Federal Employees Health Benefits with UPMC Health Plan
Welcome! Federal Employees Health Benefits (FEHB) plans include award-winning customer service and programs to keep you healthy.
Access the 2025 Open Season Benefit GuideWho we are
UPMC Health Plan, headquartered in Pittsburgh, Pennsylvania, is among the nation's fastest-growing health plans. It is owned by UPMC, a world-renowned health care system.
Our Federal Employees Health Benefits (FEHB) plans are designed with your needs in mind. When you choose UPMC Health Plan, you get access to:
- A personalized incentivized rewards program— Take A Healthy Step—that can help you understand and improve your health.
- 24/7 virtual visits through UPMC AnywhereCare.1
- The UPMC MyHealth 24/7 Nurse Line, where UPMC registered nurses are available to answer general health questions or help you determine what care you need—at no cost.2
- RxWell®, a self-guided app you can use to manage your stress, anxiety, depression, nutrition, physical activity, weight, and more.
- Travel assistance through Assist America, a global emergency assistance program for members who are traveling more than 100 miles from home.
- Award-winning customer service and so much more!3
Network and access
Nearly 400 UPMC physicians were recognized as 2024 "Top Doctors" across more than 60 different specialties. UPMC doctors represented more than half of the physicians listed in Pittsburgh. These physicians were part of the Top Doctors® list, which was compiled by Castle Connolly. The Castle Connolly Top Doctor selection process is entirely merit-based. Doctors cannot pay to be listed.
Fifteen UPMC hospitals earned top "A" grades from The Leapfrog Group's spring 2024 Hospital Safety Grades. This is the highest possible rating and the nation's top distinction for patient safety.
As an FEHB member, you also have access to an extended network of providers for care wherever you are in the U.S, as well as access to more than 65,000 pharmacies nationwide.
Medicare options
You can get more out of your coverage by combining a Medicare plan option with our FEHB plan options. You can lower your out-of-pocket costs when you pair the Standard Option HMO with our Medicare Advantage plan: UPMC for Life FEHB Retirees. You can also choose to pair your Original Medicare with the Standard Option HMO.
Contact us
For more information about UPMC Health Plan, you can speak with a Health Care Concierge by calling 1-877-648-9641 (TTY: 711).
Hours of operations: Monday through Friday 8 a.m. to 6 p.m.
1095-B tax forms
As of January 2020, the Internal Revenue Service no longer requires you to file the 1095-B form as part of your federal tax return because Congress eliminated the tax penalty for failing to meet the individual mandate. UPMC Health Plan will no longer mail the form to you, but you can easily obtain an electronic copy by visiting the UPMC Health Plan member site for quick and convenient access. Search under Forms and Guides then navigate to Plans and Coverage.
You may also request a printed copy of your 1095-B form by:
- Mailing your request to Attn Enrollment, UPMC Health Plan, 600 Grant Street, Pittsburgh, PA 15219.
- Submitting a request online by filling out our 1095-B contact form or emailing your request to 1095BInquiry@upmc.edu. Please include your member ID, name, and tax year being requested.
Please note: With the exception of members of Congress or designated Congressional staff, the Health Insurance Marketplace does not affect FEHB Program enrollees. For additional information, visit OPM's website.
This is a summary of the features of UPMC Health Plan. Before making a final decision, please read the Health Plan's federal brochure RI 73-797. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.
1UPMC Health Plan members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to availability and discretion of the provider. Members located outside of Pennsylvania at the time of service or those who select Talk Therapy or Psychiatry services will receive care from a provider employed or contracted by Online Care Network II P.C. (OCN), also known as Amwell Medical Group. OCN is not an affiliate of UPMC. Limitations may apply for members of ASO plans that have opted out of coverage. Providers are not available to treat members who are in Puerto Rico.
2UPMC nurses who answer calls are licensed to assist members in Pennsylvania, West Virginia, Maryland, New York, and Ohio. Members must be in one of those states when calling the UPMC MyHealth 24/7 Nurse Line. The UPMC MyHealth 24/7 Nurse Line is not a substitute for medical care. If an emergency arises, call 911 or go to the emergency department. Nurses cannot answer plan or benefit questions. Please call the Member Services phone number on the back of your ID card for questions regarding your plan benefits.
3Visit upmchealthplan.com/best for award information.