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Member Services

If providing great service were easy, everyone would do it. In an increasingly demanding health care environment, the secret to success is to challenge the status quo. UPMC Health Plan’s approach to service is what makes us a leader in the industry.

24/7 online service and fast and accurate resolution of incoming calls and claims is only part of our success. The customer service representatives who staff UPMC Health Plan’s call center have been specially trained to assist our members. They can also adjust claims on the spot, minimizing the need for you to make repeat calls. Our goal is always the same: providing a superior customer experience that leads our members toward better health.

Member Services:
1-888-876-2756
Hours: Monday-Friday 8 a.m. to 8 p.m. EST and Saturday 8 a.m. to 3 p.m. EST
Open Enrollment Hotline:
1-800-644-1046
Hours: Monday-Friday 8 a.m. to 8 p.m. EST and Saturday 8 a.m. to 3 p.m. EST
Care Managers:
1-866-778-6073
Hours: Monday-Friday 8 a.m. to 8 p.m. EST and Saturday 8 a.m. to 3 p.m. EST

 

 

 

 

 

 

 


My
Health OnLine Resources

All these resources are available to UPMC Health Plan members 24/7, in the privacy of their own homes.

You can now speak with member service representatives through an electronic message center, UPMC SecureMail. By simply logging in to MyHealth OnLine and visiting the message center, you can select a specific category and send questions to Member Services. Through this secure mail center, you will receive messages back through the
e-mail address you provide.

MyHealth OnLine lets you:

  • View detailed information about your benefits and covered services
  • Access your Explanation of Benefits (EOB)
  • Search for physicians and other health care providers
  • Request new ID cards
  • Estimate cost of care
  • Order and refill prescriptions
  • Access an extensive library of MyHealth tools and information