Use the Best
UPMC for You and quality go hand-in-hand. You can go to more than 80 hospitals. You can choose from more than 7,000 doctors.
This site offers you the opportunity to view the Medical Assistance Member Handbook and read past and present Caring for You member newsletters, which include articles on quitting smoking and maternity issues. You will also be able to find a doctor with our searchable Provider Directory tool.
Benefits
Pharmacy*
You can count on us for prescription drug coverage. You get all of the same drugs that Medical Assistance covers, and you get some over-the-counter drugs and vitamins with a prescription. Some medications may require a copayment, and depending on your category of aid, limits may apply.
Dental*
Healthy teeth are important. We cover exams, cleanings, and fillings for all members.
Vision*
You deserve to see clearly. You get two yearly visits with your eye doctor, plus $100 toward glasses or contact lenses. Exceptions to the $100 limit for some medical conditions or individuals under age 21 apply.*
Providers*
We cover doctor visits, with no copayments. (Some members may have a small copayment for chiropractors and podiatrists.)
Special Care*
Our programs help keep you healthy. Our programs for Asthma, Diabetes, Chronic Obstructive Pulmonary Disease (COPD), and heart disease will help you be as healthy as you can be.
*See the Member Handbook for full details of all available benefits.
Additional Benefits
A program for moms: UPMC for a New Beginning Maternity Program
We care about you and your children. Our UPMC for a New Beginning Maternity Program will help keep you and your baby healthy. If you complete the program, we give you a baby car seat. To get your baby car seat, you will need to:
- Visit your baby's doctor within 13 weeks of becoming pregnant.
- Enroll in the UPMC for a New Beginning Maternity Program before you are 34 weeks pregnant.
- Keep all of your prenatal visits.
- Have all of the routine lab tests ordered by your doctor.
- Keep all of your scheduled telephone calls with the maternity program representative.
- Sign and return a consent form to UPMC for You.
Moms are important. We help you find doctors who are close to your home, and we remind you when your child's shots are due.
UPMC for a New Beginning Maternity Program
The text4baby program is available to help pregnant women and new moms get information about caring for their health and giving their babies the best possible start in life.
How text4baby Works
Registration is easy. You can register online or from your cell phone. Use your cell phone to text the word BABY (or BEBE for Spanish) to the number 511411. You’ll be asked to enter your baby’s due date or your baby’s birthday and your ZIP code. Once registered, you will start receiving free messages with tips for your pregnancy or caring for your baby. Message contents are timed to your due date or your baby’s birth date. If you are pregnant and your due date changes, text UPDATE to 511411 to enter your new due date. Once you have your baby, be sure to text in UPDATE with your baby’s birthday so you keep getting messages through your baby’s first year.
If you want to stop receiving messages from text4baby, text STOP to 511411. To start receiving the messages again, you will have to enroll again by sending BABY to 511411 (BEBE to 511411 for Spanish messages).
If you have service with one of the carriers listed below, text4baby is free.
Even mothers without a text massaging plan can get these messages for free. If someone has limited texts per month, text4baby won't reduce that limit.
- Alltel
- Assurance Wireless
- AT&T
- Bluegrass Cellular
- Boost Mobile
- Cellular South
- Cellcom
- Centennial Cellular
- Cincinnati Bell
- Cricket
- Metro PCS
- N-Telos
- Nex-Tech Wireless
- Sprint Nextel
- T-Mobile
- U.S. Cellular
- Verizon Wireless
- Virgin Mobile USA
For more information, click on these links:
If you have any questions about the UPMC for a New Beginning Maternity Program or text4baby, please call 1-866-778-6073, Monday through Friday, from 8 a.m. to 5:30 p.m. TTY users should call toll-free to 1-800-361-2629.
To contact UPMC for a New Beginning, dial 1-866-463-1462. TTY users should call toll-free at 1-800-361-2629.
You have access to health care advice 24 hours a day/7 days a week. Call the UPMC Health Plan MyHealth Advice Line at 1-866-918-1591 to speak with an experienced registered nurse. TTY users should call toll-free at 1-800-361-2629. If you would like to speak to a pediatric nurse when your doctor's office is closed, please press Option #1. A pediatric nurse can offer medical advice and assess a child's medical problem. The pediatric line is available Monday through Thursday from 8 p.m. to 6 a.m. and Saturday and Sunday from 8 p.m. to 6 a.m. It is not available on holidays.
Get Easy Referrals
When you need to see a specialist, your doctor will help take care of the details. There is no paperwork for you to worry about.
Services that do not require a referral:
- Well-woman visit
- Obstetrical services
- Family planning
- Vision exams
- Substance abuse
- Dental care
- Behavioral Health
Choose Now
If you have questions about our benefits, or if you want information about how to enroll, call us for more information.
If you live in one of the counties listed below for the "Southwest" areas of Pennsylvania, call toll-free at 1-800-286-4242.
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If you live in one of the "Lehigh Capital" (Lehigh Valley & Capital Regions) areas of Pennsylvania, call toll-free at 1-866-353-4345.
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TTY users should call toll-free at 1-800-361-2629.
Your UPMC for You membership allows you to visit some of the best doctors and hospitals in Pennsylvania.
You Are One of Us
Our benefits and services have made UPMC for You a top choice. Become one of more than 156,000 Pennsylvanians who have said 'yes' to UPMC for You.
UPMC for You covers everything you receive from ACCESS, including:- Child health care
- Home health care
- Regular visits to your doctor
- Emergency transportation
- Emergency care
Your level of benefits depends on the coverage you have through Medical Assistance. Copayments and limits may apply.