Renewing Your Health Insurance

UPMC Health Plan will put all the resources you need to manage your health within easy reach:

Access to the care you need to get or stay healthy

• $0 preventive care covers many health services for adults and children at 100 percent²
• No-cost preventive medications³
• Access to top-ranked doctors and hospitals and an extended network^4,5

Help to take care of your mental and physical health

• Six free counseling sessions through LifeSolutions^®6
• Free health coaching to help you make healthy changes in your life
• The RxWell® app to support your total well-being

Support when you need it

• Virtual urgent care 24/7 for treatment that fits your schedule and is covered at 100 percent by most plans⁷
• The UPMC Health Plan app for easy access to your health insurance information
• Our exceptional Health Care Concierge team, which can help you navigate your benefits with a quick chat or phone call

Ready to re-enroll?

Let us help you determine your next steps.

¹ Preventive 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 may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.

² Tier 5 preventive 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.

³ Go to upmchealthplan.com/BEST for award information.

⁴ UPMC Health Plan commercial members and their dependents who reside or are traveling in Ohio will continue to access care through the SuperMed PPO Network and, while traveling outside of the state of Ohio, can also utilize the Cigna PPO Network.

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 who have opted out of coverage. Providers are not available to treat members who are in Puerto Rico.

⁶UPMC AnywhereCare Virtual Counseling is available to UPMC Health Plan members who are located in Pennsylvania at the time of the visit. The service is available to members of your household who are 18 years old and older. If further counseling is needed, the counselor may refer you or your household members to relevant community resources.

⁷Only 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.

Contact the plan for more information. Limitations, copayments, and restrictions may apply.