UPMC Health Plan


Denise Hughes
UPMC Health Plan

UPMC Health Plan 2024 Marketplace Offerings Include New UPMC First Care Option with $0 Copays for Many First Doctor Visits

UPMC Health Plan also adds 9 counties to its virtual-focused plan, UPMC VirtualCare

Pittsburgh (Nov. 1, 2023) – Western Pennsylvanians who are looking to purchase their own insurance coverage for 2024 can select from among the region’s lowest-priced Individual plans when they choose UPMC Health Plan. This year’s offerings include the new UPMC First Care™ plan, which has $0 copays for many initial doctor office visits, all behavioral health office visits, and all urgent care visits through the UPMC AnywhereCare app. UPMC Health Plan also expanded the availability of its telehealth-focused plan, UPMC VirtualCare, to serve members in 16 western Pennsylvania counties.

UPMC First Care is available to anyone who purchases or renews an Individual or Family plan through Pennie® or the UPMC Health Plan Marketplace.

"Our 2024 Marketplace plans prioritize affordable access to care with innovative supports that meet the unique health care needs of Pennsylvanians. UPMC First Care puts our members first with flexible options that prioritize highly affordable access to our network of physical and behavioral health providers," said Kim Orth, President, UPMC Health Plan Commercial Products. "By removing copays for those initial in-person and virtual visits with doctors, we are making it easier than ever for members to get the care and services needed to keep them healthy."

The UPMC First Care plan prioritizes cost savings by making it easier for members to access care. As such, members enjoy $0 copays for their first in-person and virtual primary care visits, $0 copays for their first in-person and virtual specialist visits, and $0 copays for all behavioral health office visits and urgent care visits through UPMC AnywhereCare.

UPMC VirtualCare has a $0 copay for virtual visits with providers who participate in the UPMC Partner or Select networks. The copay is applicable to wellness, primary care, urgent care, and behavioral health visits. Members can even see a specialist for a reduced copay. UPMC VirtualCare offers Bronze and Silver plan options, and it will expand into nine additional Pennsylvania counties for 2024. This means it will be available to residents of Allegheny, Beaver, Bedford, Blair, Butler, Clinton, Erie, Fayette, Lawrence, Lycoming, Mercer, Somerset, Tioga, Venango, Washington, and Westmoreland counties.

"We continue to see how telehealth not only offers convenience for many health care services, but also greatly expands access to care," said Orth. "With that in mind, our UPMC VirtualCare plan can help individuals in rural or other areas access care more quickly, more conveniently, and more affordably."

How to Learn More and Enroll in a Plan
Pennsylvania's Open Enrollment period runs from Nov. 1, 2023, to Jan. 15, 2024. UPMC Health Plan has a team of licensed agents who are eager to help shoppers find a health insurance plan that meets their needs. During Open Enrollment, agents can be reached at 1-877-563-0292 (TTY: 711) Monday through Saturday from 8 a.m. to 8 p.m. They are also available for in-person or virtual appointments at UPMC Health Plan Connect Centers. In addition, UPMC Health Plan Marketplace plans are available through Pennie.

For more information, visit upmchealthplan.com/marketplace/shop.


About UPMC Insurance Services

UPMC Insurance Services serves nearly 4.5 million members and is owned and operated by UPMC, a world-renowned health care provider and insurer in Pittsburgh, Pennsylvania. UPMC Insurance Services 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.

About Postindustrial

Postindustrial Media is an award-winning journalism-first, multimedia outlet and podcast production company based in Pittsburgh, Pennsylvania. Postindustrial covers regions once highly industrialized and efforts to reimagine them for a new era, building conversations through its daily digital newsletters, podcasts, events, and video.

The company focuses its coverage on Pennsylvania, Ohio, West Virginia, Michigan, Illinois, Wisconsin, Tennessee, Alabama, Kentucky, and parts of New York and North Carolina but has readers around the world. For more information, visit postindustrial.com.