UPMC Health Plan


Denise Hughes
UPMC Health Plan

UPMC Health Plan Again Offers Lowest-Cost Marketplace Plans in Western PA with Full In-Network Access to UPMC Doctors and Hospitals

2023 offerings include virtual-first plan and free counseling

Pittsburgh (Nov. 4, 2022) – With Open Enrollment underway, UPMC Health Plan announced today that it is again offering western Pennsylvania’s lowest-cost Individual Marketplace plans with full in-network access to UPMC providers. This year’s offerings and benefits include a virtual-first plan with zero-dollar copays for virtual primary care and mental health services and free health coaching sessions.

Open Enrollment for Individual coverage under the state-based exchange, Pennie®, runs through Dec. 15 for coverage that begins on Jan. 1. UPMC Health Plan currently serves more than 100,000 Pennsylvanians through Marketplace plans.

“We remain committed to the Exchange and to meeting the evolving needs of Pennsylvanians who depend upon Pennie for affordable access to quality care and award-winning member services. That’s why our 2023 Individual plans have strengthened coverage for in-demand services, such as mental health, wellness, and telehealth,” said Kim Orth, President, Commercial Products, UPMC Health Plan. “These valuable enhancements include free counseling sessions through LifeSolutions®, free health coaching sessions, and access to digital tools like our nationally recognized RxWell app to help manage stress and anxiety.”

Access to high-quality, affordable health care is further enhanced by the recent multiyear extension of American Rescue Plan subsidies.

“The combination of our affordable plan design, strong clinical networks, and the extended subsidies makes access to quality care an exceptional value,” said Orth.

Virtual-First Plan Option: UPMC VirtualCare
UPMC Health Plan is committed to offering innovative insurance plans that meet Pennsylvanians’ changing needs. As such, the Health Plan will continue to offer UPMC VirtualCare—its virtual-first product—to Individual enrollees.

“Our VirtualCare option provides members with online access to doctors and other providers when and where care is needed,” said Orth. “And it’s backed up with full in-network access—with cost sharing—for in-person visits when needed or desired.”

UPMC VirtualCare offers both out-of-pocket savings and convenience. It features $0 copays for virtual primary, urgent, and behavioral health care visits with in-network providers, plus reduced copays for virtual specialist visits. UPMC VirtualCare is available for Marketplace enrollees in Allegheny, Beaver, Butler, Erie, Fayette, Washington, and Westmoreland counties. It will also be available to employers in the small-group market in Allegheny and Erie counties.

How to Learn More and Enroll in a Plan
UPMC Health Plan has a team of licensed agents who are eager to provide assistance. During Open Enrollment, they can be reached at 1-877-563-0292 (TTY: 711) seven days a week from 8 a.m. to 8 p.m. They are also available for in-person and virtual appointments at UPMC Health Plan Connect Centers. UPMC Health Plan Marketplace plans are also available through Pennie.

For more information, visit upmchealthplan.com/marketplace.


About UPMC Insurance Services

The UPMC Insurance Services Division serves more than 4 million members and is owned and operated by UPMC, a world-renowned health care provider and insurer in Pittsburgh, Pennsylvania. The UPMC Insurance Services Division provides commercial products through UPMC Health Plan for both groups and individuals. Its commercial products also include workers’ compensation and employee assistance from nationally known Workpartners®. Government products include Medicare Advantage plans (UPMC for Life); special needs plans for those who are eligible for Medicare and Medical Assistance (UPMC for Life Complete Care and UPMC Community HealthChoices); a Medical Assistance plan (UPMC for You); and Children’s Health Insurance Program plans (UPMC for Kids). Community Care Behavioral Health Organization—one of the nation’s largest nonprofit managed care behavioral health organizations—is also part of the Insurance Services Division. Community Care offers a full range of services to commercial and Medical Assistance members. For more information, visit upmchealthplan.com.