Your plan will put all the resources you need to manage your health within easy reach:
UPMC Health Plan gives you access to the best care to keep you healthy.
- $0 preventive care covers many health services for adults and children at 100 percent2
- No-cost preventive medications3
- Access to top-ranked doctors and hospitals and a national extended network4,5
Helping you take care of your mental and physical health.
- Six free counseling sessions through LifeSolutions®6
- Free health coaching to help you make healthy changes in your life
- The RxWell app to support your total well-being
Supporting you when you need it.
- Virtual urgent care 24/7 for treatment that fits your schedule and is covered at 100 percent by most plans7
- 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
Ready to re-enroll?
Please use the chart below to determine your next steps.
How did you buy your 2023 insurance coverage?
Through Pennie®
- Did your household income change during the past year?
- Did your family size change during the past year (need to add or remove dependents from your plan)?
- Did you experience a qualifying life event outside of Open Enrollment, which runs from Nov. 1, 2023, to Jan. 15, 2024 (getting married, gaining a dependent, or moving into a new service area)?
If you answered yes to any of the above
Visit the Pennie website, pennie.com, to update and confirm your personal information. You have until Dec. 15, 2023, to make changes for coverage that will begin on Jan. 1, 2024.
Directly from UPMC Health Plan
- Did your household income change during the past year?
- Did your family size change during the past year (need to add or remove dependents from your plan)?
If you answered yes to any of the above
Visit upmchp.us/2024renew to update and confirm your personal information. You have until Dec. 15, 2023, to make changes for coverage that will begin on Jan. 1, 2024.
If you didn’t answer yes to any of the boxes above:
You don’t have to take any action. You will be automatically be re-enrolled!
1 Preventive 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 may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.
2 Tier 5 preventive 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.
3 Go to upmchealthplan.com/BEST for award information.
4 UPMC Health Plan commercial members and their dependents who reside or are traveling in Ohio will continue to access care through the SuperMed PPO Network and, while traveling outside of the state of Ohio, can also utilize the Cigna PPO Network.
5 UPMC AnywhereCare Virtual Counseling is available to UPMC Health Plan members who are located in Pennsylvania at the time of the visit. The service is available to members of your household who are 18 years old and older. If further counseling is needed, the counselor may refer you or your household members to relevant community resources.
6 Only 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 $4,000/$0, UPMC Advantage Gold HSA $2,500/10%, or UPMC Advantage Catastrophic $9,450/$0 plans, UPMC AnywhereCare 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.