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.

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 those 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.

View Preventive Guidelines for Adults and Children Preventive Drugs available at $0 Cost Share

Copyright 2018.

UPMC Health Plan, Inc.