Frequently asked questions
What does UPMC VirtualCare have that regular health plans don’t?
When you have a traditional health plan, you get most of your care in person. UPMC VirtualCare lets you have $0 copay virtual visits with virtually enabled doctors who participate in the UPMC Partner or Select Networks.
Having virtual visits through UPMC VirtualCare is easy. It can save time since you don’t have to go to a doctor’s office for visits. It may save you money, because there is no copay for virtual visits for wellness, primary care, urgent care, and behavioral health services. This plan also offers you the flexibility to see your doctor in person with a higher cost share. Preventive in-person visits are $0.
How much do virtual visits cost?
There is a $0 copay for virtual visits, for wellness visits, primary care, urgent care, and behavioral health services. You can see a specialist for a reduced copay.
Do all doctor visits have to be virtual?
No. You can schedule in-person visits with cost-sharing. Preventive in-person visits will be $0
How do I connect with UPMC VirtualCare?
All you need is a smartphone, tablet, or computer and internet access. Your provider will give further details on how to access your visit.
How is UPMC VirtualCare different from UPMC AnywhereCare?
UPMC VirtualCare is a health insurance plan. It gives you access to primary care providers, behavioral health care providers, and specialists with virtually enabled doctors who participate in the UPMC Partner or Select Networks. It also allows you to access virtual urgent care through UPMC AnywhereCare.4
UPMC AnywhereCare is a telehealth service that’s included with UPMC VirtualCare. UPMC AnywhereCare is an easy way to have virtual urgent care visits with a high-quality provider. Downloading the AnywhereCare app will be one of the first steps in your onboarding process.
Already a UPMC VirtualCare member?
Find out how to get the maximum benefits of your membership. Call member services at 1-855-489-3494 (TTY: 711).
Purchase UPMC VirtualCare coverage
We’re here to help!
Call, click, or visit.
Call 1–877-563-0292 (TTY: 711)
Call your agent.
Enroll online at upmchealthplan.com/marketplace.
Visit one of our UPMC Health Plan Connect Centers. Call 1-855-306-8834 (TTY: 711) to find the location nearest you.
Tell your Amazon Alexa or Google Home device to "Ask UPMC Health Plan about VirtualCare" and be greeted by our Virtual Concierge.
1Available only in Allegheny, Beaver, Butler, Erie, Fayette, Washington, and Westmoreland counties.
2Eligibility for financial assistance is based on annual adjusted gross income. Annual income amounts are determined by the federal government. To determine your eligibility for financial assistance, you must confirm your eligibility on the Pennie™ website.
3Other eligibility criteria, such as access to employer-sponsored insurance (ESI) that meets affordability standards, have not changed. Those with an offer of ESI that meets these criteria will remain ineligible for financial assistance through Pennie.
4UPMC 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. Members located outside of Pennsylvania will receive service from OCN. OCN is not an affiliate of UPMC.