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Medical Coverage


UPMC for You covers doctor visits, with no copayments. (Some members may have a small copayment for chiropractors and podiatrists.)

Members choose a primary care practitioner (PCP). A PCP is a personal doctor or Certified Registered Nurse Practitioner (CRNP). He or she provides or arranges all of our members' health care needs.

If a member needs to see a specialist, our doctors help take care of the details. There is no paperwork to worry about.

Services that do not require a referral:

  • Well-woman visit
  • Pregnancy/birth services
  • Family planning
  • Vision exams
  • Substance abuse treatment
  • Dental care
  • Behavioral health

PCP can be a family and general practice doctor, a pediatrician, an internal medicine doctor, or a CRNP. Family and general practice doctors treat all family members. Most pediatricians treat children, and most internal medicine doctors treat adults. A CRNP is a registered nurse with advanced training in a specialty area, certified by the boards in that specialty area. A CRNP may diagnose a condition or prescribe medicine under the direction of a doctor.

The Find A Doctor search tool can help our members find and select a doctor that is conveniently located.

View the UPMC for You member handbook for more information about covered benefits.

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