Documents & Resources for Members

Please call the UPMC Community HealthChoices Health Care Concierge Team at 1-844-833-0523 (TTY: 711) to request any of these documents in hard copy or alternative format.

• Notice of Privacy Practices
• Member Authorization to Use/Disclose PHI
• Personal Representative Designation Form
• Summary of Benefits
• Participant Handbook
• Prescription Drug Search
• UPMC Community HealthChoices Pharmacy Formulary (Non-PDL) (PDF)
• Provider Directory Search
• MyHealth OnLine
• Participant Advisory Committee Application
• Participant Advisory Committee Application (PDF)
• Southwest PA – Participant Advisory Committee Meeting Minutes
  • March 2021
  • December 2020
  • October 2020
  • August 2020
  • June 2020
• Southeast PA – Participant Advisory Committee Meeting Minutes
  • March 2021
  • December 2020
  • October 2020
  • June 2020
  • February 2020
• Northwest PA – Participant Advisory Committee Meeting Minutes
  • June 2021
  • March 2021
• Being Independent Matters newsletter
  • Issue 1, 2021
  • Issue 3, 2020
  • Issue 2, 2020
  • Issue 1, 2020

CHC Member Healthy Lifestyle Articles

• CHC Member Healthy Lifestyle Article – Back Pain
• CHC Member Healthy Lifestyle Article – Heart Disease
• CHC Member Healthy Lifestyle Article – Doctor Visit
• CHC Member Healthy Lifestyle Article – Stress
• CHC Member Healthy Lifestyle Article – Chronic Condition
• CHC Member Healthy Lifestyle Article – Oral Hygiene
• CHC Member Healthy Lifestyle Article – Asthma
• CHC Member Healthy Lifestyle Article – Lifestyle
• CHC Member Healthy Lifestyle Article – Osteoporosis

繁體中文/Mandarin (Chinese):

• 隐私惯例通知 – Notice of Privacy Practices
• 个人代表委托表 – Personal Representative Designation Form
• 福利摘要 – Summary of Benefits
• 参与者手册 – Participant Handbook
• UPMC Community HealthChoices 匹茲堡東南區醫療 提供者名錄 – UPMC Community HealthChoices Physical Health Provider Directory for Southeast PA
• UPMC Community HealthChoices 东南部家庭和 社区服务 提供者目录 – UPMC Community HealthChoices Home and Community Based Services Provider Directory for Southeast PA
• UPMC Community HealthChoices 药房指南 – UPMC Community HealthChoices Pharmacy Guide
• 独立事务通讯. – Being Independent Matters Newsletter

한국어/Korean:

• 개인 정보 보호 관행 고지 – Notice of Privacy Practices
• 개인 대리인 지정 양식 – Personal Representative Designation Form
• 혜택 요약 – Summary of Benefits
• 참가자 핸드북 – Participant Handbook
• UPMC Community HealthChoices 사우스이스트 PA 의료 서비스 제공자 전화번호부 – UPMC Community HealthChoices Physical Health Provider Directory for Southeast PA
• 의료서비스 제공기관 명부 펜실베니아 남동부 재가장기요양서비스 – UPMC Community HealthChoices – Home and Community Based Services Provider Directory for Southeast PA
• UPMC Community HealthChoices 약국 가이드 – UPMC Community HealthChoices Pharmacy Guide
• 독립 문제(Being Independent Matters) 뉴스레터 – Being Independent Matters Newsletter

ខ្ខ្មែរ/Mon-Khmer (Cambodian):

• សេចក្តីជូនដំណឹងពីការអនុវត្តឯក្ជនភាព – Notice of Privacy Practices
• ទម្រង់ចាត្់តំងត្ំណាងផ្ទាល់ខ្លួន – Personal Representative Designation Form
• សងេបអំពីអត្ថម្បសោជន៍ – Summary of Benefits
• សេៀវសៅណណនំអនក្ចូលរួរ – Participant Handbook
• UPMC Community HealthChoices សៀវភៅ រាយឈ្មៅះអ្នកផ្តល់សៅវាសុខភាពរាងកាយសមៅៅប់រដ្ឋផៅនសុីលវា៉ៅនីភាគអគ្នៅយ៍ – UPMC Community HealthChoices Physical Health Provider Directory for Southeast PA
• សៀវភៅបញ្ជីអ្នកផ្ដល់សេវាកម្ម តាមផ្ទះ និងសហគមន៍ សម្រាប់រដ្ឋ PA ភាគអាគ្នេយ៍ – UPMC Community HealthChoices – Home and Community Based Services Provider Directory for Southeast PA
• ការណែនាំអំពីឱសថស្ថានរបស់គម្រោង UPMC Community HealthChoices – UPMC Community HealthChoices Pharmacy Guide
• ព្រឹត្តិប័ត្រព័ត៍មានអំពីសារៈសំខាន់នៃភាពឯករាជ្យ – Being Independent Matters Newsletter

Tiếng Việt/Vietnamese:

• Thông báo Thực hiện Quyền riêng tư – Notice of Privacy Practices
• Mẫu Chỉ định Người đại diện Cá nhân – Personal Representative Designation Form
• Tóm tắt Quyền lợi – Summary of Benefits
• Sổ tay Người tham gia – Participant Handbook
• Danh bạ Nhà cung cấp Dịch vụ Sức khỏe Thể chất của UPMC Community HealthChoices đối với Đông Nam PA – UPMC Community HealthChoices Physical Health Provider Directory for Southeast PA
• Danh mục Nhà cung cấp Dịch vụ tại Gia và trong Cộng đồng đối với Đông Nam PA – UPMC Community HealthChoices – Home and Community Based Services Provider Directory for Southeast PA
• Hướng dẫn về Nhà thuốc của UPMC Community HealthChoices – UPMC Community HealthChoices Pharmacy Guide
• Là Bản tin Vấn đề Độc lập – Being Independent Matters Newsletter

Русский/Russian:

• Уведомление о политике сохранения конфиденциальности – Notice of Privacy Practices
• Форма назначения личного представителя – Personal Representative Designation Form
• Краткое описание льгот – Summary of Benefits
• Справочник участника программы – Participant Handbook
• Справочник поставщиков услуг по поддержанию физического здоровья UPMC Community HealthChoices для Юго-восточной Пенсильвании – UPMC Community HealthChoices Physical Health Provider Directory for Southeast PA
• Справочник поставщиков медицинских услуг – на дому и по месту жительства Базовые услуги для юго-восточной Пенсильвании – UPMC Community HealthChoices – Home and Community Based Services Provider Directory for Southeast PA
• Рецептурный справочник UPMC Community HealthChoices – UPMC Community HealthChoices Pharmacy Guide
• Информационное письмо «Важность самостоятельности» – Being Independent Matters Newsletter