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Innovative Products from UPMC Health Plan
UPMC First Care™ Focus on your care, not your copay.
UPMC First Care™ features $0 copays for a variety of in person and virtual visits. This makes it easier to budget for the care you need.
- The first in-person and virtual PCP visits.
- The first in-person and virtual specialist visits.
- 24/7 video visits.5
- All in-office visits and virtual behavioral health visits.
- The plan also offers access to health coaching, digital resources (such as a member website and app) to help you manage your plan, and health and wellness discounts.
UPMC VirtualCare™ Your care. Your choice. Your way.
UPMC VirtualCare™ provides access to some of the highest-quality care in Pennsylvania and is designed to meet many health care needs.
It can connect you to care your way—virtually or in person. You know what you need, so you can choose what’s best for you.
UPMC VirtualCare provides:
- The flexibility of virtual visits.
- $0 copays for virtual primary care, 24/7 video visits, and all behavioral health care visits.
- A reduced rate for virtual specialist visits.
UPMC VirtualCare is available in all UPMC Select and Partner Network counties, and it can be purchased as a Bronze or Silver plan.
Having health insurance is important for everyone, and it’s important to select a plan that allows you to address your needs at every life stage.
With UPMC Health Plan, you and your covered family members will enjoy benefits like $0 preventive care and medications, access to top-ranked doctors and hospitals, and an extended network1-4. Resources are also available to help you and your family if you aren’t feeling well.
Discover the value of UPMC Health Plan
Access to care to help keep you healthy
Care of your mental and physical health
Support you when you need it
#1 in Member Satisfaction in Commercial Health Plans in Pennsylvania and most trusted 2 years in a row
For J.D. Power 2025 award information, visit jdpower.com/awards.
*UPMC Health Plan is the marketing name used to refer to the following companies, which are licensed to issue individual and group health insurance products or which provide third-party administration services for group health plans: UPMC Health Network Inc., UPMC Health Options Inc., UPMC Health Coverage Inc., UPMC Health Plan Inc., UPMC Health Benefits Inc., UPMC for You Inc., and/or UPMC Benefit Management Services Inc.
1Preventive 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 share may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.
2Preventive 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.
3Go to upmchealthplan.com/best for award information.
4For details, visit upmchp.us/networkaccess.
5UPMC 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.
6UPMC Health Plan members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to the provider’s availability and discretion. Members who are not in Pennsylvania at the time of service may receive care from a provider employed by or contracted with UPMC. Limitations may apply for members of 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 under age 18. It is at the discretion of providers employed or contracted by UPMC to choose whether to treat patients ages 0 to 2. 24/7 video visits for children ages 0 to 2 are unavailable from 11 p.m. to 7 a.m. in Pennsylvania. Hours may vary for visits with children under age 18 outside of Pennsylvania, and 24/7 video visits may be unavailable in those locations. This service is not available to members in Puerto Rico.