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Learn About What the Marketplace Means for You

Learn About What the Marketplace Means for You

Plans and Services

UPMC Health Plan offers plans and services for every need. Here you’ll find information on our individual health insurance plans, Medicare and Medical Assistance plans, coverage for children, Special Needs Plans, dental coverage, vision coverage, and other services.

Plans & Services

Benefits of Choosing UPMC Health Plan

We believe every member deserves an affordable health plan that provides quality, choice, access, service, and value. Learn how every plan from UPMC Health Plan offers affordable comprehensive coverage, a large and diverse provider network including the top-ranked care of UPMC, award-winning* customer service from our Health Care Concierge team, and our unique health care coordination services.

Benefits of Membership

Health Insurance Basics

Premiums, deductibles, networks, copays—health insurance has its own language. It can be confusing at times. Here you'll find all the information you need to understand health insurance, including buying and using it, what a qualifying life event is, and health care terminology.

Health Insurance Basics

Health Care Reform

The Affordable Care Act (ACA) provides expanded access to health care coverage across the country.

If you’re feeling a little confused and not sure how the process works, we’ve created some resources that will help you learn about the ACA so you can pick the plan that’s right for you.

Health Care Reform

Find Doctors, Hospitals, and More

Looking for a doctor or care facility? Find the complete listings of all the care providers we partner with — including doctors, hospitals, pharmacies, urgent care facilities, imaging and testing centers, and more.

Browse Our Provider Network

Shop for Plans

The Open Enrollment period for 2021 coverage is from Nov. 1, 2020 through Jan. 15, 2021. You may be eligible for a Special Enrollment Period, which would allow you to enroll outside of Open Enrollment.

With UPMC Health Plan, you can enjoy full in-network access to top-ranked doctors and hospitals, comprehensive coverage, service from our award-winning Health Care Concierge team, and much more—all at an affordable price.

Shop Individual and Family Plans

*UPMC Health Plan earned 11 awards for customer service excellence at the 14th Annual Stevie® Awards—including the 2020 People’s Choice Stevie Award for Favorite Customer Service in the Healthcare and Pharma category. UPMC Health Plan earned three 2019 Gold Stevie Awards for its outstanding sales and customer service. The Stevie Awards are the world’s premier business awards.