UPMC National Access
Claim processing and reimbursement are integrated.
Employees can simply show their UPMC Health Plan member ID card to receive routine, urgent and emergent care—no matter where they are.
Employees have access to care and the same benefits no matter where they live.
Overview
With UPMC National Access, employees can receive access to care in UPMC Health Plan’s service area through the UPMC Premium Network, and they can visit providers nationwide through the Cigna HealthcareSM PPO Network1 and SuperMed PPO networks.2 Employees can receive routine, urgent and emergent care with seamless claim administration wherever they are.
1 The 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.
2 UPMC 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 utilize the Cigna Healthcare PPO Network.