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Plan Options and Rates

What's New for 2021

For the Standard Option HMO:

  • Diabetic self-management education services are covered at 100 percent even if you have not yet met your deductible.
  • There is a $1,325 hearing health care allowance per ear every 36 months that covers hearing aids and exams. This allowance applies to members who are 21 or older. Members must use a participating Amplifon Hearing Health Care provider. To find a participating provider, visit our provider directory.
  • UPMC Health Plan now provides reimbursement for Medicare Part B premiums, up to $800 per calendar year, to annuitants and their spouses who are Health Plan members and in Medicare Parts A and B. To be reimbursed, you must submit a request with proof of your Part B premium payment.

For the High-Deductible Health Plan (HDHP) Option:

  • Diabetic self-management education services are covered at 100 percent after you've met your deductible.
  • PKU nutritional products are covered with 15 percent coinsurance. Deductible does not apply.

Plan Overview

Get to know all of your plan options with us, between the Standard Option HMO and HDHP.

Read our plan overview

Standard Option HMO

Our Standard Option HMO plan offers a lower monthly premium and you can use the reward dollars earned in your health incentive account (HIA) to pay for coinsurance, pharmacy copayments, and deductible.

Learn more about Standard Option HMO

High-Deductible Health Plan

Our High-Deductible Health Plan (HDHP) option comes with a health savings account (HSA) that you can use for qualified health care expenses.

Learn more about HDHP

2020 Plan Information

Read the summary of benefits and coverage documents for the 2020 benefit year.

View 2020 Plan Information

Western and Eastern Pennsylvania Rates

View the Eastern and Western Pennsylvania Rates for our Federal Employee Health Benefit (FEHB) plans.

View Our Western and Eastern PA Rates


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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