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  • Afirmelle is a covered medication with a Tier PG copayment. ($$$$)
  • Notice: Afirmelle is a covered Affordable Care Act medication. (ACA)

Alternative Drug Information
 


Discover the value of UPMC Health Plan:
As a member, you will have all the resources you need to manage your health:
Access to care to help you stay healthy.
Preventive Care icon
$0 preventive care that covers many health services for adults and children at 100 percent.1
Flat Rate icon
No-cost preventive medications2
Full In Network icon
Access to top-ranked doctors and hospitals and an extended network.34
Care for your mental and physical health
Counseling Icon
Six free counseling sessions through LifeSolutions®.5
Coaching icon
Free health coaching to help you make healthy changes in your life.
Support you when you need it
My health access icon
24/7 video visits for treatment that fits your schedule and is covered at 100 percent by most plans.6
Mobile App icon
The UPMC Health Plan app for easy access to your health insurance information.
Concierge icon
Our exceptional Health Care Concierge team for help navigating your benefits through an online chat or phone call.

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 www.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 availability and discretion of the provider. Members located outside of Pennsylvania at the time of service or those who select Talk Therapy or Psychiatry services will receive care from a provider employed or contracted by Online Care Network II PC (OCN), also known as Amwell Medical Group. OCN is not an affiliate of UPMC. Limitations may apply for members of ASO plans that have opted out of coverage. Providers are not available to treat members who are in Puerto Rico.