Network and Access

Our provider network includes more than 140 hospitals and more than 29,000 physicians throughout Pennsylvania and parts of Ohio, West Virginia, and Maryland. Across the U.S., the networks include nearly 1.5 million health care providers and 6,400 hospitals3, as well as a retail pharmacy network that includes national chain, regional chain, and independent pharmacies.

Don’s Story

Don’s employer gave him the option to choose UPMC Health Plan. The network and access to life-saving care made Don glad he did. "I’m very fortunate that I did choose UPMC Health Plan because it allowed me to resolve my situation without worrying."

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Pharmacy Network

Retail

UPMC Health Plan members have access to a broad retail pharmacy network that includes national chain pharmacies, regional chain pharmacies and hundreds of independent pharmacies.

Mail Order

Long-term maintenance medications are typically available through the Express Scripts mail-order pharmacy.

Specialty medications will generally be dispensed from Accredo Specialty Pharmacy or Chartwell Specialty Pharmacy and may be limited to a one-month supply.

 

Extended Network

UPMC Health Plan provides access to high-quality care for your employees and their covered dependents who are traveling or living outside our service area. The extended network is composed of the Cigna Healthcare® PPO Network1 for members who are outside the UPMC Health Plan service area and not in Ohio, and the SuperMed PPO Network for members in Ohio.2 The Cigna Healthcare PPO Network has nearly 1.5 million health care providers and 6,400 hospitals.3

 

Global Emergency Assistance with Assist America

Members traveling more than 100 miles from home have access to emergency medical assistance through Assist America.* This service can connect members and their covered family members to doctors, hospitals, and other emergency services—free of charge.