Nearly 400 UPMC physicians have been recognized as 2022 "Top Doctors" across more than 60 different specialties. UPMC doctors represent more than half of the physicians listed in Pittsburgh. These physicians are part of the Top Doctors® list, which is compiled by Castle Connolly. The Castle Connolly Top Doctor selection process is entirely merit-based. Doctors cannot pay to be listed.
As an FEHB member, you also have access to an extended network providers for care wherever you are in the U.S, as well as access to more than 65,000 pharmacies nationwide.
Find participating providers
You can get more out of your coverage by combining a Medicare plan option with our FEHB plan options. You can lower your out-of-pocket costs when you pair Medicare Parts A and B with the Standard Option HMO. And for 2023, we have a new Medicare Advantage plan option: UPMC for Life FEHB Retirees.
Learn more about Medicare and FEHB
For more information about UPMC Health Plan, you can speak with a Health Care Concierge by calling 1-877-648-9641 (TTY: 711).
1095-B tax forms
As of January 2020, the Internal Revenue Service no longer requires you to file the 1095-B form as part of your federal tax return because the tax penalty for failing to meet the individual mandate was eliminated by Congress. UPMC Health Plan will no longer mail the form to you, but you can easily obtain an electronic copy to print by:
- Visiting MyHealth OnLine for quick and convenient access; search under Forms and Guides and navigate to Plans and Coverage.
You may also request a printed copy of your 1095-B form by:
- Mailing your request to ATTN Enrollment, UPMC Health Plan 600 Grant Street Pittsburgh, PA 15219.
- Submitting a request online by filling out our 1095-B contact form or emailing your request to 1095BInquiry@upmc.edu. Please include your member ID, name, and tax year being requested.
The COVID-19 Public Health Emergency ended on May 11, 2023
The federal government put the Public Health Emergency (PHE) in place in response to the COVID-19 pandemic. Once the PHE ends, cost-sharing waivers that were applied during the PHE will change. Beginning on May 12, the following services will have a cost share in accordance with your plan documents:
- COVID-19 diagnostic and antibody testing
- Prescription antiviral treatment
- Telemedicine, office, urgent care, and emergency room visits to diagnose COVID-19
More information in the COVID-19 reimbursement letter.
Please note: With the exception of members of Congress or designated Congressional staff, the Health Insurance Marketplace does not affect FEHB Program enrollees. For additional information, visit OPM's website.
This is a summary of the features of UPMC Health Plan. Before making a final decision, please read the Health Plan's federal brochure RI 73-797. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.
1Visit upmchealthplan.com/best for award information.
2UPMC Health Plan members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to availability and discretion of the provider. Members located outside of Pennsylvania at the time of service will receive care from a provider employed or contracted by Online Care Network II P.C. (OCN), also known as Amwell Medical Group. OCN is not an affiliate of UPMC. Limitations may apply for members of ASO plans that have opted out of coverage. Providers are not available to treat members who are in Puerto Rico.
3UPMC 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, call 911 or go to the emergency department. Nurses cannot answer plan or benefit questions. Please call the Member Services phone number on the back of your ID card for questions regarding your plan benefits.