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Member Resources

Member Handbook
Manual para Miembros
Справочник участника

UPMC for You Pharmacy Formulary (Non-PDL)
Su Programa de medicamentos con receta 2021
Pennsylvania Department of Human Services Preferred Drug List (PDL)
Searchable Formulary

Important Documents
Authorization to Release Substance Use Health Information Form
Authorization to Release Physical or Behavioral Health Information Form
Member Rights and Responsibilities
Notice of Privacy Practices
Notificación de prácticas de privacidad
Out-of-Network Care Claim Form
Personal Representative Designation Form
Formulario de nombramiento de representante personal
COVID-19 Over-the-Counter (OTC) Testing Reimbursement Form
Formulario de reembolso de pruebas diagnósticas COVID-19 de venta libre (OTC)

Domestic Violence Links
Pennsylvania Department of Human Services
Pennsylvania Medical Society – 1-800-228-7823
National Domestic Violence Hotline – 1-800-799-7233

Food and Nutrition Services
Women, Infants, and Children (WIC)

Behavioral Health Links
Community Care Behavioral Health (CCBH)
Beacon Health Options

Lehigh Capital (Lehigh Valley & Capital Region)
Community Care Behavioral Health (CCBH)
Magellan Behavioral Health

New West
Community Care Behavioral Health (CCBH)
Beacon Health Options

Pennsylvania Head Start Programs
Head Start

Special Needs Unit
Learn more about the Special Needs Unit

Medical Assistance Transportation Program
Medical Assistance Transportation Program (MATP)

Safety Net Health Plans Link
Association for Community Affiliated Plans (ACAP)

National Museum of Dentistry
Healthy Smiles for Autism

Read the current Caring for You newsletter

This managed care plan may not cover all your health care expenses.

If you have questions about your benefits, call the UPMC for You Health Care Concierge team at 1-800-286-4242. Representatives are available Monday, Tuesday, Thursday, and Friday from 7 a.m. to 7 p.m.; Wednesday from 7 a.m. to 8 p.m.; and Saturday from 8 a.m. to 3 p.m.

TTY users should call toll-free 711.

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