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Learn the basics of how health insurance works—and how UPMC Health Plan's individual and family plans works for you.
UPMC Health Plan Marketplace information:
Information on our other individual and family plans:
Shop for a plan the way you choose. If you're already a member, you can manage your plan right here or log in to your personalized member portal.
Individual Sales: 1-877-563-0292 TTY: 711
Group Sales: 1-888-383-8762 TTY: 711
Healthy employees are happier, more productive, and have fewer absences. Learn how UPMC Health Plan can help your employees live their healthiest lives.
Prospective Clients: 1-888-383-8762 TTY: 711
Current Clients: 1-800-937-0745 TTY: 711
Start the process of becoming a UPMC Health Plan producer or log in to your existing Producer OnLine account.
Employer Group Services: 1-888-499-6922 TTY: 711
As a UPMC Health Plan member, you have access to much more than top-ranked care. Your plan includes online health tools, award-winning customer service, health and wellness programs, travel coverage, and many more benefits and services.
Manage the nuts and bolts of your plan from right here, or log in to your personalized member portal.
Current Members: 1-844-220-4785 TTY: 711
As a UPMC employee or covered family member, you have several options for finding high-quality care when and where you need it. Knowing all your options will help you make the best choice based on your needs.
Review your care options
AccessHave virtual visits with a MyHealth@Work provider through the UPMC AnywhereCare app. Providers are available Monday through Friday from 7 a.m. to 5 p.m.* Register for UPMC AnywhereCare
Care MyHealth@Work providers can treat nonemergency conditions, such as cold and flu symptoms, rashes, seasonal allergies, sore throat, and others. Access general health and wellness services, health coaching, LifeSolutions® referrals, preventive care, workers’ compensation triage, behavioral health care for anxiety and/or depression, Complete Health Reviews, and much more.
Cost UPMC Silver, Gold, and Platinum: No cost UPMC HSA: $25
Available for:
Highlights:
Access Online appointment scheduling is available for in-person appointments at your local MyHealth@Work center.
Care Nonemergency conditions, such as cold and flu symptoms, rashes, seasonal allergies, sore throat, and others. Hub for employee health and wellness with care for minor illnesses and access to general health and wellness services, health coaching, LifeSolutions referrals, preventive care, workers’ compensation triage, behavioral health care for anxiety and/or depression, Complete Health Reviews, and much more.
Access Have virtual visits with a provider through the UPMC AnywhereCare app available 24/7.** Register for AnywhereCare
Care Nonemergency conditions, such as cold and flu symptoms, rashes, seasonal allergies, sore throat, and many other conditions.
Cost UPMC Silver, Gold, and Platinum: $5 copay UPMC HSA: $59 cost until deductible is met
Access Talk to a registered UPMC nurse anytime by calling 1-866-918-1591 (TTY: 711).✝✝
Care Get help deciding whether you should treat nonemergency conditions at home, with your primary care provider, or through a higher level of care.
Cost No cost
For a scheduled visit outside of regular business hours, your PCP knows your health history and is the best person to direct your care. If you do not have a designated PCP, you can select a PCP online.✝✝✝
Access Make an appointment with your PCP by calling their phone number on the front of your member ID card. If you do not have a designated PCP, you can select a PCP online.
Care Well-visits, sick visits, preventive services, care coordination for tests or specialist care
Cost Coinsurance or copayment; no cost for many preventive services. View your Schedule of Benefits on MyHealth OnLine for specific amounts. Spouses sign-in for MyHealth OnLine.
Access Whether you’re feeling anxious, stressed, or sad, the RxWell® app has a path for you. The app’s techniques can help you overcome common barriers to living your best life. Download todayFind more programs and services to help you improve or manage behavioral health.
Care RxWell can help you become emotionally and physically well by combining proven techniques with support from a health coach. The app offers programs on a variety of wellness topics from stress, depression, and anxiety management to nutrition, weight management, and tobacco cessation.
*UPMC Health Plan members enrolled in the UPMC Advantage or Extended Network health savings account plans will be charged a $25 fee for provider-related visits until their deductible is met. Virtual MyHealth@Work service is only available in Colorado, Florida, Maryland, Ohio, Pennsylvania, and West Virginia. Available hours may vary.
**UPMC Health Plan members located in Pennsylvania at the time of service will have a virtual visit with a UPMC-employed provider. UPMC Health Plan members located outside of Pennsylvania at the time of service will receive care from a provider employed or contracted by Online Care Network II PC, also known as Amwell Medical Group, at the discretion of the provider. Providers are not available to treat members who are in Puerto Rico.
✝✝UPMC nurses who answer calls are licensed to assist members located in Pennsylvania, West Virginia, Maryland, New York, and Ohio. Members must be located in one of those states when calling the UPMC MyHealth 24/7 Nurse Line. The UPMC MyHealth 24/7 Nurse Line is not a substitute for medical care. If an emergency arises, call 911 or go to the nearest emergency department. Nurses cannot answer plan or benefit questions. Please contact the Health Care Concierge team at the phone number on your member ID card for nonclinical inquiries.
✝✝✝Dependents registering for MyHealth OnLine must be 13 years old or older.