Here’s the plan for comprehensive care, when and where you need it
When you think of access to quality care, think of UPMC Health Plan. We partner with the world-class hospitals of UPMC and valued community providers to help our members receive exceptional care.
If you need care while living or traveling outside our service area, you can use a national network to access high-quality care. It is composed of the Cigna HealthcareSM PPO Network1 for members who are outside the UPMC Health Plan service area and not in Ohio, and the SuperMed PPO Network for members in Ohio.2 The Cigna Healthcare PPO Network has nearly 1.5 million health care providers and 6,400 hospitals.3 If you need care while traveling, we're there for you.
So when your employer gives you a choice this year, choose the health plan that gives you in-network access to an outstanding health care experience. Choose UPMC Health Plan.
Take care of your total health—anytime, anywhere
UPMC AnywhereCare
With the UPMC AnywhereCare telemedicine platform, you can receive care 24/7/365 for nonemergency conditions, including cold and flu symptoms, sinus infections, allergies, and pink eye.4 Eligible users can also chat with licensed pharmacists about their medications, get personalized health guidance from health navigators, schedule appointments with board-certified health coaches, or connect with talk therapy and psychiatry resources.
UPMC MyHealth 24/7 Nurse Line
You can get health advice from a registered nurse by calling the UPMC MyHealth 24/7 Nurse Line.5 Nurses are available day and night to help you decide how to address a health concern—at no cost to you.
Student and dependent coverage
Dependents (up to age 26) who live outside the service area have coverage through our national network. If your dependents are attending a college or university, they can receive in-network care from an on-campus student health center.6
Travel
Need care while you’re traveling? We're there for you. UPMC Health Plan, through the Cigna Healthcare PPO Network, provides nationwide access to care.
Free global emergency travel assistance
As a UPMC Health Plan member, you have access to Assist America, a unique global emergency travel assistance program. You can use this service if you experience an emergency while traveling more than 100 miles from home (including to another country) for less than 90 days.6 Assist America can connect you and your covered family members to doctors, hospitals, pharmacies, and more. This service is available at no cost to you.
When you and your dependents need to use your health benefits, we’ve got you covered. Anytime, anywhere.
National network access depends on the exact plan your employer chooses to offer.
1The Cigna Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration. Cigna Healthcare is an independent company and is not affiliated with UPMC Health Plan and its affiliates. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with UPMC Health Plan. All Cigna Healthcare products are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property Inc. Access to the Cigna Healthcare PPO Network outside of the UPMC Health Plan service area is applicable for members in Bucks, Chester, Delaware, Franklin, Fulton, Juniata, Mifflin, Montgomery, Montour, and Philadelphia counties in Pennsylvania; all other states except Ohio; Garrett and Allegany counties in Maryland; and Chautauqua, Cattaraugus, and Allegany counties in New York.
2UPMC Health Plan commercial members and their dependents who reside in Ohio do not have access to the Cigna Healthcare PPO Network and will continue to access care through the SuperMed PPO Network. Ohio residents/members, while traveling outside of the state of Ohio, can use the Cigna Healthcare PPO Network.
3 Cigna Healthcare analysis of actual providers contracted as part of the Cigna Healthcare PPO for Shared Administration as of July 2023. Data is subject to change.
4Members 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 PC (OCN), also known as Amwell Medical Group. It is at the discretion of OCN providers to choose whether to treat patients ages 0 to 2. OCN is not an affiliate of UPMC. Limitations may apply for members of ASO plans who have opted out of coverage. UPMC Children’s AnywhereCare is not available outside of Pennsylvania. If a member is under the age of 18, the member’s parent or legal guardian must be with the member during the video portion of the visit, and the child and parent or legal guardian must be in Pennsylvania during the visit. Providers are not available to treat members who are in Puerto Rico.
5UPMC 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, please call 911 or your local ambulance service, go to the nearest emergency room, or call or text the Suicide and Crisis Lifeline at 988. Nurses cannot answer plan or benefit questions. For plan or benefit information, please contact Member Services at the phone number on your ID card or call 1-844-220-4785 (TTY: 711) Monday through Friday from 8 a.m. to 6 p.m.
6Coverage at student health centers may not apply to all plans.
7Assist America is not travel or medical insurance. Its services will not replace health coverage while members or their dependents are away from home. All services must be arranged and provided by Assist America. Bills for any medical costs you incur should be submitted to UPMC Health Plan. They will be subject to the policy limits of your health coverage. For travel that will extend beyond 90 days, you can obtain additional Assist America coverage through the Expatriate/Extended Coverage program. Your dependents who are studying abroad can also use this coverage. Assist America charges a fee for this program. You may have a cost share for services that Assist America helps to arrange.