Regulatory changes could impact your coverage in 2026. Stay informed this Open Enrollment season. See our FAQ for more information.

Open Enrollment is here! Let’s navigate it together

Welcome to 2026 Open Enrollment. Although things are a little different this year, we are still here to support you.

Being covered is important. We are here to help.

Let’s work together to find a plan that gives you everything you need to be as healthy and happy as possible.

We’re here to help you choose a plan that’s right for you.

To get one-on-one support, call: 1-877-563-0292 (TTY: 711), Monday through Friday from 8 a.m. to 5 p.m.*. You can also schedule an appointment online to talk to a representative.

*Hours may vary

 

Get free or low-cost coverage through the American Rescue Plan.

 
First, choose a starting date for coverage.

I need coverage for: (click all that apply)

Myself
My spouse/domestic partner
My child(ren) age 20 or younger
My child(ren) age 21 to 25
 
Manage your total care on one plan. New for 2026 – Now you can have medical, dental, and vision all in one plan!
 
UPMC Health Plan is now offering bronze, silver, and gold, plans bundled with dental and vision in the Select, Partner, and Premium networks.
To find out more call us at 1-877-563-0292 (TTY: 711) for help finding the option that will work best for you and your family.
 

Having health insurance is important for everyone at every age, and it’s important to select a plan that allows you to address your needs at every stage.

With UPMC Health Plan, you and your covered family members of all ages will enjoy benefits like $0 preventive care,1 no-cost preventive medications,2 access to top-ranked doctors and hospitals and an extended network3,4 . Resources are also available to help you and your family if you aren’t feeling well.

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.

4Go to upmchp.us/networkaccess for award information.

Having health insurance is important for everyone, and it’s important to select a plan that allows you to address your needs at every life stage.

With UPMC Health Plan, you and your covered family members will enjoy benefits like $0 preventive care and medications, access to top-ranked doctors and hospitals, and an extended network1-4. Resources are also available to help you and your family if you aren’t feeling well.

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.

UPMC First Care has a $0 copay for:
  • 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.
 
 
Learn about UPMC First Care

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.
Learn about UPMC VirtualCare

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:

As a member, you will have all the resources you need to manage your health:
Access to care to help you stay healthy.
$0 preventive care that covers many health services for adults and children at 100 percent1
No-cost preventive medications2
Access to top-ranked doctors and hospitals and an extended network34
Care for your mental and physical health
Six free counseling sessions through LifeSolutions®5
Free health coaching to help you make healthy changes in your life
Support you when you need it
24/7 video visits for treatment that fits your schedule and is covered at 100 percent by most plans6
The UPMC Health Plan app for easy access to your health insurance information
Our exceptional Health Care Concierge team for help navigating your benefits through an online chat or phone call
 
#1 in Member Satisfaction in Commercial Health Plans in Pennsylvania and most trusted 2 years in a row
 
For J.D. Power 2025 award information, visit jdpower.com/awards.
Learn about our high-quality plans for individuals and families.
See our 2026 Product Guide

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.

4For details, visit upmchp.us/networkaccess.

5UPMC 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.

6UPMC 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.

 
My employer is providing my insurance
I am a Producer/Insurance agent
I would like to learn about rate changes.
I am a Member.