Our Sales and Account Management team wants to work with you to develop a benefit package that is just right for you and your employees. We offer many services that you and your employees will find important, including but not limited to:
- Choice of EPO, PPO, HMO, POS, or consumer-directed plans
- Broad network of doctors and hospitals
Local Network
Our comprehensive network includes the advanced-care, academic, and specialty hospitals of UPMC as well as community hospitals, cancer centers, physician practices, behavioral health programs, and long-term care facilities. UPMC Health Plan's network includes more than 90 hospitals and more than 9,800 physicians — one of the largest and most diverse teams of health care professionals in the area.
Search our local network
National Network
Working in other states? Traveling around the country? We're there for you and your employees. UPMC Health Plan's seamless national network extends across the country to include more than half a million providers and 4,500 facilities.
Search our out-of-area network
- Pharmacy
Our pharmacy program offers both good value and freedom of choice by providing our members with a variety of high-quality, effective generic and brand-name prescription drugs. Search our Your Choice drug list, our most popular pharmacy program offering.
At UPMC Health Plan, our prescription drug plan offers:
- Access to an expanded network of retail pharmacies
- Home delivery for maintenance medications
- Fast, reliable service
- A comprehensive formulary developed and maintained by leading network physicians and pharmacists
Our pharmacy network consists of more than 30,000 pharmacies, including CVS/pharmacy, Giant Eagle, Kmart, Rite Aid, Sam's Club, Target, Walmart, Wegmans (Erie locations), as well as hundreds of independent retailers. Find a Pharmacy
Attention: Our pharmacy network has recently expanded to include CVS/pharmacy.
- MyHealth wellness services
Businesses now have access to a variety of wellness assessments and programs through UPMC Health Plan's MyHealth program, including online tools, personalized health improvement programs, and discounts on physical fitness activities. Our online tools enable members to design personal action plans for getting in shape, eating better, losing weight, and quitting tobacco.
- Smoking cessation program
Our program focuses on education, problem-solving skills, social support, and stress management. Business Advantage includes a 24/7 quit line, smoking cessation drug coverage with member copayment, and health coaching calls.
- Employee assistance program
LifeSolutionsSM, owned by UPMC, provides employers with a comprehensive program that enhances workplace productivity, health, and wellness. Members can access resources online or call for assistance with family and relationship issues, child or elder care, career challenges, stress management, anxiety or depression, and drug and alcohol concerns. Through Business Advantage, members have 24/7 telephone support, telephone coaching and counseling, referrals to community resources, and online WorkLife resources. Learn more about LifeSolutions.
- Vision discount network
UPMC Health Plan offers a discount vision network for our Business Advantage product through arrangements with Opticare Managed Vision at no extra charge. We also offer optional vision insurance coverage through Vision Benefits of America.
OptiCare Managed Vision Discount Network
OptiCare Managed Vision has been providing comprehensive and affordable eye care services for more than 20 years. OptiCare is one of the nation's largest medical eye care administrators. Founded by eye care professionals, OptiCare has become a nationally respected provider of fully integrated, risk-based eye care programs. Locate participating OptiCare providers.
Vision Benefits of America Vision Benefits (VBA) is a comprehensive nationwide network of eye care providers that has been managing group vision benefits for more than 40 years. Through its more than 13,000 participating vision providers, VBA provides managed vision care to more than 1 million members across the country. Learn more about Vision Benefits of America.
- Dedicated account management and member services
Account Management
Answers to client questions are only a phone call away. From initial enrollment to renewal assistance, your designated account manager will work closely with you and your producer (if applicable), using a consultative approach to administer your account.
Dedicated Member Services
Members will have telephone access to a personal Member Advocate, who will call to welcome them to the program, help them understand coverage, provide preventive care reminders, and notify them of special events related to their health benefits. Member Advocates serve as advisers to help members make important decisions regarding their benefits.
- Health management programs
Members have access to diabetes educators, nurses, pharmacists, and other health experts who can help them identify problems and can work with them and their physicians to manage specific medical conditions, such as heart disease, diabetes, respiratory problems, depression, low back pain, and pregnancy.
- Global emergency services
Any time members are more than 100 miles from home — literally, anywhere in the world — we provide immediate connections to doctors, hospitals, and pharmacies. We're there to clear many of the obstacles caused by emergencies far from home or in other countries.
Learn more about Assist America
- 24/7 health advice line
UPMC Health Plan’s MyHealth Advice Line is available 24/7 to provide members with health care advice. When a member calls to discuss a specific health issue, experienced registered nurses can provide prompt and efficient service over the phone.
- MyHealth Community
Members are automatically enrolled in our exclusive member discount program, MyHealth Community. Members simply need to present their ID card to be eligible for discounts at participating fitness centers, health food stores, sporting goods stores, and other health-related businesses. MyHealth Community includes more than 200 fitness centers in Pennsylvania and more than 1,400 nationally.
Introducing UPMC HealthyU
HealthyU, UPMC Health Plan's next-generation consumer–directed health plan, can help you better control costs while still offering a rich benefit package to your employees. It is a unique combination of the following:
- High–deductible, lower premium plan with options to meet your needs
- Health Incentive Account (HIA) that gives employees the opportunity to earn rewards for healthy activities
- Robust online resource center with tools and information on how to stay healthy
Learn more »
Spending Account Services
UPMC Health Plan also offers a Flexible Spending Account (FSA) that can be added on to many of our product offerings. Learn more »
Wellness Services
MyHealth, an initiative designed to encourage and support healthy lifestyles, offers online tools, discounts on physical fitness activities, on-site workplace programs, and personalized telephone health coaching programs on weight management, tobacco cessation, stress management, and physical activity.
Learn more about our wellness services »
Workplace Productivity Solutions
UPMC Health Plan understands the kinds of programs and services that employers need in order to build successful health and productivity strategies. That's why we've built a platform of programs and services that individually help to address critical organizational needs — and collectively provide a comprehensive set of integrated solutions that deliver optimal bottom-line results.
Learn more about our workplace productivity solutions »