Sign in to the UPMC Health Plan member site
To access the member site, enter your user ID below.UPMC Health Plan member site
Sign InForgot username or passwordIf you forgot your user ID or need assistance, please call our Help Desk at 1-800-937-0438.
New to UPMC Health Plan? Setup your digital login to access key information 24/7.
With your login, you can access the UPMC Health Plan member site and app for plan information, the RxWell® app to meet with a health coach for wellness support, UPMC AnywhereCare for virtual care, and the UPMC MyHealth 24/7 Nurse Line for no-cost health advice from a UPMC nurse, and more!
Having trouble?
Call our Web Support Services team toll-free at 1-800-937-0438 (TTY: 711). Help is available Monday through Friday from 7 a.m. to 7 p.m. and Saturday from 8 a.m. to 3 p.m.
With the UPMC Health Plan member site, you can:
Review your member guide
Whether you're a new or returning member, taking a few minutes to review your member guide is essential. Updated annually, this guide highlights your plan’s offerings and provides valuable insights to help you manage your health and healthcare expenses.
There are two ways to access your member guide:
- UPMC Health Plan member site: Coverage and Benefits > Member Guide.
- UPMC Health Plan app: Plan Details > Member Guide.
Update your communication preferences
Traditional mail could take days to arrive. Go paperless to receive your documents electronically and notifications by email or text message. By electing to receive documents like your Explanations of Benefits (EOB) on the member site rather than by mail, you’ll have everything you need in one place. Sign in to update your preferences.
Select or confirm a primary care provider (PCP)
Your primary care provider (PCP) is essential in managing your health. They offer preventive care and annual wellness visits, treat illnesses, coordinate specialized services, and provide referrals when needed. Having a PCP means that you have access to health care provider who knows you and your medical history. Choosing a PCP is an important step toward enjoying better health and peace of mind.
You can sign in to the UPMC Health Plan member site or app to easily search for and select a primary care provider (PCP) or designate your current provider. By using the Find Care feature while signed in, your member information is automatically pulled in, saving you time and effort. If you prefer to use the Find Care page without signing in, be sure to have your member ID number handy to search for providers.
Schedule a wellness visit
Having a wellness visit with your PCP is a simple step you can take to stay on top of your health. These checkups can help your provider detect potential health issues early, make sure you have important screenings, and create a personalized care plan that works for you.
Download the UPMC Health Plan member app
With our members-only app, you can access your digital member ID cards, track your health care spending, find in-person care, schedule a virtual visit using UPMC AnywhereCare, and get help from our Health Care Concierge team within minutes.
Review your Recommended Care
As a UPMC Health Plan member, you have access to many preventive services at no cost to you. Preventive screenings are important because they can help your PCP detect diseases and conditions early when they may be more treatable.
Use the UPMC Health Plan member site or app to learn which preventive screenings are recommended for you.
Don't delay—schedule your preventive screenings today!
Review your recommended care
Enroll in autopay
If you enrolled for coverage through your employer, you will pay your share of premium cost through a payroll deduction, so you cannot enroll in autopay.
If you enrolled for coverage on your own, you must pay your premium every month. You can make this process fast and easy by enrolling in autopay. This reoccurring payment option is simple and secure. This reoccurring payment option is simple and secure.
For those enrolled for coverage on your own, check all the ways you can pay for your bills.
View documents and details
View coverage and spending details, download forms, and access plan documents in the UPMC Health Plan member site.
When you sign in, you’ll also have access to:
- Your coverage and plan details, including a summary of your recent claims and spending summary for your plan.
- PCP information.
- Account balances for any spending accounts you have.
- Prescription history.
- Recommended Care for you to complete.
- A medical cost estimator that will give you an idea of how much a procedure will cost.