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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.
Healthy employees are happier, more productive, and have fewer absences. Learn how UPMC Health Plan can help your employees live their healthiest lives.
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
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
Find all of UPMC Health Plan’s documents, resources, manuals, guidelines, forms, and other information for providers in downloadable formats.
Download our Provider Manual and Policies & Procedures Manual here.
Find all information regarding guidelines in downloadable formats including our Clinical Practice Guidelines, Quality Assurance, and EPSDT Clinical & Operational Guidelines.
Access downloadable forms including those for Medical Prior Authorization and Pharmacy Prior Authorization.
Find all other provider information here including Pharmacy Resources, Patient Health, and the Quality Partners incentive program.
Telehealth services may be reimbursed by participating providers when they follow UPMC Health Plan policies. Read our provider telehealth guidelines for details.