Learn About Medical Assistance: UPMC for You
Learn about what makes UPMC for You unique, what's covered with a UPMC for You plan, and extra member benefits and services. You can also get answers to frequently asked questions.
Why UPMC for You?
It's such a comfort to have someone behind you who cares about your health and has the resources and coverage benefits to make a difference. That's UPMC for You. Our number-one goal: to help you live your healthiest life possible.
What’s Covered
As part of your benefits, UPMC for You helps you find a primary care provider (PCP) who can get to know you and your health concerns. UPMC for You can help provide you with medical, maternity, vision, and dental care as well as no-cost or low-cost prescription drugs when you get sick. We handle that all - and much more - so you can live your life with less worry.
Additional Benefits
UPMC for You can also help you make important lifestyle changes. A health coach can help you lose weight, reduce stress, eat healthier, get more active, or quit tobacco. Ask your doctor to suggest the right program for you.
Frequently Asked Questions
Get answers to frequently asked questions about Medicaid and Medical Assistance plans.
Zero Copayment Benefit Limitations
The zero dollar copayment benefit applies to medical and pharmacy benefits and is available to members who reside in the Lehigh/Capital, Northeast, and Southeast Physical HealthChoices zones only. The counties included in these zones are Adams, Berks, Bradford, Bucks, Carbon, Centre, Chester, Clinton, Columbia, Cumberland, Delaware, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming and York counties. Go to upmchp.us/ma-info for more information.
Free Transportation Limitations
UPMC for You’s transportation benefit provides non-medical fixed route transportation and is available to members who reside in the Northeast and Southeast Physical HealthChoices zones only. The counties included in these zones are Bradford, Bucks, Carbon, Centre, Chester, Clinton, Columbia, Delaware, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Monroe, Montgomery, Montour, Northumberland, Philadelphia, Pike, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, and Wyoming. The benefit is available at no additional cost. Mobile and paper ticketing options vary by county. If you are a UPMC for You member residing in the Northeast and Southeast Physical HealthChoices zones and have questions about how to utilize the benefit, please contact the UPMC for You Transportation Unit at 1-833-779-6827 (TTY: 711). Go to upmchp.us/ma-info for more information.
The Transportation Unit is available Monday through Friday, 8 a.m. to 5 p.m.
Your managed care plan may not cover all your health care expenses. Read your member handbook carefully to determine which health care services are covered.
For more information regarding UPMC Health Plan’s top-rated service, quality, and network providers, please visit upmchealthplan.com/best.