UPMC for Life
members enrolled in an HMO plan have full in-network coverage when traveling to Florida, Georgia, North Carolina, South Carolina, and Tennessee. That means HMO members pay the same cost-sharing when seeing providers in these states as they do in-network at home.
Call your Health Care Concierge team before you see a provider so that we can help to coordinate your care. We can help you:
- Locate a provider or pharmacy for you.
- Schedule a medical appointment for you.
- Help you obtain prior authorization for services as needed.
HMO members will be charged in-network cost sharing for covered services received from any provider that accepts Medicare. PPO plan members will be charged out-of-network cost sharing as applicable for covered services received from non-participating providers. All members are charged the applicable cost sharing for emergent and urgent care as listed in the Evidence of Coverage. Members with coverage through their employer group may not have the Travel Concierge Program benefit. Please refer to your Evidence of Coverage. Some in-network services require prior authorization. Make sure you receive prior authorization for services as listed in the Evidence of Coverage when traveling.