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Wellness & Prevention

UPMC for You wants to help you be as healthy as you can. There are many routine services and tests that are important for children and adults to have on a regular basis to help them stay healthy and to find problems early. For members with ongoing medical conditions such as asthma, diabetes, or heart conditions, routine tests and treatments can help you manage your condition. UPMC for You has programs that can help.



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Preventive Services

What are preventive services?

Preventive services can help keep you well. They include more than just seeing your PCP once a year for a checkup. They include immunizations/vaccines,* lab tests, and other screenings that can help your PCP or other provider manage your health care needs.

Where do I go for preventive services?

Go to your PCP for preventive services. Women can go to a UPMC for Youparticipating ob-gyn for their Pap test, pelvic exam, and mammogram. Routine physical appointments often take longer to schedule. Call well before the time you would like to schedule an appointment.

Here are some important preventive services you should know about:

Physical exam

When you go for a physical exam, your PCP will ask questions about your medical history and your family’s medical history. This is important because sometimes you may have a greater risk of having a disease if someone in your family has it. Your PCP will also check your height, weight, and blood pressure. How often you see your PCP will vary based on your age and condition, but you should see your PCP at least once a year.

*UPMC for Youcovers certain vaccines when provided by your PCP. If your PCP is unable to give the vaccine, he/she can refer you to another participating physician office. Some local pharmacies provide the vaccines but they are not covered by UPMC for You. Call Health Care Concierge Services to see which pharmacies are participating in the UPMC for Youvaccine program.

Blood work and other tests

Based on your age, medical history, and the results of your physical exam, your PCP or other providers may order some tests. These might include blood work to check your cholesterol level or blood sugar, a cardiogram (EKG) to check your heart, or other tests. Preventive screenings can help you and your PCP find out early if you have a disease or health condition. Sometimes early treatment can save your life.

Immunizations/vaccinations

Vaccines are given to adults and children to help protect them from diseases or from getting sick. Some are for HPV, measles, mumps, pneumonia, tetanus, or the flu. It is very important for children to get all of their vaccines even if they are feeling fine. Some vaccines need to be given only once. Others need to be given at certain times as a child grows. Others work best when they are received each year.

Talk to your PCP to find out which immunizations you and your child may need. UPMC for Youcovers certain vaccines when provided by your PCP. If your PCP cannot give the vaccine, he or she can refer you to another participating physician office. Some local pharmacies provide the vaccines but they are not covered by UPMC for You. Call Health Care Concierge Services to see which pharmacies are participating in the UPMC for Youvaccine program.

A complete immunization guide can be found here.

Health Management Programs

What is a health management program?

A health management program has health coaches who help you better understand your disease or condition. They help you manage your health care and take better care of yourself. The right program can help you follow your provider’s plan of care and learn about your disease or condition. Your provider may talk with you about enrolling in one of these programs for better health. However, you can be enrolled in a health management program without a referral from your PCP or other provider. You can disenroll in a health management program at any time.

UPMC for You has several health management programs. They are:

  • Asthma
  • Heart disease (coronary artery disease, atrial fibrillation, and congestive heart failure)
  • Chronic obstructive pulmonary disease (COPD is a lung disease)
  • Diabetes
  • Maternity
  • Hypertension (high blood pressure)
  • Hyperlipidemia (high cholesterol)
  • Low back pain
  • Chronic kidney disease

How can a health management program help me?

Health coaches help make a care plan just for you. They work directly with you and your health care providers. They check your progress. Health coaches help you learn more about your condition and how to manage it. Here is how:

  • They help you understand how to take better care of yourself. You will learn when you should call the doctor and what tests you may need to help you manage your health conditions.
  • They tell you which preventive tests you need and how often you need them. Preventive tests help find problems early
  • They help you understand how other conditions you may have also affect your health.
  • They help you follow the doctor’s orders.
  • They teach you about your medications.
  • They help all of your doctors and other health care providers work better together.
  • They teach you how to improve your health. You will get help to quit smoking, eat better, exercise more, lose weight, and have less stress.
  • They give you community resources that help with needs not covered by UPMC for You.
  • They provide education through coaching phone sessions and materials that can answer your questions.

How can I learn more about a health management program?

Call the Health Management Department at 1-866-778-6073 Monday through Friday from 7 a.m. to 8 p.m., and Saturday 8 a.m. to 3 p.m. TTY users should call toll-free 1-800-361-2629.



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