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Federal Employee Health Benefits with UPMC Health Plan

Welcome! There are many benefits to choosing UPMC Health Plan. Every plan we offer includes access to top-ranked3 care, award-winning customer service, programs to keep you healthy, dental, vision, hearing benefits and more.


Access the 2022 FEHB Open Season Benefit Guide

Who we are

UPMC Health Plan, headquartered in Pittsburgh, Pennsylvania, is among the nation's fastest-growing health plans. It is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider.

Our Federal Employees Health Benefits (FEHB) plans are designed with your needs in mind. When you choose UPMC Health Plan, you have:

  • A personalized incentivized rewards program, UPMC HealthyU, that can have the biggest impact to understanding and improving your health.
  • Access to 24/7 virtual visits with UPMC AnywhereCare.1
  • Our UPMC MyHealth 24/7 Nurse Line, where UPMC registered nurses are available to answer general health questions or help you determine what care you need—at no cost.2
  • Access to RxWell, a self-guided mobile app to help you manage stress, anxiety, depression, nutrition, physical activity, weight, or tobacco cessation.
  • Award-winning customer service, and so much more!3

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.

As an FEHB member, you also have access to an extended provider network that offers coverage whenever and wherever you travel in the U.S, as well as access to more than 65,000 pharmacies nationwide.

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 (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 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 1095-B form 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, name, and tax year being requested.

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.



1UPMC Health Plan members located in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider or a provider from Online Care Network II P.C. (OCN), subject to availability and discretion of the provider. Members located outside of Pennsylvania will receive service from OCN. OCN is not an affiliate of UPMC. Limitations may apply for members of ASO plans that have opted out of coverage.

2UPMC 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.

3Visit upmchealthplan.com/best for award information.

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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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