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Covid-19

COVID-19 coverage for members

Select your coverage type to view the enhanced health insurance benefits that are available to you. These benefits will stay in effect through the dates indicated on this page, so long as permitted under current state and federal emergency declarations.

$0 copay for the COVID-19 vaccine

No matter where in the country you get the COVID-19 vaccine, it will be covered as a preventive service at no cost to you as a member.

$0 copay for virtual visits, including UPMC AnywhereCare

Now through July 20, we are waiving all member cost sharing, including deductibles or copayments, for virtual health care visits with our network providers. We cover a variety of services via telehealth, including video office visits, telephone visits and check-ins, behavioral health, substance abuse treatment, physical therapy, speech therapy, and more.

If you are under the weather, you can reach a health care professional 24/7 without leaving your home through UPMC AnywhereCare*. Your smartphone, computer, or tablet is all you need!

Learn how to download the app, enroll, and use UPMC AnywhereCare
Visit UPMC AnywhereCare

No out-of-pocket costs for members for in-network, inpatient COVID-19 treatment

Now through July 20, we are waiving all deductibles, coinsurance, and copays for in-network, inpatient COVID-19 treatment for members.

No out-of-pocket costs for members for monoclonal antibody treatment

Monoclonal antibody treatment for COVID-19 is covered at no cost through July 20, 2021. a,b

No-cost COVID-19 diagnostic testing†

Now through July 20, we are waiving deductibles, copayments, and other cost-sharing for COVID-19 diagnostic testing when ordered by your medical provider.

Learn how to get tested

Early Prescription Refills

Early refill limits are waived on prescriptions filled at retail and specialty pharmacies until the end of the Public Health Emergency. Regular copays and other standard coverage requirements may apply.

UPMC MyHealth 24/7 Nurse Line

Our nurses offer support and advice on a wide range of health issues, including coronavirus. The MyHealth 24/7 Nurse Line is available at 1-866-918-1591 (TTY: 711).

*UPMC Health Plan members located in Pennsylvania at the time of virtual visit may select a UPMC-employed provider or a provider from Online Care Network II, P.C. (OCN), subject to availability and discretion of the provider. Members located outside of Pennsylvania will receive service from OCN. OCN is not an affiliate of UPMC.

Your wait time for UPMC AnywhereCare may be longer than usual due to increased call volume. If there is a wait, you can stay in the virtual waiting room or choose "text me when the provider is available."

If you have questions about your coverage, see your plan documents or contact Member Services at 1-877-539-3080 (TTY: 711) seven days a week from 8 a.m. to 8 p.m. for the most up-to-date information regarding your benefits.

†During the current public health emergency, members can receive no-cost diagnostic testing for COVID-19 when it is ordered by a licensed attending provider for purposes of individualized diagnosis and treatment.

aUPMC Health Plan will cover these services from in-network providers with no member cost share until July 20, 2021, so long as permitted under the current State and Federal emergency declarations.

bFor more information on monoclonal antibody treatments, visit UPMC.com/AntibodyTreatment or call 866-804-5251

$0 for the COVID-19 vaccine

The Pfizer-BioNTech vaccine is available for individuals 12 and older. No current vaccines are available for individuals under 12 years of age. If your child becomes eligible, no matter where in the country they get the COVID-19 vaccine, it will be covered as a preventive service at no cost to them as a member.

$0 copay for virtual visits, including UPMC AnywhereCare

Now through July 20, we are waiving all member copayments for virtual health care visits with our network providers.

UPMC Health Plan's telemedicine service, UPMC AnywhereCare, has expanded to offer care to children of all ages. With UPMC Children's AnywhereCare*, children ages 0-17 can have virtual visits 24/7 with UPMC Children's Hospital of Pittsburgh providers over live video. Anytime, day or night. Members who are 18 years old and older will continue to use UPMC AnywhereCare.

Learn how to download the app, enroll, and use UPMC AnywhereCare
Visit UPMC AnywhereCare

No out-of-pocket costs for members for in-network COVID-19 treatment

No out-of-pocket costs for members for monoclonal antibody treatment

Monoclonal antibody treatment for COVID-19 is covered at no cost through July 20, 2021. a,b

No-cost COVID-19 diagnostic testing†

Now through July 20, we are waiving copayments for COVID-19 diagnostic testing when ordered by your child’s medical provider.

Learn how to get tested

Early Prescription Refills

Early refill limits are waived on prescriptions filled at retail and specialty pharmacies until the end of the Public Health Emergency. Regular copays and other standard coverage requirements may apply.

UPMC MyHealth 24/7 Nurse Line

Our nurses offer support and advice on a wide range of health issues, including coronavirus. The MyHealth 24/7 Nurse Line is available at 1-866-918-1591 (TTY: 711).

Resources for UPMC for Kids Members

If you have experienced a financial hardship and are unable to pay your premiums because of a decrease or loss of income, please fill out our CHIP documentation form with “Income change/Reassessment” as your reason for contacting us. If you would like to speak to a representative, call us at 1-800-978-8762 (TTY: 711) Monday through Friday from 8 a.m. to 7 p.m.

UPMC for Kids

Visit UPMC for Kids to learn more about member benefits. For those currently enrolled in Pennsylvania Children’s Health Insurance Program (CHIP), CHIP has made temporary changes designed to ease access to CHIP and to keep families enrolled for the duration of the public health emergency. Read the COVID-19 CHIP Notice from the Pennsylvania Department of Human Services.

UPMC for Kids Members Health Care Concierge Services

If you have questions, our UPMC for Kids Health Care Concierge team will help you and your child every step of the way. Call 1-800-650-8762 (TTY: 711) Monday through Friday from 7 a.m. to 7 p.m. and Saturday from 8 a.m. to 3 p.m.

Health Management Programs

If your child needs day-to-day help with a health condition, UPMC for Kids is here for you, thanks to our care management programs. A nurse can help you and your child to better understand your child’s condition. Call 1-866-778-6073 (TTY: 711) Monday through Friday from 7 a.m. to 8 p.m. and Saturday from 8 a.m. to 3 p.m.

Additional Resources

The United Way of Pennsylvania

The United Way of Pennsylvania helps you connect with resources in your community, such as food/meals, housing, clothing, community services, financial assistance, and more. Visit pa211.org, dial 211, or text your ZIP code to 898-211.

Pennsylvania Statewide Support and Referral Helpline for COVID-19

The Department of Human Services has partnered with the Center for Community Resources (CCR) to create and staff the Pennsylvania Statewide Support and Referral Helpline for COVID-19. The Support and Referral Helpline is a 24-7 listening and referral service provided to all of Pennsylvania during the COVID-19 crisis. Call 1-855-284-2494 (TTY: 724-631-5600) to speak with a caseworker who’s there to counsel Pennsylvanians struggling with anxiety and other challenging emotions due to the COVID-19 emergency. You can also visit the Center for Community Resources.

Pennsylvania Department of Human Services

For emergency cash and food assistance visit COMPASS.

Food Assistance Resources

For the Food Bank’s Doorstep Delivery program, call 412-460-3663 ext. 655 Monday through Friday from 8 a.m. to 4:30 p.m. or visit Greater Pittsburgh Community Food Bank.

Behavioral Health Resources

It’s normal if you or your child(ren) are experiencing feelings of anxiety or depression right now. Resources are available to support you and your family’s mental well-being. Visit the websites or call the numbers below for more information.

If you have questions about your coverage, see your plan documents or contact Member Services for the most up-to-date information regarding your benefits.

*UPMC Children’s AnywhereCare is available only to patients who are in Pennsylvania. In order for a child to have a UPMC Children’s AnywhereCare visit, the child’s parent or legal guardian must be with the child during the video portion of the visit, and the child and parent or legal guardian must be in Pennsylvania during the visit. If you are located outside of Pennsylvania at the time of service, you may select the standard UPMC AnywhereCare module and you will receive care from a provider employed or contracted by Online Care Network II PC (OCN) at the discretion of the provider. OCN is not an affiliate of UPMC.

†During the current public health emergency, members can receive no-cost diagnostic testing for COVID-19 when it is ordered by a licensed attending provider for purposes of individualized diagnosis and treatment.

aUPMC Health Plan will cover these services from in-network providers with no member cost share until July 20, 2021, so long as permitted under the current State and Federal emergency declarations.

bFor more information on monoclonal antibody treatments, visit UPMC.com/AntibodyTreatment or call 866-804-5251

$0 for the COVID-19 vaccine

No matter where in the country you get the COVID-19 vaccine, it will be covered as a preventive service at no cost to you as a member.

$0 copay for virtual visits, including UPMC AnywhereCare

Now through July 20, we are waiving all member cost sharing for virtual health care visits with our network providers. We cover a variety of services via telehealth, including video office visits, telephone visits and check-ins, behavioral health, substance abuse treatment, physical therapy, speech therapy, and more.

If you or your child is under the weather, you can reach a health care professional 24/7 without leaving your home through UPMC AnywhereCare* and Children’s AnywhereCare. Your smartphone, computer, or tablet is all you need!

With Children’s AnywhereCare, your child (ages 0-17) can now have a video visit with a provider from UPMC Children’s Hospital of Pittsburgh.**

Learn how to download the app, enroll, and use UPMC AnywhereCare
Visit UPMC AnywhereCare

No out-of-pocket costs for members for in-network COVID-19 treatment

Now through July 20, we are waiving all deductibles, coinsurance, and copays for in-network, inpatient COVID-19 treatment for members.

No out-of-pocket costs for members for monoclonal antibody treatment

Monoclonal antibody treatment for COVID-19 is covered at no cost through July 20, 2021. a,b

No-cost COVID-19 diagnostic testing†

Now through July 20, we are waiving deductibles, copayments, and other cost-sharing for COVID-19 diagnostic testing when ordered by your medical provider.

Learn how to get tested

Early Prescription Refills

Early refill limits are waived on prescriptions filled at retail and specialty pharmacies until the end of the Public Health Emergency. Regular copays and other standard coverage requirements may apply.

UPMC MyHealth 24/7 Nurse Line

Our nurses offer support and advice on a wide range of health issues, including coronavirus. The MyHealth 24/7 Nurse Line is available at 1-866-918-1591 (TTY: 711).

*UPMC Health Plan members located in Pennsylvania at the time of virtual visit may select a UPMC-employed provider or a provider from Online Care Network II, P.C. (OCN), subject to availability and discretion of the provider. During the COVID emergency, members located outside of Pennsylvania will receive service from OCN. OCN is not an affiliate of UPMC. After the COVID emergency ends, UPMC AnywhereCare virtual visits are not covered services when UPMC for You members are traveling outside of Pennsylvania.

Your wait time for UPMC AnywhereCare may be longer than usual due to increased call volume. If there is a wait, you can stay in the virtual waiting room or choose "text me when the provider is available."

If you have questions about your coverage, see your plan documents or contact Member Services for the most up-to-date information regarding your benefits.

**UPMC Children’s AnywhereCare is available only to patients who are in Pennsylvania. In order for a child to have a UPMC Children’s AnywhereCare visit, the child’s parent or legal guardian must be with the child during the video portion of the visit, and the child and parent or legal guardian must be in Pennsylvania during the visit. During the COVID emergency, members located outside of Pennsylvania will receive service from Online Care Network II PC (OCN). OCN is not an affiliate of UPMC. After the COVID emergency ends, UPMC AnywhereCare virtual visits are not covered services when UPMC for You members are traveling outside of Pennsylvania.

†During the current public health emergency, members can receive no-cost diagnostic testing for COVID-19 when it is ordered by a licensed attending provider for purposes of individualized diagnosis and treatment.

aUPMC Health Plan will cover these services from in-network providers with no member cost share until July 20, 2021, so long as permitted under the current State and Federal emergency declarations.

bFor more information on monoclonal antibody treatments, visit UPMC.com/AntibodyTreatment or call 866-804-5251

$0 for the COVID-19 vaccine

No matter where in the country you get the COVID-19 vaccine, it will be covered as a preventive service at no cost to you as a member.

$0 copay for virtual visits, including UPMC AnywhereCare

Now through July 20, we are waiving all member cost sharing, including deductibles or copayments, for virtual health care visits with our network providers. We cover a variety of services via telehealth, including video office visits, telephone visits and check-ins, behavioral health, substance abuse treatment, physical therapy, speech therapy, and more.

If you or your child is under the weather, you can reach a health care professional 24/7 without leaving your home through UPMC AnywhereCare* and Children’s AnywhereCare. Your smartphone, computer, or tablet is all you need!

With Children’s AnywhereCare, your child (ages 0-17) can now have a video visit with a provider from UPMC Children’s Hospital of Pittsburgh.**

Learn how to download the app, enroll, and use UPMC AnywhereCare
Visit UPMC AnywhereCare

No out-of-pocket costs for members for in-network, inpatient COVID-19 treatment

Now through July 20, we are waiving all deductibles, coinsurance, and copays for in-network, inpatient COVID-19 treatment for members. Self-insured employer groups can opt out of this coverage.

No out-of-pocket costs for members for monoclonal antibody treatment

Monoclonal antibody treatment for COVID-19 is covered at no cost through July 20, 2021. a,b

No-cost COVID-19 diagnostic testing†

Now through July 20, we are waiving deductibles, copayments, and other cost-sharing for COVID-19 diagnostic testing when ordered by your medical provider.

Learn how to get tested

UPMC MyHealth 24/7 Nurse Line

Our nurses offer support and advice on a wide range of health issues, including coronavirus. The MyHealth 24/7 Nurse Line is available at 1-866-918-1591 (TTY: 711).

*UPMC Health Plan members located in Pennsylvania at the time of virtual visit may select a UPMC-employed provider or a provider from Online Care Network II, P.C. (OCN), subject to availability and discretion of the provider. Members located outside of Pennsylvania will receive service from OCN. OCN is not an affiliate of UPMC.

Your wait time for UPMC AnywhereCare may be longer than usual due to increased call volume. If there is a wait, you can stay in the virtual waiting room or choose "text me when the provider is available."

While almost all of our Individual and Group plans include extensive telehealth benefits, some ASO/self-funded employer plans do not cover telehealth services.

If you have questions about your coverage, see your plan documents or contact Member Services for the most up-to-date information regarding your benefits.

**UPMC Children’s AnywhereCare is available only to patients who are in Pennsylvania. In order for a child to have a UPMC Children’s AnywhereCare visit, the child’s parent or legal guardian must be with the child during the video portion of the visit, and the child and parent or legal guardian must be in Pennsylvania during the visit. If you are located outside of Pennsylvania at the time of service, you may select the standard UPMC AnywhereCare module and you will receive care from a provider employed or contracted by Online Care Network II PC (“OCN”) at the discretion of the provider. OCN is not an affiliate of UPMC.

†During the current public health emergency, members can receive no-cost diagnostic testing for COVID-19 when it is ordered by a licensed attending provider for purposes of individualized diagnosis and treatment.

aUPMC Health Plan will cover these services from in-network providers with no member cost share until July 20, 2021, so long as permitted under the current State and Federal emergency declarations.

bFor more information on monoclonal antibody treatments, visit UPMC.com/AntibodyTreatment or call 866-804-5251