWS YOU TO ENJOY A $0 COPAY FOR MANY SERVICES:


UPMC First Care™

Focus on your care, not your copay

Cost savings

 * $0 copay for first in-person and virtual PCP visits
 * $0 copay for first in-person and virtual specialist visits
 * $0 copay for all virtual urgent care visits using UPMC AnywhereCare app
 * $0 copay for all behavioral health office visits


Choice

 * Access to convenient, low-cost care virtually or in person
 * 24/7 access to care through UPMC AnywhereCare


Patient experience

 * Integrated benefit plan that requires no payment card to access benefits
 * $0 copay automatically applied for qualifying visits
 * Digital resources to help members manage their plan, including a member
   website, app, and health and wellness discounts

Learn about UPMC First Care




HAVE YOU HEARD ABOUT OUR AFFORDABLE, VIRTUAL-FIRST PLAN: UPMC VIRTUALCARE?*

UPMC VirtualCare provides access to the highest-quality care in Pennsylvania and
is designed to meet many financial and health care needs.



It connects you to convenient, low-cost care your way—virtually or in person.
You know what you need, so you can choose what’s best for you.


 * Get the flexibility of virtual visits at a lower cost.
 * Enjoy $0 copays for virtual primary, urgent, and behavioral health care
   visits.
 * Take advantage of a reduced rate for specialist visits.



UPMC VirtualCare is now available in all Select and Partner Network counties and
can be purchased as a Bronze or Silver plan.

Learn about UPMC VirtualCare




Click for sound





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DISCOVER THE VALUE OF UPMC HEALTH PLAN:

You will have all the resources you need to manage your health within easy
reach:

Access to care to help keep you healthy

$0 preventive care that covers many health services for adults and children at
100 percent1
No-cost preventive medications2
Access to top-ranked doctors and hospitals and a national extended network3,4


Care of your mental and physical health

Six free counseling sessions through LifeSolutions®5
Free health coaching to help you make healthy changes in your life
The RxWell® app helps support your total well-being


Support you when you need it

Virtual urgent care 24/7 for treatment that fits your schedule and is covered at
100 percent by most plans6
The UPMC Health Plan app for easy access to your health insurance information
Our exceptional Health Care Concierge team for help navigating your benefits
through an online chat or phone call


Learn about high-quality plans for individuals and families and financial aid
options that can help you save on your coverage.
See our 2024 Product Guide



*Available in all Partner and Select Network counties.

*This health insurance policy may not cover all your health care expenses. Read
your contract or member handbook carefully to determine which health care
services are covered.

1Preventive care will be covered at 100 percent only when it is received from a
participating provider and it is billed as preventive. A separate cost share may
apply if additional medical services are received during the same visit or if
your preventive care appointment becomes diagnostic in nature.

2Preventive medications on UPMC Health Plan’s Advantage Choice formulary will be
covered with no cost share for members who meet certain criteria in accordance
with the Patient Protection and Affordable Care Act of 2010.

3Go to upmchealthplan.com/BEST for award information.

4UPMC Health Plan commercial members and their dependents who reside or are
traveling in Ohio will continue to access care through the SuperMed PPO Network
and, while traveling outside of the state of Ohio, can also utilize the Cigna
PPO Network.

5UPMC AnywhereCare Virtual Counseling is available to UPMC Health Plan members
who are located in Pennsylvania at the time of the visit. The service is
available to members of your household who are 18 years old and older. If
further counseling is needed, the counselor may refer you or your household
members to relevant community resources.

6Only the virtual visit with the provider will be covered at 100 percent.
Prescription drug and other costs related to the visit or recommended by the
provider will not be included in the virtual visit coverage and will be your
responsibility. If you are enrolled in the UPMC Advantage Silver HSA $4,000/$0;
UPMC Advantage Gold HSA $2,500/10% plan or the UPMC Advantage Catastrophic
$9,450/$0 plans, UPMC AnywhereCare virtual visits will be covered at 100 percent
after you meet your deductible. This information is not a complete description
of benefits. Contact the plan for more information. Limitations, copayments, and
restrictions may apply.


 


My employer is providing my insurance
I am a Producer/Insurance agent
I would like to learn about rate changes.
I am a Member.
 


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Privacy Statement & HIPAA Forms | Terms & Conditions | Transparency in
Coverage | Nondiscrimination NoticePintrestInstagramYouTubeTwitterFacebook
Copyright 2024. UPMC Health Plan, Inc.
 
Attention: This website is operated by UPMC Health Plan* and is not the
Pennie® website at pennie.com. This website does not display all qualified
health plans available through Pennie. To see all available qualified health
plans, go to the Pennie website at pennie.com.

You should also visit the Pennie website if you are applying for financial
assistance through the marketplace.

*UPMC Health Plan is the marketing name used to refer to the following
companies, which are licensed to issue individual and group health insurance
products or which provide third-party administration services for group health
plans: UPMC Health Network Inc., UPMC Health Options Inc., UPMC Health Coverage
Inc., UPMC Health Plan Inc., UPMC Health Benefits Inc., UPMC for You Inc.,
and/or UPMC Benefit Management Services Inc.

Go to upmchealthplan.com/best for award information.

 




CAN WE HELP?

If you've got a question or need more information, please don't hesitate to
contact us.

Give us a call. You'll speak to a real person who will help answer your
questions or connect you to the right source.

 
Call 1-877-563-0292 (TTY: 711)

View Hours

Or Visit a Connect Center





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For assistance, please call UPMC Health Plan Direct Connect Sales Center at
1-877-563-0292 (TTY: 711).

For assistance, please call UPMC Health Plan Direct Connect Sales Center at
1-855-208-8762 (TTY: 711).

For assistance, please call UPMC Health Plan Direct Connect Sales Center at
1-855-306-8276 (TTY: 711).