The companies provide a full range of health insurance, including behavioral health. UPMC Health Coverage, Inc. - Individual Plans Rate Request filing ID # UPMC-132364646 - This document is prepared by the insurance company submitting the rate filing as a consumer tool to help explain the rate filing. EPO $1000 $30/$60 - Premium Network: UPMC Health Plan Coverage Period: 01/01/2016 - 12/31/2016 Summary of Coverage: What this Plan Covers & What it Costs Coverage for: All coverage levels | Plan Type: EPO Questions: Call . We make certain our members in the Transgender community have access to award-winning member services support dedicated to explaining Transgender coverage and . You have successfully been logged out. Under the Affordable Care Act certain preventive services, such as mammograms and annual physicals, are covered at 100 percent. 2 ways to schedule. If weight loss surgery is a covered service; How much you may be expected to pay yourself The directory does not list a provider's race or ethnicity, but some providers have disclosed this information. UPMC Health Plan gives you affordable, comprehensive medical coverage along with the following services: Easy access to world-class UPMC hospitals and providers and other community facilities. NOTE: Information about the cost of this plan (called the premium) will be provided separately. The SBC shows you how you and the plan would share the cost for covered health care services. for a doctor or specialist. Opm.gov . Explore Employer Resources. EPO - Premium Network: UPMC Health Plan Coverage Period: 01/01/2017 - 12/31/2017 Summary of Coverage: What this Plan Covers & What it Costs Coverage for: All coverage levels | Plan Type: EPO Questions: Call . UPMC Health Plan. 1 UPMC provides group health insurance, Medicare , employee assistance, worker's . These highlights from the Quebec Health Insurance Plan are for general reference only and are subject to change, corrections and updates. Please refer to your UPMC Advantage medicalplan documents for benefit and eligibility details. NOTE: Information about the cost of this plan (called the premium) will be provided separately. UPMC Health Plan updates its websites with timely, trustworthy information on COVID-19. Your plan includes online health tools, award-winning customer service, health and wellness programs, travel coverage, and many more benefits and services. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. Our Member Services team can assist with bill payment when you call 1-855-489-3494, Monday through Friday from 7 a.m. to 7 p.m., and Saturday from 8 a.m. to 3 p.m. 1-888-876-2756 . UPMC MyCare Advantage UPMC MyCare Advantage is a tiered benefit plan that focuses on patient-centered care to improve the health outcomes of its members. ET. UPMC Health Plan Coverage for Addiction Treatment. Please use the following link to return to the UPMC Health Plan home pageUPMC Health Plan home page UPMC Health Plan is committed to assisting all members, including those in the Transgender community, to fully understand their benefits, to access services, and to live a healthy life. With a close-knit work environment and a dedicated culture of service excellence, our Member Services Team educates and guides our customers through . Schedule an in-person or online visit with a care provider. The SBC shows you how you and the plan would share the cost for covered health care services. Employer Resources. 2022 UPMC Health Plan 1 UPMC Health Plan. UPMC Health Plan PO Box 371842 Pittsburgh, PA 15250-7842. For eligible members enrolled in a UPMC Advantage medical plan, your pediatric dental coverage will be Pediatric Dental PPO. For Members. Q. If you forgot your user ID, use the "I forgot my user id" link below. The directory does not list a provider's race or ethnicity, but some providers have disclosed this information. Prescription drugs. Have a question or need help choosing a plan? Use it whenever you need relief from a symptom or to get a quick mood boost, whether you are traveling, busy at home, or need to feel better before bed. She found the perfect plan for her and her family with UPMC Health Plan. Schedule a video visit with your regular provider. NOTE: Information about the cost of this plan (called the premium) will be . The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Visit Site. Prenatal and maternity care. Many Medicare Advantage plans offer vision care, including UPMC for Life. Camp Hill, PA 17011 | map | directions. NOTE: Information about the cost of this plan (called the premium) will be provided separately. The SBC shows you how you and the plan would share the cost for covered health care services. UPMC Health Plan is the 2 nd largest health insurer in western Pennsylvania and includes several partner companies. Category: Health Detail Drugs As one of the top non-profit providers in the US, several different personal plan choices are available for individuals, families, and students, including the self-employed. If you forgot your user ID, use the "I forgot my user id" link below. Call Member Services. COVID-19 updates for members: Visit our COVID-19 website for information on coverage and resources. improve your health, and help you prepare for retirement. Visit Amplifon's website to learn more. www.upmchealthplan.com. Menu. Medical Coverage UPMC Advantage Gold medical coverage through UPMC Health Plan is available to you and your eligible dependents with no contributions. A. This is only a summary. 1-888-876-2756 . Health Plan Basics. As a mom and a business owner, Simone knows a thing or two about making decisions. This role will have a Monday - Friday daylight schedule. Welcome to UPMC Health Plan Simone. Medical Assistance (UPMC for You) 1-866-918-1595. It offers the same type of coverage as other UPMC Health Plan products, but UPMC vision coverage. Whether you're purchasing for your family or for your family business, we've got . Login . 267-481-3830. PPO IA - Premium Network: UPMC Health Plan Coverage for: All coverage levels | Plan Type: PPO PPAMN_PPO_RX1F23_0119_1219 1 of 7 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Contact UPMC Health Plan to request a copy 1-888-876-2756 or send an e-mail to myflex@upmc.edu. The Pennsylvania Insurance Department has fined UPMC Health Plan $250,000 for violations of practice and procedure guidelines committed several years ago in connection with coverages sold through . For questions about the benefit through Amplifon, please contact Amplifon directly by calling 1-866-978-9379. Common screenings include mammograms, colonoscopies, and Pap tests. UPMC Health Plan . UPMC Health Plan is committed to assisting all members, including those in the Transgender community, to fully understand their benefits, to access services, and to live a healthy life. www.upmchealthplan.com. A. UPMC Health Plan developed UPMC Dental Advantage to offer a single source for all your health insurance needs. It is not intended to describe or include all factors or information considered in the review process. Let's build a plan so you and your family are protected. developed by UPMC Health Plan, as mandated by the Patient Protection and . Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. Members of the UPMC Health Plan have access to high-quality and evidence-based care services. Amplifon's hours are Monday through Friday from 8 a.m. to 9 p.m. If you aren't clear about any of the underlined terms used in this form, see the Glossary. Web Support: 1-800-937-0438 Network Management Fax: 412-454-8225 So many helpful features. Important Notice from UPMC Health Plan About Our Prescription Drug Coverage and Medicare Office of Personnel Management has determined that the UPMC Health Plan prescription drug coverage is, on average, expected to payout as much as the standard Medicare prescription drug coverage will pay for all plan participants and is TTY: 711. By UPMC MyHealth Matters Staff Members. Would you like to: Login to Provider Online Visit UPMC Health Plan's homepage Mail Order Prescriptions For more information, visit the UPMC Health Plan website. Important Notice from UPMC Health Plan About Our Prescription Drug Coverage and Medicare. Our Member Services team can assist with bill payment when you call 1-855-489-3494, Monday through Friday from 7 a.m. to 7 p.m., and Saturday from 8 a.m. to 3 p.m. www.upmchealthplan.com. Health (5 days ago) You can get more information about Medicare prescription drug plans and the coverage offered in your area from these places: • Visit www.medicare.gov for personalized help. c. Provides coverage to any doctor or . Always check the provider information for every UPMC Health Plan option you are considering. Here you'll find information on our individual health insurance plans, Medicare and Medical Assistance plans, coverage for children, Special Needs Plans, dental . 2022 Pa health Exchange Marketplace plans are offered to individuals, families, and the self-employed. You have successfully been logged out. * For the fifth consecutive year, UPMC and UPMC Health Plan received the prestigious National Business Group on Health Best Employers for Healthy Lifestyles Platinum award in 2013. Provider networks vary according to plan. For more information about your coverage, or to get a copy of the complete terms of coverage, call 1-888-499-6885 or visit us at RxWell mobile app. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. EPO - Premium Network: UPMC Health Plan Coverage Period: 01/01/2017 - 12/31/2017 Summary of Coverage: What this Plan Covers & What it Costs Coverage for: All coverage levels | Plan Type: EPO Questions: Call . Mental and behavioral health coverage for UPMC Health Plan member. Office of Personnel Management has determined that the UPMC Health Plan prescription drug coverage is, on average, expected to payout as much as the standard Medicare prescription drug coverage will pay for all plan participants and is The SBC shows you how you and the plan would share the cost for covered health care services. Effective immediately, this no-cost coverage of COVID-19 testing as a preventive service will apply for members in all of our commercial UPMC Advantage group and individual products, UPMC for Life Medicare Advantage plans and our UPMC for You Medical Assistance plans; our self-insured or administrative services only (ASO) employer groups will be permitted to opt-out of preventive coverage at . Please enter your user ID to login to HealthPlan Online. UPMC Health Plan is hiring a full-time Health Manager to support the Medical Management Medicaid department. First, choose a starting date for . The staff at each UPMC Bariatric Services location will help you assess weight loss surgery options and costs, as well as pre- and postoperative care.. Bariatric Surgery Insurance Coverage. UPMC individual Health Plan insurance provides affordable medical coverage to Western Pennsylvania individuals and Seniors. U.S. Steel Tower 600 Grant Street Pittsburgh, PA 15219 Commercial (UPMC Health Plan) 1-866-918-1595. Get Health Insurance plan info on UPMC Advantage Essential Bronze from UPMC Health Plan. or visit us at . UPMC Health Plan recommends that you confirm with the selected provider that the information found in the directory remains current. TTY: 711. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Your session has ended, thank you for using UPMC Health Plan OnLine. UPMC Health Plan PO Box 371842 Pittsburgh, PA 15250-7842. Like your UPMC Health Plan medical coverage, UPMC Dental Advantage focuses on preventive care and encourages you and your dentist to actively work together on your treatment plan. 1-866-463-1462 (Special Needs Unit) Provider Services. Every plan offered by UPMC Health Plan is ACA compliant and provides these Essential Health Benefits . or 1-800-533-8762. For more information about your coverage, or to get a copy of the complete terms of coverage, call 1-888-499-6885 or visit us at Behavioral health and substance use. Thank you for visiting UPMC Health Plan's Provider OnLine. The UPMC Health Plan Member Services Team is currently hiring Health Care Concierge, Associates in our call center to be advocates for our members and to proudly wear the badge of UPMC Health Plan. Bronze: UPMC Health Plan Coverage for: All coverage levels | Plan Type: PPO HSA 1 of 5. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2019-12/31/2019 UPMC Advantage Silver Benefit Band B, EPO: UPMC Health Plan Coverage for: All coverage levels | Plan Type: EPO EPA3O_EPO_RX1J53_0119_1219 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This is only a summary. Government health coverage varies from province-to-province. 1-800-937-0745. The Summary oftheBenefits and Coverage (SBC) document will help you choose a health plan. Call Member Services. This is only a summary. If you are attempting to login to Employer OnLine, click here to login with our new registration process Send a private, secure message to your provider, anytime. Many short-term plans may not cover: Routine office visits. Call 1-877-563-0292 (TTY: 711) M-F: 8am-5pm Sat: 9am-5pm Sun: 10am-4pm. No coverage provided outside the UPMC Health Plan network, except in the case of an emergency May select any doctor. Would you like to: Login to Provider Online Visit UPMC Health Plan's homepage 5. NOTE: Information about the cost of this plan (called the premium) will be provided separately. For more information about your coverage, or to get a copy of the complete terms of coverage, call 1-888-876-2756 or visit us at For Members. With a close-knit work environment and a dedicated culture of service excellence, our Afterhours Customer Support Team educates and guides our customers through coverage, claims, and other . Get Health Insurance plan info on UPMC Advantage Silver $2,300/$60 - Premium Network from UPMC Health Options, Inc.. The SBC shows you how you and the plan would share the cost for covered health care services. We make certain our members in the Transgender community have access to award-winning member services support dedicated to explaining Transgender coverage and . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227 . Thank you for visiting UPMC Health Plan's Provider OnLine. Following that date, standard coverage and enrollment procedures will resume. UPMC Health Plan offers plans and services for every need. or visit us at . RxWell can help you become emotionally and physically well. Other government programs may also be available. Important Notice from UPMC Health Plan About Our Prescription Drug Coverage and Medicare Office of Personnel Management has determined that the UPMC Health Plan prescription drug coverage is, on average, expected to payout as much as the standard Medicare prescription drug coverage will pay for all plan participants and is • Call 800-MEDICARE 800-633-4227, TTY 877-486-2048. UPMC Health Plan provides its members with partial or full coverage for substance abuse and mental health treatment. We are in an elite group of only five employers to do so. Please select the correct plan in the dropdown in order to verify whether your dentist participates in the network. When the time came to buy health insurance, the choice was simple. Preventive care covered at 100 percent. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. UPMC Health Plan. Your place to stay in control. UPMC Health Plan is currently hiring a Health Care Concierge, Associate to be an advocate for our members and to proudly wear the badge of UPMC Health Plan. or visit us at . 200 Corporate Center Drive, Suite 100. This position will be primarily mobile with on-site visits at UPMC Magee Women's Hospital and in the member home. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2019-12/31/2019 UPMC Advantage Gold Benefit Band C, EPO: UPMC Health Plan Coverage for: All coverage levels | Plan Type: EPO EPA3M_EPO_RX1J53_0119_1219 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. It is not intended to describe or include all factors or information considered in the review process. The SBC showsayou how you and the plan would share the cost for covered health care services. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. If you are attempting to login to Employer OnLine, click here to login with our new registration process 5. For more information . UPMC Small Business Advantage is available in EPO, PPO, and HMO plan types. The Summaryseeof Benefits and Coverage (SBC) document will help you choose a health plan. UPMC Health Plan. If you aren't clear about any of the underlined terms used in this form, see the Glossary. UPMC Health Plan is part of a wide network that includes over 11,500 physicians . This is only a summary. UPMC Health Plan recommends that you confirm with the selected provider that the information found in the directory remains current. This is only a summary. In general, preventive services fall into three categories: screenings, vaccinations, and annual checkups. As a UPMC Health Plan member, you have access to much more than top ranked care. Get Health Insurance plan info on UPMC Advantage Gold $1,000/$10 - Standard Network from UPMC Health Plan. Benefits generally are effective on your date of hire, provided you complete your online enrollment within 30 days. Get free or low-cost coverage through the American Rescue Plan. While they have an extensive local network that serves Pennsylvania, parts of Ohio, West Virginia, and Maryland, they also have strategic partnerships to offer addiction treatment in other parts of the country. Employees with UPMC Health Plan coverage can take advantage of the hearing aid benefit through Amplifon. UPMC is headquartered in Pittsburgh, Pennsylvania and serves more than 3.4 million members in Pennsylvania, Ohio, West Virginia, and Maryland. Find an advisor. CALL: 877-284-0353. More About UPMC Health Plan Rehab Coverage. The SBC shows you how you and the plan would share the cost for covered health care services. Get Health Insurance plan info on UPMC Advantage Bronze $6,700/$0 - Select Network from UPMC Health Options, Inc.. Request your medication renewal online with a click. Please enter your user ID to login to HealthPlan Online. Carnegie Mellon University PPO Option 2, PPO - Premium Network: UPMC Health Plan Coverage for: All coverage levels |Plan Type: PPO 1 of 6. Shop affordable individual health insurance options from UPMC Health Plan. Many insurance plans cover the bariatric surgery cost.. Review your insurance policy to see:. Less coverage than regular plans. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Why should I choose UPMC Dental Advantage? Affordable Care Act (PPACA), are available online at . 1-888-876-2756 . As a UPMC Health Plan member, you have access to much more than top-ranked care. UPMC Health Plan Provider Services. 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