MEMBERS
UPMC for You Medical Assistance Program
Use the Best
UPMC for You and quality go hand-in-hand. You can go to over 80 hospitals. You can choose from over 7,000 doctors.
This site offers you the opportunity to view the Medical Assistance Member Handbook, read past and present Caring for You member newsletters which include articles on smoking cessation and maternity issues, and also you will 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.
Dental
Healthy teeth are important. We cover exams, cleanings, and fillings for all members.
Vision
You deserve to see clearly. You get a yearly visit with your eye doctor, plus $100 toward glasses or contact lenses.
Providers
We cover doctor visits, with no copayments.
Special Care
Our programs help keep you healthy. Our programs for asthma, diabetes, and heart disease will help you be as healthy as you can be.
Additional Benefits
A program for moms: UPMC for a New Beginning
We care about you and your children. Our maternity program, UPMC for a New Beginning, 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 doctor within 13 weeks of becoming pregnant
- Enroll in the UPMC for a New Beginning maternity program before you are 27 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.
To contact UPMC for a New Beginning, dial 1-866-778-6073 and select option 5. TTY users should call 1-800-361-2629.
UPMC for You provides you with a PAL when you need it the most. You can call our Pediatric Advice Line (PAL) at 1-800-427-5997 after your doctor's office is closed. We will talk to you about your child's health and give you advice.
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
- Mental health
Choose Now
If you have questions about our benefits, or if you want information about how to enroll, call us toll-free at 1-888-424-2972. TTY users should call toll-free 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 90,000 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
- Transportation
- Emergency care
*Your level of benefits depends on the coverage you have through Medical Assistance. Copayments may apply.
This managed care plan may not cover all your health care expenses. If you have questions, please call UPMC for You Member Services toll-free: 1-800-286-4242.
