Member eligibility and benefits information transitioning from NaviNet to Provider OnLine
Dec. 2024Important Notices
Effective March 20, 2025, UPMC Health Plan network providers will no longer have access to member eligibility and benefits information through NaviNet. After this date, network providers should visit upmchealthplan.com/providers/medical/ to access this information. If you have questions or issues accessing Provider OnLine, please contact your physician account executive or network manager or call Provider Services at 1-866-918-1595.
Recent Announcements
August 2026 UPMC for You and UPMC Community HealthChoices Formulary Updates
Effective Aug. 15, 2026, UPMC for You and UPMC Community HealthChoices are updating their formularies.Jul. 2026Pharmacy Updates
Give feedback on your experience with UPMC Health Plan
You may be invited to participate in a 2026 Press Ganey provider satisfaction survey, which will begin next month. This survey will be given to a random sampling of in-network primary care providers.Jul. 2026Important Notices
Prescription for Wellness - Leveraging Insurance Carrier Resources to Optimize Patient Engagement Outcomes!
Prescription for Wellness is a nationally recognized, Six Sigma-developed best practice system that provides a convenient and effective way for providers to prescribe resources and support offered by UPMC Health Plan to their patients who are UPMC Health Plan members.Jul. 2026Education/Webinars