At UPMC Health Plan, we believe the disease or condition that’s easiest to treat is the one you never get. That’s why we cover so many preventive services for children and adults at 100 percent—which means you pay nothing.

These services fall into three categories:

Screenings¹
Immunizations
Health exams

Common adult screenings include well-visits, breast cancer screenings, cervical cancer screenings, and colorectal cancer screenings. Common adult immunizations include the tetanus, diphtheria, and pertussis (Tdap) vaccine as well as those for the flu and shingles (infection of the nerves).² If you have children covered under your plan, they are also covered at 100 percent for a variety of developmentally appropriate screenings and immunizations.

During a routine preventive exam, your doctor may find something that requires follow-up care. What then? If your routine preventive service leads to the need for follow-up care, or if you need to be treated for an injury or illness, those additional services will likely be covered—but not at 100 percent.³

For a list of preventive services that your plan covers at no cost to you, log in to UPMC Health Plan member site, click on Your Insurance, and go to Plans and Coverage. Once here, choose a type of coverage (medical, vision, or dental) to view your Schedule of Benefits.

View Preventive Guidelines for Adults and Children (PDF)

For Members

For Members

For Members

For Members

For Members

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Preventive Services to Help You Stay Well

For Members

For Members

For Members

For Members

For Members