Plan design options include exclusive provider organization (EPO) and preferred provider organization (PPO) plans, including a qualified high-deductible health plan.
All plans feature the Premium Network, our broadest network, giving in-network access to the best hospitals and doctors near the places where members work and live.
Plan designs that promote coordinated care.
Overview
UPMC MyCare Advantage offers tiered benefit plans with out-of-pocket costs that vary depending on where members receive care. Level 1 includes high-value, high-performing providers with value-based contracts. It includes all UPMC-owned physician practices and hospitals, plus many community-based providers. Level 2 provides access to care from more than 15,000 additional providers at a higher member cost share. Level 3 (PPO only) provides access to out-of-network providers at the highest member cost share. With UPMC MyCare Advantage, employees have maximum flexibility and provider choice.
UPMC MyCare Advantage plans are available to employers with 2-50 employees located in Allegheny, Beaver, Bedford, Blair, Butler, Erie, Fayette, Lawrence, Mercer, Somerset, Venango, Washington, and Westmoreland counties.
UPMC MyCare Advantage plans are offered to employer groups with 51 or more employees located in Allegheny, Beaver, Bedford, Berks, Blair, Butler, Clinton, Cumberland, Dauphin, Erie, Fayette, Lawrence, Lycoming, Mercer, Somerset, Tioga, Venango, Washington, and Westmoreland counties.