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Learn the basics of how health insurance works—and how UPMC Health Plan's individual and family plans works for you.
UPMC Health Plan Marketplace information:
Information on our other individual and family plans:
Shop for a plan the way you choose. If you're already a member, you can manage your plan right here or log in to your personalized member portal.
Healthy employees are happier, more productive, and have fewer absences. Learn how UPMC Health Plan can help your employees live their healthiest lives.
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Employer Group Services: 1-888-499-6922
As a UPMC Health Plan member, you have access to much more than top-ranked care. Your plan includes online health tools, award-winning customer service, health and wellness programs, travel coverage, and many more benefits and services.
Manage the nuts and bolts of your plan from right here, or log in to your personalized member portal.
Current Members: 1-844-220-4785
When you are shopping on the marketplace for health insurance coverage, you’ll notice that plans are grouped into three categories: Bronze, Silver, and Gold. These metallic categories represent the levels of coverage that plans provide, on average, over time. Generally, low-coverage plans (Bronze) have low monthly premiums and higher out-of-pocket costs. High-coverage plans (Gold), meanwhile, have higher monthly premiums and low out-of-pocket costs.
You will be responsible for paying the remaining percentage for your covered health care services. Here’s an example based on these cost-sharing percentages:
You select a Silver-level plan and receive care that costs $1,000. Your plan covers $700 of the cost, and you must pay $300 out-of-pocket.
*Descriptions of costs and coverage in plan metal levels are approximate and based on required total average payment for costs of covered services. Examples provided are for illustration purposes only and are not reflective of actual plan benefits. Your cost-sharing and plan payment amounts may vary.