Are you turning 26 soon? Here's the plan for a happy birthday!
You can shop for a UPMC Health Plan product or on Pennie®, Pennsylvania’s health insurance marketplace when you turn 26. This is a great option if you are self-employed, unemployed, or can’t get coverage through your employer. Some people may qualify for financial savings through Pennie to help lower the cost of their insurance.
Why choose UPMC Health Plan?
We know efforts to improve or maintain your health happen mostly outside the doctor’s office. That’s why we offer additional benefits and services for an affordable price. Take a look at what it means to be a UPMC Health Plan member.
Get care virtually or in-person with UPMC VirtualCare1
UPMC VirtualCare connects you to convenient, low-cost care your way.
Access to the care you need to get or stay healthy
- $0 preventive care that covers many health services for adults and children at 100 percent2
- No-cost preventive medications3
- Access to top-ranked doctors and hospitals4
Help to take care of your mental and physical health
- Six free counseling sessions through LifeSolutions®5
- Free health coaching to help you make healthy changes in your life
Support when you need it
- 24/7 video visits are available through the UPMC Health Plan app or MyUPMC and is covered at 100 percent by most plans6
- The UPMC Health Plan app for easy access to your health insurance information
- Our exceptional Health Care Concierge team, which can help you navigate your benefits with a quick chat or phone call
Contact Us
Questions? Call us toll-free at 1-877-563-0292 (TTY: 711).
1Available in the UPMC Partner and Select networks.
2Preventive care will be covered at 100 percent only when it is received from a participating provider and it is billed as preventive. A separate cost share may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.
3Preventive medications on UPMC Health Plan’s Advantage Choice formulary will be covered with no cost share for members who meet certain criteria in accordance with the Patient Protection and Affordable Care Act of 2010.
4Go to upmchealthplan.com/BEST for award information.
5Go to upmchp.us/networkaccess for network information.
6Only the virtual visit with the provider will be covered at 100 percent. Prescription drug and other costs related to the visit or recommended by the provider will not be included in the virtual visit coverage and will be your responsibility. If you are enrolled in the UPMC Advantage Silver HSA, UPMC Advantage Gold HSA, or UPMC Advantage Catastrophic plan, UPMC virtual visits will be covered at 100 percent after you meet your deductible. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. 24/7 video visits are available only to members who are in Pennsylvania at the time of their virtual visit. Members may select a UPMC provider, subject to provider availability and discretion. Members must accurately verify their physical location and that they are in Pennsylvania at the time of the visit. Limitations may apply for members of administrative services only (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 younger than 18. Providers employed or contracted by UPMC retain discretion regarding the treatment of patients ages 0-2. 24/7 video visits for children ages 0-2 are unavailable from 11 p.m. to 7 a.m. in Pennsylvania.