Network and Access
Our provider network includes more than 140 hospitals and more than 29,000 physicians throughout Pennsylvania and parts of Ohio, West Virginia, and Maryland. Across the U.S., the networks include nearly 1.5 million health care providers and 6,400 hospitals3, as well as a retail pharmacy network that includes national chain, regional chain, and independent pharmacies.
Don’s Story
Don’s employer gave him the option to choose UPMC Health Plan. The network and access to life-saving care made Don glad he did. "I’m very fortunate that I did choose UPMC Health Plan because it allowed me to resolve my situation without worrying."
Pharmacy Network
Retail
UPMC Health Plan members have access to a broad retail pharmacy network that includes national chain pharmacies, regional chain pharmacies and hundreds of independent pharmacies.
Mail Order
Long-term maintenance medications are typically available through the Express Scripts mail-order pharmacy.
Specialty medications will generally be dispensed from Accredo Specialty Pharmacy or Chartwell Specialty Pharmacy and may be limited to a one-month supply.
Extended Network
UPMC Health Plan provides access to high-quality care for your employees and their covered dependents who are traveling or living outside our service area. The extended network is composed of the Cigna Healthcare® 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
Global Emergency Assistance with Assist America
Members traveling more than 100 miles from home have access to emergency medical assistance through Assist America.* This service can connect members and their covered family members to doctors, hospitals, and other emergency services—free of charge.
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 utilize 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 2024. Data is subject to change.
*Assist America is available when members experience a medical emergency while traveling more than 100 miles from their residence, including to another country, for less than 90 days. Assist America is not medical insurance.