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Do you have a question or need help choosing your plan?
Get free or low-cost coverage through the American Rescue Plan.
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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.
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Innovative Products from UPMC
Our NEW UPMC First Care™ plan allows you to enjoy a $0 copay for many services:
Focus on your care, not your copay
- $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
- Access to convenient, low-cost care virtually or in person
- 24/7 access to care through UPMC AnywhereCare
- 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
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 VirtualCareDiscover the value of UPMC Health Plan:
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$0 preventive care that covers many health services for adults and children at 100 percent1
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No-cost preventive medications2
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Access to top-ranked doctors and hospitals and a national extended network3,4
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Six free counseling sessions through LifeSolutions®5
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Free health coaching to help you make healthy changes in your life
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The RxWell® app helps support your total well-being
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Virtual urgent care 24/7 for treatment that fits your schedule and is covered at 100 percent by most plans6
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The UPMC Health Plan app for easy access to your health insurance information
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Our exceptional Health Care Concierge team for help navigating your benefits through an online chat or phone call
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*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.