Skip to main content

Navigators/Certified Application Counselors

Information to help you help others in your community

marketplace-logo

Welcome aboard, Navigators and Certified Application Counselors!

You have been tasked with the vital responsibility of educating people who are looking for insurance coverage on the Federally Facilitated Marketplace.

One of the goals of the Affordable Care Act (ACA) is making affordable health insurance available to as many people as possible. This helps people stay healthy, and it evenly spreads heath care coverage costs. You will distribute fair and impartial information about enrollment in qualified health plans and tell clients about the financial assistance available to them. You will make them aware of other plan options like Medicaid, Medicare, and the Children’s Health Insurance Program (CHIP).

UPMC Health Plan is here to assist you during the Federally Facilitated Marketplace Open Enrollment Period.* As you help your clients make the best decision about their health insurance, we can answer your questions about UPMC Health Plan coverage for individuals and families, health care reform, and more. Turn to this website for important information and resources throughout the Open Enrollment Period.

If you cannot find the information you need on this website, please call UPMC Health Plan’s hotline for Navigators and Certified Application Counselors at 1-855-498-8762.+

*The UPMC Health Plan Marketplace is a shopping site only for UPMC Health Plan products and is not the Federally Facilitated Marketplace. To access the UPMC Health Plan Marketplace, please visit upmchealthplan.com/marketplace. To access the Federally Facilitated Marketplace, please visit www.healthcare.gov.

+This hotline is for Navigators and certified application counselors only. It is not for general public use.

Contact Us

Have questions? We’re here to help.

If you have questions about UPMC Health Plan’s individual and family health insurance options, or if you need information about health care reform or the Federally Facilitated Marketplace, you can call us at one of the numbers listed below.

  • November 1, 2019 – December 7, 2019 — Seven days a week from 8 a.m. to 8 p.m.
  • December 8, 2019 – December 15, 2019 — 24/7
  • December 16, 2019 – October 31, 2020 — Monday through Friday from 8 a.m. to 5 p.m.

*This hotline is for Navigators and Certified Application Counselors only. It is not for general public use.

**This hotline and email address are for individuals and families who would like to speak to a UPMC Health Plan sales representative about UPMC Health Plan coverage. Please do not use the email address to send us personal health information, such as your health status, prescription use, or information about an illness or injury. Email is typically not encrypted and your information may not be protected. We will not answer any questions about your personal health information via email. We encourage you to call us with specific questions.

As a UPMC Health Plan member, you can enjoy:

  • Full in-network access to top-ranked doctors and hospitals and access to a national extended network when you need it.
  • Generous discounts on eye exams and products, plus affordable dental coverage options.
  • Comprehensive coverage for a variety of treatments and services.
  • Access to MyHealth, a health and wellness program that provides tools and resources to help you live your healthiest life.
  • Plans that are affordable.
  • Service from our award-winning Health Care Concierge team.
  • Flat rates (copayments) for most prescription medications.
  • Free mobile apps you can use to get your digital member ID card, have a Virtual Urgent Care visit with a provider, and more.
Learn more about the benefits of choosing UPMC Health Plan

Resources for Navigators and Certified Application Counselors

Refer to these resources when speaking to your clients about UPMC Health Plan coverage and general health care reform and health insurance-related issues.

Resources for Your Clients

These resources offer valuable information about how health insurance, health care, and the Federally Facilitated Marketplace work. We also offer printable worksheets for you to fill out with your clients to help them better understand the process of selecting a health insurance plan.

Links to health insurance information:

Printable Resources:

Materiales en Español

More Information

You and your clients can find more information about UPMC Health Plan's high-quality plan options from these sources:

Shop on the UPMC Health Plan Marketplace.*
Contact a UPMC Health Plan Sales Representative.**

*The UPMC Health Plan Marketplace is an online shopping site only for UPMC Health Plan products. It is not the Federally Facilitated Marketplace. To access the Federally Facilitated Marketplace, visit healthcare.gov.

**This link is for individuals and families who want to speak to a sales representative about UPMC Health Plan coverage.