UPMC VirtualCare
A health plan with $0 copay for many virtual visits
UPMC VirtualCare™ is a unique plan that offers $0 copays for many virtual visits.
Members enjoy the convenience and flexibility of accessing healthcare on their phone, tablet, or computer.
UPMC VirtualCare is designed to make it easy to access digital-first care while you manage your healthcare costs. There are no copays for virtual visits, so you can have a virtual doctor appointment when you need it.
What is a copayment (copay)?
A copay is a fixed amount that you must pay a provider for a covered service before you receive the service. You might have a copay of $20 every time you visit your primary care provider. Your copay might be higher if you see a specialist, such as $50 per visit.
What is considered a virtual visit?
A virtual visit is one that takes place using a smartphone, tablet, or computer with internet access. Once you schedule an appointment, your provider will tell you when to join your visit.
What are the benefits of UPMC VirtualCare?
- $0 copay for virtual visits:
This includes primary care, wellness visits, behavioral health visits, and 24/7 video visits1
- Reduced copay for virtual specialist visits:
Specialists focus on specific health topics, such as cardiology (heart concerns) or dermatology (skin, hair, and nail concerns).
- Choice to see your provider in person:
With a UPMC VirtualCare plan, in-person visits have a higher member cost share.
- Access to a variety of providers:
This includes UPMC and other participating providers in the UPMC Partner, Select, or Premium networks.
- Digital onboarding on the free UPMC Health Plan app:
It is available on the App Store and Google Play™.
Ready to sign up for UPMC VirtualCare?
Frequently asked questions about virtual care
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, or 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.
There is a $0 copay for virtual primary care, wellness visits, behavioral health visits, and 24/7 video visits. You can see a specialist for a reduced copay.
All you need is a smartphone, tablet, or computer and internet access. Your provider will give you instructions on how to join your visit.
No, there is automatically a $0 copay for virtual primary care, wellness visits, behavioral health visits, and 24/7 video visits.
124/7 video visits are available only to UPMC Health Plan members who are in Pennsylvania at the time of their virtual visit. Members may select a UPMC provider, subject to provider availability and discretion. Members or the member’s parent or legal guardian must accurately verify their physical location and that they are in Pennsylvania at the time of the visit. Limitations may apply for members of administrative services only (ASO) plans who have opted out of coverage. A parent or legal guardian must be present during the video portion of the visit for children younger than 18. Providers employed or contracted by UPMC retain discretion regarding the treatment of patients ages 0-2. 24/7 video visits for children ages 0-2 are unavailable from 11 p.m. to 7 a.m. in Pennsylvania.
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Enroll online at upmchealthplan.com/marketplace.