Benefits of Membership

Access to Care


As a UPMC Health Plan member, you’ll have access to our world-class provider network. For the 16th time, UPMC has been recognized by U.S. News & World Report as one of the nation’s top-ranked hospitals. Your network refers to the specific hospitals, facilities, physicians, and other providers included in your plan.

UPMC Premium Network Map

You can have peace of mind knowing that all UPMC Health Plan participating providers have agreed to the following:

  • At least 20 office hours each week.
  • 24/7 on-call coverage.
  • Coverage by another UPMC Health Plan provider when your doctor goes on an extended leave or vacation.
  • Timely appointments depending on the type of care needed.

Extended Network

The UPMC Health Plan extended network provides access to high-quality care for dependents living outside our service area or members who are traveling.

So when your employer gives you a choice this year, choose the health plan that gives you in-network access to an outstanding health care experience.

Dependents

Your dependent children (up to age 26) can get the care they need no matter where they live, work, or study.

Travel

If you need unplanned care while traveling, we’re there for you. Our national network includes more than 4,200 hospitals and nearly 900,000 health care professionals.

Free global emergency travel assistance

When you travel more than 100 miles from home for less than 90 days, you have access to care 24 hours a day, seven days a week. If you have a medical emergency, Assist America will connect you to medical resources, including doctors, hospitals, and pharmacies. Assist America also has translators readily available to assist you.

UPMC AnywhereCare

You can have a virtual urgent care visit with a provider right from your computer, tablet, or smartphone—anytime, day or night. This service is perfect for nonemergency conditions. If you think you may be experiencing life-threatening symptoms, call 911 or seek immediate medical attention. You must be older than age 18 to use UPMC AnywhereCare.

Learn About UPMC AnywhereCare

UPMC MyHealth 24/7 Nurse Line

Get advice from a nurse by calling the UPMC MyHealth 24/7 Nurse Line. A registered nurse is available anytime, day or night, to help you decide what steps to take. There is no cost to you for this service.

Learn About UPMC MyHealth 24/7 Nurse Line

Preventive Services

The Affordable Care Act requires that certain preventive services are covered at no cost to you. These services fall into three categories:

  • Screenings
  • Immunizations
  • Health exams

Common adult screenings include cholesterol, blood pressure, mammograms, and colonoscopies. Common adult immunizations include the tetanus, diphtheria, pertussis (Tdap) vaccine and vaccines for the flu and shingles. If you have children covered under your plan, they’ll be covered at 100 percent for a variety of screenings and immunizations.

Preventive Guidelines for Adults and Children (PDF) Preventive Drugs Available at $0 Cost Share (PDF)

Copyright 2018.

UPMC Health Plan, Inc.