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Navigators/Certified Application Counselors

Information to help you help others in your community

marketplace-logo

Welcome aboard, Navigators and Certified Application Counselors!

You have been tasked with the vital responsibility of educating people who are looking for insurance coverage on the federal Health Insurance Marketplace.

The goal of the Affordable Care Act (ACA) is to insure virtually all Americans. In many ways, the ACA’s success depends on you and your ability to help people enroll. You will distribute fair and impartial information about enrollment in qualified health plans and tell clients about the financial assistance available to them. You will make them aware of other plan options like Medicaid, Medicare, and the Children’s Health Insurance Program (CHIP).

UPMC Health Plan is here to assist you during the federal Health Insurance Marketplace Open Enrollment Period.* As you help your clients make the best decision about their health insurance, we can answer your questions about UPMC Advantage plans for individuals and families (which include the lowest-priced plans on the federal Health Insurance Marketplace in Pennsylvania), health care reform, and more. Turn to this website for important information and resources throughout the Open Enrollment Period.

If you cannot find the information you need on this website, please call UPMC Health Plan’s hotline for Navigators and Certified Application Counselors at 1-855-498-8762.+

*The UPMC Health Plan Marketplace is a shopping site only for UPMC Health Plan products and is not the federal Health Insurance Marketplace. To access the UPMC Health Plan Marketplace, please visit www.upmchealthplan.com/coverage. To access the federal Health Insurance Marketplace, please visit www.healthcare.gov.

+This hotline is for Navigators and certified application counselors only. It is not for general public use.

Contact Us

Have questions? We’re here to help.

If you have questions about UPMC Advantage health insurance plans for individuals and families, or anything related to health care reform or the federal Health Insurance Marketplace, contact us at one of the numbers listed below. We are available Monday through Friday from 7 a.m. to 7 p.m. and on Saturday from 8 a.m. to 3 p.m.

  • Navigator/Certified Application Counselors:* 1-855-498-8762
  • Individuals and Families:** 1-855-415-8762 | marketplaceinfo@upmc.edu
  • General Information about Health Care Reform: 1-855-230-8762

*This hotline is for Navigators and Certified Application Counselors only. It is not for general public use.

**The hotline and email address are for individuals and families who would like to speak to a UPMC Health Plan sales representative about UPMC Advantage plans. Please do not use this email address to send us any personal health information such as health status, prescription use, illness, or injury. Email is typically not encrypted and your information may not be protected. We will not answer any personal health information questions through email. We encourage you to call us with specific questions.

With UPMC Health Plan, members enjoy:

  • Full in-network access to UPMC doctors and UPMC-owned facilities.
  • An outstanding Health Care Concierge team that is ready to help by finding providers, answering questions about coverage, and providing information about wellness and coaching programs.
  • Discounts at fitness centers, on Lasik surgery, and more!
  • Tools that assist members in tracking their health activities.
  • The lowest-priced plans on the federal Health Insurance Marketplace in Pennsylvania.
Learn more about the benefits of choosing UPMC Health Plan.

Resources for Navigators and Certified Application Counselors

Refer to these resources when speaking to your clients about UPMC Advantage, and general health care reform and health insurance-related issues.

Resources for Your Clients

These resources offer valuable information about how health insurance, health care, and the federal Health Insurance Marketplace work. We also offer printable worksheets for you to fill out with your clients, to help them better understand the process of selecting a health insurance plan.

Links to health insurance information:

Printable Resources:

Materiales en Español

More Information

You or your clients can find more information about UPMC Health Plan's high-quality plan options from these sources:

Shop on the UPMC Health Plan Marketplace.*
Contact a UPMC Health Plan Sales Representative.**

**The UPMC Health Plan Marketplace is an online shopping site only for UPMC Health Plan products. It is not the federal Health Insurance Marketplace. To access the federal Health Insurance Marketplace, visit www.healthcare.gov.

**This link is for individuals and families who want to speak to a sales representative about UPMC Advantage plans.

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