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Network

For access to all UPMC-owned hospitals and providers—plus many community-based hospitals and providers throughout the country—look no further than UPMC Health Plan.

Premium Network

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Premium Network Map Products not offered to employer groups located in these counties Bucks Bucks Chester Chester Delaware Delaware Franklin Franklin Fulton Fulton Juniata Juniata Mifflin Mifflin Monroe Monroe Montgomery Montgomery Montour Montour Philadelphia Philadelphia Pike Pike Susquehanna Susquehanna Wayne Wayne Tower Health-UPMC Health Plan products offered to employer groups located in these counties Berks Berks Carbon Carbon Lehigh Lehigh Northampton Northampton Schuylkill Schuylkill Products offered to employer groups located in these counties Adams Adams Allegheny Allegheny Armstrong Armstrong Beaver Beaver Bedford Bedford Blair Blair Bradford Bradford Butler Butler Cambria Cambria Cameron Cameron Centre Centre Clarion Clarion Clinton Clinton Clearfield Clearfield Columbia Columbia Crawford Crawford Cumberland Cumberland Dauphin Dauphin Elk Elk Erie Erie Fayette Fayette Forest Forest Greene Greene Huntingdon Huntingdon Indiana Indiana Jefferson Jefferson Lackawanna Lackawanna Lancaster Lancaster Lawrence Lawrence Lebanon Lebanon Luzerne Luzerne Lycoming Lycoming McKean McKean Mercer Mercer Northumberland Northumberland Perry Perry Potter Potter Snyder Snyder Somerset Somerset Sullivan Sullivan Tioga Tioga Union Union Venango Venango Warren Warren Washington Washington Westmoreland Westmoreland Wyoming Wyoming York York Products offered to employer groups located in these counties Products not offered to employer groups located in these counties Tower Health-UPMC Health Plan products offered to employer groups located in these counties

The UPMC Premium Network is our broadest network and is available to employer groups of all sizes located in 53 Pennsylvania counties. The Premium Network consists of UPMC-owned hospitals, physician practices, and medical facilities as well as community-based doctors, hospitals, and other medical providers located within the counties in our service area. Members can obtain services as outlined in their plan documents when they seek care from participating providers within the Premium Network.

UPMC Inside Advantage

UPMC Inside AdvantageProducts not offered to employer groups in these countiesAdamsAdamsAlleghenyAlleghenyArmstrongArmstrongBeaverBeaverBedfordBedfordBerksBerksBlairBlairBradfordBradfordBucksBucksButlerButlerCambriaCambriaCameronCameronCarbonCarbonCentreCentreChesterChesterClintonClintonClearfieldClearfieldColumbiaColumbiaCumberlandCumberlandDauphinDauphinDelawareDelawareFayetteFayetteFranklinFranklinFultonFultonGreeneGreeneHuntingdonHuntingdonIndianaIndianaJeffersonJeffersonJuniataJuniataLackawannaLackawannaLancasterLancasterLawrenceLawrenceLebanonLebanonLehighLehighLuzerneLuzerneLycomingLycomingMifflinMifflinMonroeMonroeMontgomeryMontgomeryMontourMontourNorthamptonNorthamptonNorthumberlandNorthumberlandPerryPerryPhiladelphiaPhiladelphiaPikePikeSchuylkillSchuylkillSnyderSnyderSomersetSomersetSullivanSullivanSusquehannaSusquehannaTiogaTiogaUnionUnionWashingtonWashingtonWayneWayneWestmorelandWestmorelandWyomingWyomingYorkYorkProducts offered to employer groups in these countiesClarionClarionCrawfordCrawfordElkElkErieErieForestForestMcKeanMcKeanMercerMercerPotterPotterVenangoVenangoWarrenWarrenProducts offered to employer groups in these countiesProducts not offered to employer groups in these counties

UPMC Inside Advantage (PPO) uses the UPMC Premium Network. It consists of UPMC-owned hospitals, physician practices, and medical facilities, as well as community-based doctors, hospitals, and other medical providers in our service area. Members can obtain services as outlined in their plan documents when they seek care from participating providers within the Premium Network.

UPMC MyCare Advantage

UPMC MyCare AdvantageProducts not offered to employer groups in these countiesAdamsAdamsArmstrongArmstrongBradfordBradfordBucksBucksCambriaCambriaCameronCameronCarbonCarbonCentreCentreChesterChesterClarionClarionClearfieldClearfieldColumbiaColumbiaCrawfordCrawfordDelawareDelawareElkElkForestForestFranklinFranklinFultonFultonGreeneGreeneHuntingdonHuntingdonIndianaIndianaJeffersonJeffersonJuniataJuniataLackawannaLackawannaLancasterLancasterLebanonLebanonLehighLehighLuzerneLuzerneMcKeanMcKeanMifflinMifflinMonroeMonroeMontgomeryMontgomeryMontourMontourNorthamptonNorthamptonNorthumberlandNorthumberlandPerryPerryPhiladelphiaPhiladelphiaPikePikePotterPotterSchuylkillSchuylkillSnyderSnyderSullivanSullivanSusquehannaSusquehannaUnionUnionWarrenWarrenWayneWayneWyomingWyomingYorkYorkProducts offered to employer groups in these countiesAlleghenyAlleghenyBeaverBeaverBedfordBedfordBerksBerksBlairBlairButlerButlerClintonClintonCumberlandCumberlandDauphinDauphinErieErieFayetteFayetteLawrenceLawrenceLycomingLycomingMercerMercerSomersetSomersetTiogaTiogaVenangoVenangoWashingtonWashingtonWestmorelandWestmorelandProducts offered to employer groups in these countiesProducts not offered to employer groups in these counties

UPMC MyCare Advantage (PPO/EPO) uses the UPMC Premium Network. It consists of UPMC-owned hospitals, physician practices, and medical facilities, as well as community-based doctors, hospitals, and other medical providers in our service area. Members can obtain services as outlined in their plan documents when they seek care from participating providers within the Premium Network.

UPMC Total Advantage

UPMC Total AdvantageProducts not offered to employer groups in these countiesBucksBucksChesterChesterDelawareDelawareFranklinFranklinFultonFultonJuniataJuniataMifflinMifflinMonroeMonroeMontgomeryMontgomeryMontourMontourPhiladelphiaPhiladelphiaPikePikeSusquehannaSusquehannaWayneWayneWyomingWyomingProducts offered to employer groups in these countiesAdamsAdamsAlleghenyAlleghenyArmstrongArmstrongBeaverBeaverBedfordBedfordBerksBerksBlairBlairBradfordBradfordButlerButlerCambriaCambriaCameronCameronCarbonCarbonCentreCentreClarionClarionClintonClintonClearfieldClearfieldColumbiaColumbiaCrawfordCrawfordCumberlandCumberlandDauphinDauphinElkElkErieErieFayetteFayetteForestForestGreeneGreeneHuntingdonHuntingdonIndianaIndianaJeffersonJeffersonLackawannaLackawannaLancasterLancasterLawrenceLawrenceLebanonLebanonLehighLehighLuzerneLuzerneLycomingLycomingMcKeanMcKeanMercerMercerNorthamptonNorthamptonNorthumberlandNorthumberlandPerryPerryPotterPotterSchuylkillSchuylkillSnyderSnyderSomersetSomersetSullivanSullivanTiogaTiogaUnionUnionVenangoVenangoWarrenWarrenWashingtonWashingtonWestmorelandWestmorelandYorkYorkProducts offered to employer groups in these countiesProducts not offered to employer groups in these counties

The UPMC Total Advantage Network consists of UPMC-owned hospitals, physician practices, and medical facilities as well as community-based doctors, hospitals, and other medical providers located within the counties in our service area. Members can obtain services as outlined in their plan documents when seeking care from participating providers within the UPMC Total Advantage Network.

UPMC Partner Network

UPMC Partner NetworkProducts not offered to employer groups in these countiesAdamsAdamsArmstrongArmstrongBeaverBeaverBerksBerksBradfordBradfordBucksBucksButlerButlerCambriaCambriaCameronCameronCarbonCarbonCentreCentreChesterChesterClarionClarionClintonClintonClearfieldClearfieldColumbiaColumbiaCrawfordCrawfordCumberlandCumberlandDauphinDauphinDelawareDelawareElkElkFayetteFayetteForestForestFranklinFranklinFultonFultonGreeneGreeneHuntingdonHuntingdonIndianaIndianaJeffersonJeffersonJuniataJuniataLackawannaLackawannaLancasterLancasterLebanonLebanonLehighLehighLuzerneLuzerneLycomingLycomingMcKeanMcKeanMifflinMifflinMonroeMonroeMontgomeryMontgomeryMontourMontourNorthamptonNorthamptonNorthumberlandNorthumberlandPerryPerryPhiladelphiaPhiladelphiaPikePikePotterPotterSchuylkillSchuylkillSnyderSnyderSomersetSomersetSullivanSullivanSusquehannaSusquehannaTiogaTiogaUnionUnionWarrenWarrenWashingtonWashingtonWayneWayneWestmorelandWestmorelandWyomingWyomingYorkYorkProducts offered to employer groups in these countiesAlleghenyAlleghenyBedfordBedfordBlairBlairErieErieLawrenceLawrenceMercerMercerVenangoVenangoProducts offered to employer groups in these countiesProducts not offered to employer groups in these counties

The UPMC Partner Network includes all UPMC hospitals and facilities located within the counties in our service area. It can be offered as part of the Business Advantage and Consumer Advantage. Members can obtain services as outlined in their plan documents when seeking care from participating providers within the Partner Network.

Standard Network

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Standard NetworkProducts not offered to employer groups in these countiesAdamsAdamsBerksBerksBradfordBradfordBucksBucksCarbonCarbonCentreCentreChesterChesterClintonClintonColumbiaColumbiaCumberlandCumberlandDauphinDauphinDelawareDelawareFranklinFranklinFultonFultonJuniataJuniataLackawannaLackawannaLancasterLancasterLebanonLebanonLehighLehighLuzerneLuzerneLycomingLycomingMifflinMifflinMonroeMonroeMontgomeryMontgomeryMontourMontourNorthamptonNorthamptonNorthumberlandNorthumberlandPerryPerryPhiladelphiaPhiladelphiaPikePikeSchuylkillSchuylkillSnyderSnyderSullivanSullivanSusquehannaSusquehannaTiogaTiogaUnionUnionWayneWayneWyomingWyomingYorkYorkProducts offered to employer groups in these countiesAlleghenyAlleghenyArmstrongArmstrongBeaverBeaverBedfordBedfordBlairBlairButlerButlerCambriaCambriaCameronCameronClarionClarionClearfieldClearfieldCrawfordCrawfordElkElkErieErieFayetteFayetteForestForestGreeneGreeneHuntingdonHuntingdonIndianaIndianaJeffersonJeffersonLawrenceLawrenceMcKeanMcKeanMercerMercerPotterPotterSomersetSomersetVenangoVenangoWarrenWarrenWashingtonWashingtonWestmorelandWestmorelandProducts offered to employer groups in these countiesProducts not offered to employer groups in these counties

The UPMC Standard Network consists of UPMC-owned hospitals, physician practices, and medical facilities as well as community-based doctors, hospitals, and other medical providers located within the counties in our service area. Members can obtain services as outlined in their plan documents when seeking care from participating providers within the Standard Network.

Extended Network

UPMC Health Plan has a national extended network for:

  • Members who need urgent or emergency care while they are traveling.
  • Members’ enrolled dependents (up to age 26) who live, work, or attend school outside our service area.
  • Commercial group members who live outside our service area.

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The Private Healthcare Systems (PHCS) and MultiPlan networks outside our Pennsylvania service area and Ohio Wyoming West Virginia Wisconsin Washington Vermont Virginia Utah Texas Tennessee South Dakota South Carolina Rhode Island Oregon Oklahoma New York Nevada New Mexico New Jersey New Hampshire Nebraska North Dakota North Carolina Montana Mississippi Missouri Minnesota Michigan Maine Maryland Massachusetts Louisiana Kentucky Kansas Indiana Illinois Idaho Iowa Hawaii Georgia Florida Delaware Washington D.C. Connecticut Colorado California Arizona Arkansas Alabama Alaska The SuperMed PPO network in Ohio Ohio Pennsylvania Service Area The Private Healthcare Systems (PHCS) and MultiPlan networks outside our Pennsylvania service area and Ohio The SuperMed PPO network in Ohio Pennsylvania service area

UPMC Health Plan’s extended network includes:

  • The SuperMed PPO Network in Ohio.
  • The Private Healthcare Systems (PHCS) and MultiPlan networks outside our Pennsylvania service area and Ohio.