Our Network

UPMC is a name synonymous with quality health care in Western Pennsylvania. The Health Plan's provider network is one of the largest and most diverse in the region. The network includes all UPMC providers as well as affiliated hospitals and physicians, totaling more than 80 hospitals and nearly 7,000 physicians in the region.

As a member, you may also have access to a nationwide network that allows seamless coverage if you live, work, or travel outside of Western Pennsylvania.

Our members have access to:

• All UPMC providers as well as affiliated hospitals and physicians, including UPMC Presbyterian and UPMC Shadyside hospitals
• Up-to-date preventive care
• The latest medical advances

Customer Service

Our Member Services department provides you with friendly, personal attention when you have a question or need to update your health plan information.

No red tape or hassles. We don't require a referral to see an in-network specialist. UPMC Health Plan has always given you the freedom to seek the specialty care you need — without a referral and without waiting to see a primary care physician.

Prescription Drug Coverage

UPMC Health Plan offers a pharmacy program that helps you manage your prescription drug costs and allows freedom of choice. Our retail pharmacy network includes hundreds of locations throughout the region. If you prefer, medication can be delivered to your door by our national mail-order pharmacy.

Healthy Living Rewards

Also included in your UPMC Health Plan membership, at no extra charge, is our exclusive member discount program, Healthy Living Rewards. With your Health Plan member ID card, you can receive discounts at participating gyms, spas, salons, health food stores, and more. You can find a list of all the discounts available in your provider directory.

Pediatric Advice Line (PAL)

UPMC Health Plan has recently introduced an after-hours advice and triage service for our members with children age 18 and younger. Our Pediatric Advice Line (PAL), available through a partnership with Children's Hospital of Pittsburgh, is staffed by experienced pediatric registered nurses.

When you call, the nursing staff will assess your child's current medical status and provide advice in accordance with physician-approved protocols.

Assist America®

UPMC Health Plan offers Assist America, a worldwide emergency assistance program available 24 hours a day, 365 days a year, for members who are traveling more than 100 miles from home. Your membership in this travel program is included as part of your UPMC Health Plan membership. Assist America clears many of the obstacles and potential expenses that can arise when medical emergencies occur while you are traveling.

Assist America representatives will help to:

• Locate qualified doctors and hospitals
• Replace prescriptions
• Provide emergency medical evacuation
• Arrange transportation so that family members can be with injured relatives