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What UPMC for Kids covers

CHIP gives children and teens access to the health insurance they need. UPMC for Kids lets you protect them with many types of benefits.

Benefits under UPMC for Kids include these services and more:

Medical and Behavioral Health Dental and Vision Pharmacy
  • Well-visits for routine care, such as checkups and immunizations
  • Doctor visits when your child gets sick
  • Behavioral health and substance use services
  • Emergency room, urgent care and hospital care
  • Nutritional counseling and tobacco cessation counseling
  • Physical, occupational, and speech therapy
  • Dental services including routine check-ups and other services
  • Orthodontia services (braces, not for cosmetic reasons and only when medically necessary)
  • Eye exams and corrective lenses
  • Prescriptions and some over-the-counter medications are covered.
  • Members must use participating pharmacies to fill prescriptions.

For more details, see our Benefits page.

Learn How to Apply

Choose a doctor you trust

When you apply for UPMC for Kids, you will pick a primary care provider (PCP) for your child. This can be a pediatrician, a family practitioner, or an internal medicine doctor.

Your child’s PCP can provide routine care and see your child when he or she is sick. The PCP will help coordinate the care your child needs.

The PCP can help decide when your child needs to see a specialist. You do not need a referral from the PCP for your child to see a specialist who participates in the UPMC for Kids network.

Except in an emergency, your child must use a participating UPMC for Kids provider. This includes physicians, hospitals, dentists, pharmacies, and other providers.

If your child has an emergency, go to the nearest emergency room. If you aren’t sure it is an emergency and waiting will not harm your child’s health, contact your child’s PCP first.

Finding UPMC for Kids network providers

You can find out if your child’s current provider is part of the UPMC for Kids network by going to the Provider Search.

Provider information is updated each week. Online information includes the provider’s name, office location(s), telephone number(s), board certification, specialty, hospital affiliation, medical group affiliation (if any), gender, languages spoken, and acceptance of new patients. Also listed is information about hospitals, such as their location, services, and accreditation status.

You can get a paper copy of our provider directory or more information on participating providers by calling UPMC for Kids at 1-800-650-8762, Monday through Friday from 8 a.m. to 7 p.m. TTY users should call 711.

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