UPMC Health Plan recommends COVID-19 booster shots for all who are eligible

Jan. 2022Important Notices
"The CDC recently indicated that everyone ages 16 and older can get a COVID-19 booster shot.

  • 16-17-year-olds can only get a Pfizer vaccine booster.
  • Those 18 and older can get a booster with any of the COVID-19 vaccines.

Pfizer and Moderna boosters should be given at least six months after the second vaccine. The Johnson & Johnson booster should be given at least two months after the first vaccine.

To read more about booster shots, visit the CDC's webpage.

For the most recent COVID-19 policy and billing updates from UPMC Health Plan, please see these resources:


Recent Announcements

Important announcement – Telehealth submissions

As of October 1, 2025, UPMC Health Plan continues to accept the submission of telehealth claims. Providers may conduct telehealth visits for UPMC Health Plan members in all UPMC Insurance products. UPMC Insurance products include UPMC Advantage group and individual products, UPMC for Life Medicare Advantage plans, UPMC for Kids CHIP plans, UPMC Community HealthChoices, and UPMC for You Medical Assistance plans.
Sep. 2025Important Notices

October 2025 UPMC for You and UPMC Community HealthChoices Formulary Update

Effective October 1st, 2025, Xifaxan and Retin-A (cream, gel) will no longer be covered by UPMC for You and UPMC Community HealthChoices due to non-participation in the Medicaid Drug Rebate Program.
Sep. 2025Pharmacy Updates

Biosimilar Medication Formulary Updates

Updates to formulary biosimilar medications for denosumab, eculizumab, and ustekinumab products
Sep. 2025Pharmacy Updates