Customizable plan and buy-up offerings
- Customizable plans: You have flexibility to customize deductible, coinsurance, and copays to offer comprehensive benefit packages that are right for your unique student population.
- UPMC VirtualCare: This digitally driven plan is paired with the UPMC MyCare Advantage Network. It offers your students access to convenient, affordable care in person or through telehealth. Students can see an in-network primary care, behavioral health, or urgent care provider virtually for $0, or have an in-person visit with a copay.1
- Workpartners® clinical buy-up option
- Onsite clinics and other services
- Biometric screenings
- Health coaching
- Flu shots
- Ability to set up clinics or work with existing onsite services
Easy access to care
- Extended network: Eligible students will have access to the Cigna Healthcare® PPO Network2 outside our service area and the SuperMed PPO Network in Ohio.3 The Cigna Healthcare PPO Network has nearly 1.5 million health care providers and 6,400 hospitals across the U.S.4
- National pharmacy network: UPMC Health Plan’s comprehensive pharmacy network includes national, regional, and independent pharmacies.
- Assist America5: This program provides 24/7 access to emergency assistance anywhere in the world.
- Telemedicine support options:
- 24/7 video visits6 – 24/7 video visits are best for nonemergency conditions, such as cold symptoms, allergies, or pink eye. If necessary, the provider can send a prescription to a pharmacy nearby.
- UPMC MyHealth 24/7 Nurse Line7 – Registered nurses provide no-cost medical advice 24/7.
- Mental health, lifestyle, and emotional support resources: These resources can provide crucial support for student populations. The LifeSolutions® employee assistance program (EAP) can help students address personal concerns to become healthier and productive. The EAP offers free, confidential, 24/7 support and resources including:
- Virtual counseling.
- Consultations on legal or financial issues.
- Referrals for community resources, such as childcare or support groups.
- Resources for drug or alcohol use concerns, raising self-esteem and self-confidence, and more.
Value-added benefits and discounts
- Digital health coaching and wellness resources: Students will have access to personalized support, guidance, and educational information to help them achieve their lifestyle goals, manage chronic conditions, quit using tobacco, and more
- Digital care and plan management tools: Tools including the UPMC Health Plan member site and app allow students to review their claims, find providers, access their member ID cards, and more.
- Health Care Concierges: This award-winning team can answer students’ benefits questions.8
- Student discounts: Your students have access to discounts on LASIK procedures and other vision supplies, hearing aids, wellness supplies, gym memberships, and more.
1This digitally driven plan will give your students access to in-network virtual primary, behavioral health, and urgent care visits for no copay. It will give your students access to convenient, affordable care in person or through telehealth.
2The Cigna Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration. Cigna Healthcare is an independent company and is not affiliated with UPMC Health Plan and its affiliates. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with UPMC Health Plan. All Cigna Healthcare products are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property Inc. Access to the Cigna Healthcare PPO Network outside of the UPMC Health Plan service area is applicable for members in Bucks, Chester, Delaware, Franklin, Fulton, Juniata, Mifflin, Montgomery, Montour, and Philadelphia counties in Pennsylvania; all other states except Ohio; Garrett and Allegany counties in Maryland; and Chautauqua, Cattaraugus, and Allegany counties in New York.
3UPMC Health Plan commercial members and their dependents who reside in Ohio do not have access to the Cigna Healthcare PPO Network and will access care through the SuperMed PPO Network. Ohio residents/members, while traveling outside of the state of Ohio, can the Cigna Healthcare PPO Network.
4Cigna Healthcare analysis of actual providers contracted as part of the Cigna Healthcare PPO for Shared Administration as of July 2024. Data is subject to change.
5Assist America is not travel or medical insurance, and its services do not replace health coverage while you are away from home. All services must be arranged and provided by Assist America. Bills for any medical costs you incur should be submitted to UPMC Health Plan. They will be subject to the policy limits of your health coverage. Contact your plan administrator for a full description of eligibility conditions.
6UPMC Health Plan members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to the provider’s availability and discretion. Members who are not in Pennsylvania at the time of service may receive care from a provider employed by or contracted with UPMC. Limitations may apply for members of ASO plans who have opted out of coverage. A parent or legal guardian must be present during the video portion of the visit for children under age 18. It is at the discretion of providers employed or contracted by UPMC to choose whether to treat patients ages 0 to 2. 24/7 video visits for children ages 0 to 2 are unavailable from 11 p.m. to 7 a.m. in Pennsylvania. Hours may vary for visits with children under age 18 outside of Pennsylvania, and 24/7 video visits may be unavailable in those locations. This service is not available to members in Puerto Rico.
7UPMC nurses who answer calls are licensed to assist members in Pennsylvania, West Virginia, Maryland, New York, and Ohio. Members must be in one of those states when calling the UPMC MyHealth 24/7 Nurse Line. The UPMC MyHealth 24/7 Nurse Line is not a substitute for medical care. If an emergency arises, please call 911 or your local ambulance service, go to the nearest emergency room, or call or text the Suicide and Crisis Lifeline at 988. Nurses cannot answer plan or benefit questions. For plan or benefit information, please contact Member Services at the phone number on your ID card or call 1-844-220-4785 (TTY: 711) Monday through Friday from 8 a.m. to 6 p.m.
8Visit upmchealthplan.com/best for award information.
