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More Than Just a Health Plan ... We're a Plan for Healthy Living.  UPMC Health Plan is owned by the University of Pittsburgh Medical Center (UPMC), one of the nation's top-ranked health systems. As part of an integrated health care delivery system, UPMC Health Plan partners with UPMC and community network providers to improve clinical outcomes as well as the health of the greater community.The integrated partner companies of the UPMC Insurance Services Division - which includes UPMC Health Plan, Work Partners, EAP Solutions, UPMC for You (Medical Assistance) and Community Care Behavioral Health - offer a full range of group health insurance, Medicare, Children's Health Insurance Program, Medical Assistance, behavioral health, employee assistance, and workers' compensation products and services to over 900,000 members. UPMC Health Plan maintains an "Excellent" rating (the highest available from NCQA) for its commercial HMO/POS, Medicaid HMO and Medicare HMO products. Our local provider network includes UPMC as well as community providers, totaling more than 80 hospitals and more than 7,000 physicians in a 28-county region. UPMC Health Plan takes seriously our responsibility to help each of our members enjoy the best quality of life and health possible at every stage in the life cycle. We are committed to supporting members who are healthy in maintaining their health and members who live with illness in managing their condition(s) and preventing the further deterioration of health. Our commitment to our members' health is backed by our affiliation with a world-class academic health system — the University of Pittsburgh Medical Center (UPMC) — and community network providers, which gives our members access to the best doctors and hospitals in the region, the most up-to-date preventive care protocols, and the latest medical advances. To carry out this commitment, we collaborate with the physicians and hospitals in our network, which includes high-quality community hospitals as well as the premier medical facilities of UPMC, including UPMC Presbyterian/Shadyside, Magee-Womens Hospital, Children's Hospital of Pittsburgh, and the UPMC Cancer Centers. Health is our #1 priority Through the many primary care physicians, pediatricians, and obstetricians-gynecologists in our outstanding provider network, we offer our members the finest preventive care, based on best practices and the latest medical protocols. This enables us to help our members remain healthy as well as detect any medical problems at an early stage when treatment is more effective and may prevent such problems from escalating into serious illness. In addition, with a new Health Plan program called "MyHealth," we look beyond the traditional horizons of the health insurance model to help members take proactive control of their health and realize personal health goals, such as lowering cholesterol or blood pressure, losing weight, or stopping smoking. For members with chronic illness, we offer Health Management programs designed by medical experts, nurses, and educators, yielding positive outcomes in terms of managing these members' health and improving their quality of life. This managed care plan may not cover all your health care expenses. Read your Certificate of Coverage carefully to determine which health care services are covered. If you have any questions about your benefits, call Member Services at 1-888-876-2756. |
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