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Federal Employee Health Benefits with UPMC Health Plan

There are many benefits of choosing UPMC Health Plan. Every plan we offer includes access to top-ranked* care, award-winning customer service, programs to keep you healthy, dental, vision, hearing benefits and more.


How the Plan Works

Who we are

Because UPMC Health Plan is part of the world-class academic medical center known as UPMC, we can offer our members access to top-ranked care and world-renowned innovation in addition to high-quality community providers.

Our Federal Employee Health Benefits (FEHB) plans are designed with your needs in mind. When you choose UPMC Health Plan, you get these benefits and much more:

  • Access to more than 65,000 pharmacies nationwide
  • An extended provider network that offers coverage whenever and wherever you travel in the U.S.
  • A personalized list of healthy activities that can help you find what works to understand and improve your health

Network and access

More than 500 UPMC physicians have been recognized as 2020 "Best Doctors" across 73 different specialties. UPMC doctors represent 79 percent of the physicians listed in Pittsburgh. An exhaustive peer review determines the physicians included in the list, and only those who earn the consensus support of their peers and meet additional qualification criteria are included on Best Doctors.

Find participating providers

Medicare Parts A and B for Annuitants

You can lower your out-of-pocket costs when you pair Medicare Parts A and B with the Standard Option HMO.

Learn more about Medicare Parts A and B

Contact us

For more information about UPMC Health Plan, you can speak with a Health Care Concierge by calling 1-877-648-9641.

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 at your own convenience 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 2020 Form 1095-B by:

  • Submitting your request by mail 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 supply your member ID number with your request.

COVID-19 information

Your health and access to high-quality care are our top priorities at all times. We are actively monitoring the status of the COVID-19 pandemic and have made some important changes to ensure that all of our members have access to the care they need during this challenging time.

COVID-19 information

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 Plan's Federal brochure RI 73-797. All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure.



*Visit upmchealthplan.com/best for award information.

***UPMC Health Plan has earned one of 10 coveted 2021 Grand Stevie® Awards for its exemplary customer service. Grand Stevie trophies are awarded to companies that submit an exceptional body of work for the Stevie Awards competition. More than 2,300 nominations from companies in 51 nations were considered in this year’s competition.

In 2021, the Health Plan also earned five Gold Stevie Awards for its sales and customer service excellence, including Best Back-Office Customer Service Team and Sales Support Team of the Year.

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Attention

It is important to know that when you enroll in this plan, services are provided through UPMC Health Plan's participating providers as described in UPMC Health Plan's federal brochure — but the continued participation of any one doctor, hospital, or other provider cannot be guaranteed.

Continue to UPMC Health Plan online provider search
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