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Innovative Products from UPMC Health Plan
UPMC First Care™ Focus on your care, not your copay.
UPMC First Care™ features $0 copays for a variety of in person and virtual visits. This makes it easier to budget for the care you need.
- The first in-person and virtual PCP visits.
- The first in-person and virtual specialist visits.
- 24/7 video visits.5
- All in-office visits and virtual behavioral health visits.
- The plan also offers access to health coaching, digital resources (such as a member website and app) to help you manage your plan, and health and wellness discounts.
UPMC VirtualCare™ Your care. Your choice. Your way.
UPMC VirtualCare™ provides access to some of the highest-quality care in Pennsylvania and is designed to meet many health care needs.
It can connect you to care your way—virtually or in person. You know what you need, so you can choose what’s best for you.
UPMC VirtualCare provides:
- The flexibility of virtual visits.
- $0 copays for virtual primary care, 24/7 video visits, and all behavioral health care visits.
- A reduced rate for virtual specialist visits.
UPMC VirtualCare is available in all UPMC Select and Partner Network counties, and it can be purchased as a Bronze or Silver plan.
Discover the value of UPMC Health Plan
Access to care to help keep you healthy
Care of your mental and physical health
Support you when you need it
*UPMC Health Plan is the marketing name used to refer to the following companies, which are licensed to issue individual and group health insurance products or which provide third-party administration services for group health plans: UPMC Health Network Inc., UPMC Health Options Inc., UPMC Health Coverage Inc., UPMC Health Plan Inc., UPMC Health Benefits Inc., UPMC for You Inc., and/or UPMC Benefit Management Services Inc.
1Preventive care will be covered at 100 percent only when it is received from a participating provider and it is billed as preventive. A separate cost share may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.
2Preventive medications on UPMC Health Plan’s Advantage Choice formulary will be covered with no cost share for members who meet certain criteria in accordance with the Patient Protection and Affordable Care Act of 2010.
3Go to upmchealthplan.com/BEST for award information.
4Only the virtual visit with the provider will be covered at 100 percent. Prescription drug and other costs related to the visit or recommended by the provider will not be included in the virtual visit coverage and will be your responsibility. If you are enrolled in the UPMC Advantage Silver HSA $4,000/$0, UPMC Advantage Gold HSA $2,500/10%, or UPMC Advantage Catastrophic $9,200/$0 plan, UPMC AnywhereCare virtual visits will be covered at 100 percent after you meet your deductible. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.
5UPMC Health Plan members 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. OCN is not an affiliate of UPMC. Limitations may apply for members of ASO plans that have opted out of coverage. Providers are not available to treat members who are in Puerto Rico.