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Getting the Right Care at the Right Time

UPMC Health Plan members have access to many care options. Knowing all your options can help you quickly get care in a cost-effective way.

Primary care provider

Care by appointment

When you don’t feel well, you should call your primary care provider (PCP). Your PCP knows your health history and can help you access services to get healthy.

If you don’t have a PCP, you can select one today!1

Select your PCP

Highlights:

In-person care
Health & wellness
Low cost

LGBTQIA+ Affirming Providers

Our LGBTQIA+ Affirming Providers communicate and validate the LGBTQIA+ patient experience, and they strive to create a safe and welcoming patient-provider relationship with our LGBTQIA+ members. Watch this video on how to find a LGBTQIA+ Affirming Provider.

UPMC MyHealth 24/7 Nurse Line

Telephone support for nonemergency health-related questions

You can call this no-cost helpline to get answers to your health-related questions.2 After you describe your nonemergency symptoms, a UPMC nurse will recommend ways to treat your condition at home or advise you to get medical care.

Call 1-866-918-1591 (TTY: 711) to talk to a nurse.

Highlights:

24/7 help by phone
Medical advice
No cost

UPMC AnywhereCare

Virtual urgent care

You and your child3 can use UPMC AnywhereCare4 to get treatment for nonemergency conditions, including cold and flu symptoms, seasonal allergies, and earaches. You will be seen by a provider and get a prescription sent to your preferred pharmacy, if necessary.

Download the UPMC AnywhereCare app or sign up on your computer today!

Apple Store Google Play

Highlights:

24/7
Video visits
Low or no cost

Stress Management: Text Messaging Program

Quick support to help with stress

With our text messaging program, you can get tips, exercises, and resources that can help you manage your stress. You can move through the program at your own pace and choose the topics to focus on (breathing, muscle relaxation, imagery, physical activity, or mindfulness).

Enroll by texting 478-762.5

Highlights:

24/7 access
Texts
No cost

RxWell mobile app for well-being and mental health

Prescription-strength health

The RxWell app offers programs that can help you improve your physical and mental health. These programs address stress, anxiety, weight management, depression, physical activity, tobacco cessation, and other wellness topics. You can also message a health coach for advice and help achieving your goals.

Take the first step to improve your mental health. Download RxWell today!

Apple Store Google Play

Highlights:

Stress, Anxiety, Depression, and other programs
Dedicated health coach
No cost

Behavioral health support for anxiety and depression

Telephone support

You can work with a behavioral health coach to start feeling better.

Get started by calling UPMC Health Plan Behavioral Health Services at 1-888-777-8754 (TTY: 711), Monday through Friday from 8 a.m. to 5 p.m. All services are private and confidential.

UPMC for You and UPMC Community HealthChoices members are eligible for services through behavioral health managed care organizations (BH-MCOs) that are overseen by the Pennsylvania Department of Human Services’ Office of Mental Health and Substance Abuse Services. Call your Health Care Concierge team by calling the number on your ID card to get contact information for your BH-MCO.

Highlights:

Help by phone
Mental health
One-on-one

Health coaching for stress management

Video visit or phone sessions

Reduce your stress by working with an expert Prescription for Wellness health coach. Our coaches use proven techniques to get you the stress relief you need.

To get started via app, log in to or register for a UPMC AnywhereCare account. Once you’re logged in, select the Health Navigation tile. If a navigator is available, you can choose Visit Now. If a navigator is not available, you can schedule a visit.

To start by phone, call 1-855-395-8762 (TTY: 711). Help is available Monday through Friday from 7 a.m. to 8 p.m. and Saturday from 8 a.m. to 3 p.m.

Highlights:

Help by phone or video
Stress management
Health coaching

UPMC Innovative Homecare Solutions

Get the care you need from home

  • In-Home Urgent Care Plus. This service delivers a team of paramedics—connected with a provider via telehealth—right to your door to help treat and assess your urgent care needs. It is offered to UPMC Health Plan members in Allegheny County who need care quickly but can’t get an in-office appointment in time.

    To qualify, you must be referred by your provider.
  • Advanced Illness Care (AIC). A team of nurses, social workers, and nurse practitioners will work together to provide in-home support and resources that can improve your quality of life. The AIC team will regularly coordinate with your providers.

    This program is available at no cost to members with advanced, serious illnesses.

    Ask your health care provider if AIC is right for you.
  • Connected Care. This no-cost program is accessible through your smartphone or tablet. It can help you and your health care team track your health. It uses text message-based check-ins, care monitoring, and other resources to help you along your health journey, particularly if you have a chronic illness like chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF).

    Talk to your health care provider about Connected Care.

    Note: This program is not an emergency response service. Data charges may apply if you are not connected to Wi-Fi.

Highlights:

Urgent care at home
In-home support for serious illnesses
Digital tools and resources

Emergency Care

24/7 care for life-threatening conditions

If you or your child has an emergency health situation, call 911 or go to the nearest emergency room.

In an emergency, you can seek care from any emergency department, even if the hospital is not in your network.

Find a hospital near you

Highlights:

24/7 access
Care for life-threatening conditions
Trained experts

Accessing care away from home

Nonemergency care

If you are traveling6 outside UPMC Health Plan’s service area and need nonemergency (routine) care, call Member Services at 1-844-881-4146 (TTY: 711) or use the phone number on your member ID card.

Help is available:
Monday through Friday from 7 a.m. to 7 p.m.
Saturday from 7 a.m. to 3 p.m.

If you are traveling more than 100 miles from home—including to another country—you can use Assist America7 to connect to medical services and other resources.

Highlights:

Nonemergency care away from home
24/7 Emergency Operations Center

1UPMC for You and UPMC Community HealthChoices members are advised to notify a Health Care Concierge after changing their PCP.

2UPMC nurses who answer calls are licensed to assist members in Pennsylvania, West Virginia, Maryland, New York, and Ohio. Members must be in one of those states when calling the UPMC MyHealth 24/7 Nurse Line.

3UPMC Children’s AnywhereCare is available only to patients who are in Pennsylvania. In order for a child to have a UPMC Children’s AnywhereCare visit, the child’s parent or legal guardian must be with the child during the video portion of the visit, and the child and parent or legal guardian must be in Pennsylvania during the visit. If you are located outside of Pennsylvania at the time of service, you may select the standard UPMC AnywhereCare module and you will receive care from a provider employed or contracted by Online Care Network II PC (OCN), also known as Amwell Medical Group, at the discretion of the provider. OCN is not an affiliate of UPMC. Providers are not available to treat members who are in Puerto Rico.

4UPMC Health Plan members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to availability and discretion of the provider. Members located outside of Pennsylvania at the time of service will receive care from a provider employed or contracted by Online Care Network II P.C. (OCN), also known as Amwell Medical Group. OCN is not an affiliate of UPMC. Limitations may apply for members of ASO plans that have opted out of coverage. Providers are not available to treat members who are in Puerto Rico.

5UPMC Health Plan does not charge for text messages. However, data and message rates from your carrier may apply. To stop receiving healthy tips, text STOP to 876-247 at any time.

6UPMC for Kids, UPMC Community HealthChoices, and UPMC for You members, coverage of care outside the service area is limited. Call the Health Care Concierge team using the phone number on your member ID card for more information.

7Assist America’s services are available to members of UPMC Health Plan commercial plans, UPMC for Life and UPMC for Life Complete Care (HMO-SNP). Assist America is not travel or medical insurance, and its services do not replace health coverage while you are away from home. All services must be arranged and provided by Assist America. For travel that will extend beyond 90 days, you can obtain additional Assist America coverage through the Expatriate/Extended Coverage program. Assist America charges a fee for this program.