Member eligibility and benefits information transitioning from NaviNet to Provider OnLine

Dec. 2024Important Notices
Effective March 20, 2025, UPMC Health Plan network providers will no longer have access to member eligibility and benefits information through NaviNet. After this date, network providers should visit upmchealthplan.com/providers/medical/ to access this information. If you have questions or issues accessing Provider OnLine, please contact your physician account executive or network manager or call Provider Services at 1-866-918-1595.

Recent Announcements

UPMC for Kids now provides statewide CHIP coverage

Effective July 1, 2025, comprehensive high-quality health insurance coverage is available to even more children and teens throughout the state. UPMC for Kids, UPMC Health Plan’s Children’s Health Insurance Program (CHIP) plan, has expanded into three additional counties across Pennsylvania to include Montour, Northumberland, and Pike.
Jun. 2025Education/Webinars

UPMC-GoHealth Urgent Care centers opening

UPMC has formed a joint venture with GoHealth Urgent Care. MedExpress locations in PA and WV and UPMC Urgent Care and Express Care centers are transitioning to UPMC-GoHealth Urgent Care centers.
Jun. 2025Important Notices

Fostering Trust in Vaccinations Through Shared Decision Making

Please join us for a live, CME-accredited webinar on Thursday, September 11, from noon to 1 p.m. that will provide an overview of fostering trust in vaccinations through shared decision making.
May 2025Education/Webinars