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Learn the basics of how health insurance works—and how UPMC Health Plan's individual and family plans works for you.
UPMC Health Plan Marketplace information:
Information on our other individual and family plans:
Shop for a plan the way you choose. If you're already a member, you can manage your plan right here or log in to your personalized member portal.
Individual Sales: 1-877-563-0292 TTY: 711
Group Sales: 1-888-383-8762 TTY: 711
Healthy employees are happier, more productive, and have fewer absences. Learn how UPMC Health Plan can help your employees live their healthiest lives.
Prospective Clients: 1-888-383-8762 TTY: 711
Current Clients: 1-800-937-0745 TTY: 711
Start the process of becoming a UPMC Health Plan producer or log in to your existing Producer OnLine account.
Employer Group Services: 1-888-499-6922 TTY: 711
As a UPMC Health Plan member, you have access to much more than top-ranked care. Your plan includes online health tools, award-winning customer service, health and wellness programs, travel coverage, and many more benefits and services.
Manage the nuts and bolts of your plan from right here, or log in to your personalized member portal.
Current Members: 1-844-220-4785 TTY: 711
1. Please complete the following form. Fields marked with * are required. 2. If you are submitting for your spouse, please complete another submission of this form.
*First name: Please provide valid First name.
*Last name: Please provide valid Last name.
Middle initial: Please provide valid Middle initial.
*Date of bith: Please provide your date of birth.
*Address: Please provide valid Address.
*City: Please provide valid City. *State: Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NB NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Please select a valid State.
*ZIP code: Please provide valid ZIP Code.
*Email: Please provide valid Email address.
*Phone number: Phone format: xxx-xxx-xxxx Please provide valid Phone number.
Please select the method in which you would like to have your reimbursement paid. Fields marked with * are required.
I am electing to have my reimbursement paid as*:
Insurance company name*: Please provide a valid insurance company name
Start*: Please provide a valid starting date for reimbursement period End*: Please provide a valid for ending date for reimbursement period End Date must be after Start Date
Monthly amount to be reimbursed*: Please provide a valid reimbursement amount
Note: Documentation required is a copy of the insurance company invoice and this completed and signed claim form. The copy of the invoice from the insurance company must include the period for which you are paying, the amount of the premium, the name of the insurance company and the type of policy. Reimbursements must be submitted no later than six months following the end of the plan year.
Please note that we are unable to process one time claim reimbursements before the months requested. If you choose the MULTIPLE MONTH reimbursement the full amount will be disbursed after the first day of the last month requested.
Start*: Please provide a valid starting date for reimbursement period End: End Date must be after Start Date
Full Amount to be reimbursed*: Please provide a valid reimbursement amount
Your reimbursement will be mailed to your address if you are not enrolled in direct deposit. Please complete the required fields to confirm the method your reimbursement will be made. Fields marked with * are required:
Are you currently enrolled in direct deposit?*
Would you like to enroll in direct deposit?*
Account Type*:
Account number*: Please provide a valid account number
Routing number*: Please provide a valid routing number
Institution name*: Please provide a valid institution name
Institution phone number*: Phone format: xxx-xxx-xxxx Please provide a valid phone number
Institution Address*: Please provide a valid Address
City*: Please provide a valid City State*: Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NB NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Please provide a valid State
ZIP code*: Please provide a valid ZIP Code
Please upload an image of the front of a voided check.
Please acknowledge the following information before signing. *These fields are required.
Full name/Signature*: Please provide valid Full Name/Signature
Phone number*: Phone format: xxx-xxx-xxxx Please provide valid Phone number
Date:
Thank you for your submission. Your Combined DDB Reimbursement and Direct Deposit Form has been submitted. Reimbursement should be received within 14 days of submission.
If you have any questions about your request, please contact UPMC Benefit Management Services at 1-888-499-6885.