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Network and Access

Provider and Hospital Network

Our provider network includes more than 125 hospitals and facilities and more than 11,500 physicians.

Pharmacy Network

UPMC Health Plan members have access to more than 30,000 pharmacies, including CVS, Giant Eagle, Kmart, Rite Aid, Target, Sam's Club, Walmart, and hundreds of independent retailers. Our pharmacy benefit manager, Express Scripts, provides mail-order and specialty pharmacy services, which offer significant cost savings.

Out-of-Area Network

UPMC Health Plan has agreements with multiple extended provider networks to allow members to receive services while they are away from their primary service area. For members needing care in Ohio, the SuperMed PPO network is available through Medical Mutual of Ohio. The SuperMed PPO network includes more than 200 hospitals, 6,900 primary care physicians, and more than 15,000 specialists across Ohio. For members needing care outside western Pennsylvania and Ohio, the Private Healthcare Systems (PHCS) network and the complementary MultiPlan Network are available through MultiPlan Inc. These networks offer access across the country to more than 5,000 hospitals and nearly 900,000 health care professionals.

Out-of-Area Emergency Assistance

Members who need help with medical services when they are more than 100 miles from home have access to Assist America — the nation’s largest provider of global medical services through benefit plans. Assist America connects members with experienced medical professionals and crisis response personnel who will make sure they receive appropriate medical care anywhere in the United States or in another country.

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