Welcome to UPMC Health Plan
This page shows you how to get the most out of your coverage. It’s a good idea to bookmark it. Whether you’re a new or returning member, it’s important to us that you get the most out of your plan and are fully equipped for any health situation.
After you receive your member ID number, you can access the UPMC Health Plan member site and app.
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!
Register for a UPMC Health Plan Login
Already have a UPMC Health Plan Login?
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.
After you register for your login, complete the to-dos list below using the member site or app to get the most of your plan and benefits:
Review your coverage.
Your Schedule of Benefits lists the medical services that are covered under your plan. It also details the levels of coverage provided for those services. Before you seek care from any providers, review your Schedule of Benefits for details about your copayments, coinsurance amounts, and out-of-pocket maximum.
View your schedule of benefits
Understand the costs of your plan.
Did you enroll for health insurance through your employer? You may pay your share of the premium cost through a payroll deduction.
Did you purchase health insurance on your own? Learn how to pay your monthly bill.
Your Explanations of Benefits (EOBs) provide details about the health care you and your covered family members have received and what we've paid during the plan. You can view your EOBs on the UPMC Health Plan member site and app.
After your effective date, you can:
Select and schedule a visit with your primary care provider.
Make searching for or confirming your primary care provider (PCP) a priority. Your PCP’s goal is to help keep you healthy and give you the best possible care. PCPs offer no-cost preventive care—including annual check-ups and vital screenings—and can coordinate any additional services you need. You can choose or confirm your PCP on the UPMC Health Plan member site or app.
Review your member guide.
Whether you are a new or returning member, it’s important to take a few minutes to review your member guide. We update this guide each year, and the information it contains will help you take control of your health and your health care expenses.
Download the UPMC Health Plan app.
Our app makes it easy to navigate your insurance benefits, find the care you need, access virtual care with UPMC AnywhereCare 24/7, and get answers to your questions through live chat. Get peace of mind from knowing your health insurance information is available on demand.
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. You can update your preferences at any time with the UPMC Health Plan member site or app.
Review your care options.
Getting the right care at the right time is important. As a UPMC Health Plan member, you have options to address an illness or injury. Knowing all your options can help you quickly get care in a cost-effective way.
Review your recommended care.
As a UPMC Health Plan member, you have access to many preventive services at no cost to you. That means you can receive your screenings without breaking the bank. Preventive screenings are important because they can help your health care provider detect diseases and conditions early, when they may be most treatable. Access preventive services that can help you stay well. Use the UPMC Health Plan member site or app to find out which preventive screenings are recommended for you and to schedule appointments.
Submit any necessary forms.
Transition of Care (TOC) form (PDF): If you join UPMC Health Plan while receiving ongoing treatment from a nonparticipating provider, you can request to keep receiving care from that provider for up to 90 days from the date your UPMC Health Plan coverage begins (your effective date). To get started, complete this form and email it to your provider. You can also print the form, fill out the fields in black ink, and mail or fax it to your provider. Your provider must return the form and any applicable documentation to UPMC Health Plan within 30 days of your effective date.
- Personal Representative Designation (PRD) form (PDF): Your dependents over the age of 13 must complete, sign, and date a PRD form to give UPMC Health Plan permission to share the dependent's personal health information with you, a guardian, a family member, or another custodian.
- View any other forms about your coverage and benefits on the UPMC Health Plan member site.
- Use our programs and tools to help you live your healthiest life.
- Find doctors, hospitals, and pharmacy information with our provider directory search tool.
- Sign up for one-on-one health coaching for help making healthy lifestyle changes.
- Use digital health tools, such as the UPMC Health Plan app, to take your wellness resources with you.
- Access women’s health benefits, such as breast cancer and cervical cancer screenings and our maternity health coaching program, Baby Steps.
- Learn about behavioral health programs that can help you improve or maintain your mental health.
- Get the most from your pharmacy benefits.
Find a pharmacy near you, get a personal review of your medications, and ensure your medications are covered with our drug search tool. Once you access the tool, go to What kind of care are you looking for? and select Medication from the dropdown.