UPMC for You combines covered benefits with enhanced targeted services to support UPMC for You members who have an intellectual disability or autism (ID/A) and their families.

Benefits for UPMC for You members

UPMC for You is committed to making sure that members have access to the covered benefits listed below.

Other services for members with ID/A

As a UPMC for You member, you have access to our Enhanced Member Supports Unit (EMSU). This is a team of nurse and social work care managers. They can help you get the services you need and coordinate your care with different providers and programs. They can also help you transition from pediatric to adult services and connect you and your caregivers with community resources.

Access care. The main purpose of the EMSU is to make sure you get the primary and specialty care you need. The EMSU gives you a single point of contact to help you understand your insurance, navigate the health care system, choose a primary care provider (PCP), and find any specialists you might need. Our EMSU care managers are trained to use LifeCourse tools to develop a care plan that will help you achieve your health care goals. They can also find other services and supports for which you may be eligible, then connect you with community organizations and state or county resources.

Care coordination. Our care managers can help coordinate your care across state, county, and local programs They also work with ID/A providers and coordinators to make sure you get the care you need. Our care managers can also help when you are transitioning from a hospital or temporary medical setting to care at home.

Transition services. Care managers can help you transition from pediatric to adult care. They can work with you, your family, and your caregiver to find helpful resources. They will stay involved during the transition process.

Member resources

The UPMC for You member resources page provides links to important member documents and health care forms, information on health plan and community services, and other resources.

Community resources

Pennsylvania Office of Developmental Programs (ODP) Intellectual Disability Services
ODP autism services
ODP eligibility and contact information
County contact information for intellectual and developmental disabilities services

Connect with us to talk about these services

Already a member?
To learn more, call our Enhanced Member Supports Unit (EMSU) at 1-866-463-1462 (TTY: 711). Help is available Monday through Friday from 8 a.m. to 6 p.m.

If a team member is not available, please leave a message. A representative will call you back within two business days.

Want to become a member?
Learn how to enroll in UPMC for You.

Need help finding employment?
The Pathways to Work program helps unemployed or underemployed adults—including those with disabilities—connect with work and training opportunities. You do not need to be a UPMC for You member to join. Learn more.

Call 1-833-526-6271 (TTY: 711). Help is available at these days and times:

Monday, Tuesday, Thursday, and Friday from 8 a.m. to 6 p.m.
Wednesday from 8 a.m. to 8 p.m.

pathwaystowork@upmc.edu

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Intellectual Disabilities/Autism Services

Learn about UPMC for You

What's covered

Member Log In

Contact Us

Enrolling in UPMC for You

Member Log In

Contact Us

Current Members Phone:

Current Members Phone:

Members

Member Log In

Contact Us

Current Members Phone:

Current Members Phone: