Top-ranked care.
Exceptional service.
And more!

Exceptional Customer Service

J.D. Power Certification

UPMC Health Plan has been recognized by J.D. Power by providing "An Outstanding Customer Service Experience" for Phone support.

J.D. Power 2020 Certified Customer Service ProgramSM recognition is based on successful completion of an evaluation and exceeding a customer satisfaction benchmark through a survey of recent servicing interactions. For more information, visit

International Customer Management Institute

UPMC Health Plan won the 2020 by the International Customer Management Institute (ICMI) Best Contact Center Culture Award and the Best Learning and Development Program. It was also named Best Large Call Center of the Year in 2019, and Global Call Center of the Year in 2017, 2015, and 2012. ICMI is the leading global provider of comprehensive resources for customer management professionals who wish to improve customer experiences and increase efficiencies.

Stevie Awards

UPMC Health Plan has earned one of 10 coveted 2021 Grand Stevie® Awards for its exemplary customer service. Grand Stevie trophies are awarded to companies that submit an exceptional body of work for the Stevie Awards competition. Judges include many of the world's most respected executives, entrepreneurs, innovators, and business educators. More than 2,300 nominations from companies in 51 nations were considered in this year’s competition.

In 2021, the Health Plan also earned five Gold Stevie Awards for its sales and customer service excellence, including Best Back-Office Customer Service Team and Sales Support Team of the Year. Stevie Awards for Sales and Customer Service are recognized as the top customer service and sales awards.

Best Coverage

CMS Star Ratings

UPMC for Life, the Medicare Advantage product from UPMC Health Plan, has earned 5 out of a possible 5 Overall Star Rating for its HMO and PPO plans for 2022. This rating was released by the Centers for Medicare & Medicaid Services (CMS). The ranking places UPMC for Life among the highest-rated Medicare plans in the nation. The Medicare star ratings are based on how well plans deliver medical coverage, prescription drug services, and customer service. The score also includes how current members rate their satisfaction with their plan. Every year, Medicare evaluates plans based on a 5-star rating system.

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. HEDIS measures performance in health care where improvements can make meaningful differences in people’s lives including effectiveness and availability of care and utilization.

Commercial HMO
UPMC Health Plan received National Committee for Quality Assurance (NCQA) accreditation and is the top-rated commercial HMO in PA and among the highest-rated in the nation with a rating of 5 out of 5 stars in NCQA’s Commercial Health Plan Ratings 2021.

Commercial PPO
UPMC Benefit Management Services received National Committee for Quality Assurance (NCQA) accreditation and is one of the highest-rated commercial PPOs in PA with a rating of 4.5 out of 5 stars in NCQA’s Commercial Health Plan Ratings 2021.

UPMC for Life received National Committee for Quality Assurance (NCQA) accreditation and a rating of 4 out of 5 stars for its HMO plans and 4.5 out of 5 stars for its PPO plans in NCQA’s Medicare Health Plan Ratings for 2021.

More than 400 UPMC physicians have been recognized as 2021 "Top Doctors" across 63 different specialties. UPMC doctors represent more than half of the physicians listed in Pittsburgh. These physicians are part of the Top Doctors® list, which is compiled by Castle Connolly. The Castle Connolly Top Doctor selection process is entirely merit-based. Doctors cannot pay to be listed. Castle Connolly’s peer-to-peer nominations and rigorous research process ensure that only the most qualified physicians are included.

Best Hospitals

These are just a few of the ways in which UPMC hospitals have been recognized:

UPMC Bedford

UPMC Bedford has earned Advanced Disease-Specific Care Certification for Acute Stroke Ready Hospital from The Joint Commission and the American Heart Association/American Stroke Association.

UPMC Children’s Hospital of Pittsburgh

The Best Children’s Hospital rankings by U.S. News & World Report highlight the top 50 U.S. pediatric hospitals in each of 10 specialties. UPMC Children’s Hospital of Pittsburgh is ranked in all 10 pediatric subspecialties surveyed. Three subspecialties ranked in the national top 10.

UPMC Hillman Cancer Center

The UPMC Hillman Cancer Center is one of only 47 cancer centers in the United States with a Comprehensive Cancer Center designation by the National Cancer Institute. It is the only one in western Pennsylvania.

UPMC McKeesport

For the third consecutive year, The Joint Commission has selected UPMC McKeesport as a Top Performer on Key Quality Measures®, including heart attack.

UPMC Mercy

UPMC Mercy has been certified as a Comprehensive Stroke Center by The Joint Commission and the American Heart Association/American Stroke Association. This is the highest level of stroke certification.

UPMC Northwest

UPMC Northwest is among 750 hospitals nationwide to be awarded an “A” by The Leapfrog Group. The hospitals earned the recognition for their commitment to keeping patients safe and meeting the highest safety standards in the U.S.

UPMC Pinnacle

UPMC Pinnacle has been named a Distinguished Hospital for Clinical Excellence, putting it in the top 5 percent of hospitals in the nation.

UPMC Presbyterian-Shadyside

UPMC Presbyterian-Shadyside has been named the best hospital in the Pittsburgh region on U.S. News & World Report's 2021–2022 Best Hospitals Honor Roll. The hospital is also listed among the nation’s best in many specialties. For more information, go to

UPMC St. Margaret

The UPMC St. Margaret Stroke Program was named an Advanced Primary Stroke Center by The Joint Commission.

UPMC hospitals in the Susquehanna region

Over the years, UPMC hospitals in the Susquehanna region have earned numerous awards and prestigious recognition from The Joint Commission.

HAP Innovation Award

The Hospital & Healthsystem Association of Pennsylvania (HAP) Achievement Awards program honors the most innovative Pennsylvania hospitals. This year, 19 winners were selected from 131 entries. Two winners were chosen from UPMC: Western Psychiatric Institute and Clinic of UPMC, which earned the Community Benefits Award, and UPMC St. Margaret, which earned the Patient Safety Award.

Magnet Hospitals

Only 6.8 percent of hospitals nationwide have received Magnet status. It is one of the highest achievements an organization can obtain in professional nursing. Nine UPMC hospitals have received this status:

  • UPMC Children's Hospital of Pittsburgh
  • UPMC Hamot
  • UPMC Magee-Womens Hospital
  • UPMC Passavant
  • UPMC Pinnacle Community Osteopathic
  • UPMC Pinnacle Harrisburg
  • UPMC Pinnacle West Shore
  • UPMC Shadyside
  • UPMC St. Margaret
U.S. News and World Report

U.S. News & World Report consistently ranks UPMC Presbyterian-Shadyside on its annual Honor Roll of America’s Best Hospitals and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of America’s Best Children’s Hospitals. UPMC for Life was named one of the best Medicare Advantage plans in PA (10-15-21).

About UPMC Insurance Services Division

The UPMC Insurance Services Division is owned by UPMC, a world-renowned health care provider and insurer based in Pittsburgh, Pa. As a provider-led organization that is part of an integrated health care delivery system, the UPMC Insurance Services Division is committed to providing its members better health, more financial security, and the peace of mind they deserve. The UPMC Insurance Services Division partners with UPMC and community network providers to produce a combination of knowledge and expertise that provides the highest quality care at the most affordable price. The UPMC Insurance Services Division—which includes UPMC Health Plan, Workpartners, UPMC for Life, UPMC for You, UPMC for Kids, and Community Care Behavioral Health—offers a full range of group health insurance, Medicare, Special Needs, CHIP, Medical Assistance, behavioral health, employee assistance, and workers' compensation products and services to its 4 million members.