UPMC Health Plan
Good Health is Good Business
UPMC Health Plan understands the health care needs of Western Pennsylvania. Our company started here. Our employees and their families live here. We know and value the community in which we live and work, and we are committed to improving the health of our members and of this region.
Owned by the University of Pittsburgh Medical Center (UPMC), one of the nation's top-ranked health systems, UPMC Health Plan is part of an integrated health care delivery system. Our relationship with UPMC enables us to offer programs, services, and access to care based on the latest medical research. We partner with UPMC and community network providers to improve clinical outcomes and the health of the greater community.
The National Committee for Quality Assurance (NCQA), a nonprofit organization that evaluates managed care organizations, has accredited UPMC Health Plan with an “Excellent” rating. It’s our longstanding partnership with the health care professionals and hospitals in our network that allow us to provide an outstanding program of integrated care and consistent high-quality service to the people of Western Pennsylvania. Using an integrated approach to health care, we encourage members to take proactive control of their health, and we offer prevention-oriented care and health management to all members.
Benefit Options for Your Employees
UPMC Health Plan offers employers a variety of coverage options for your employees. You can choose from a wide range of plans that offer the flexibility, benefits, and premiums you desire. Options include HMOs, PPOs, EPOs, and high-deductible health plans. These medical options are packaged with a discount vision network and a suite of value-added benefits at no additional charge. All provided to give your employees comprehensive care.
Click here to download UPMC Health Plan’s 2008 Insurance Bulletin for MANP.
To learn more about what UPMC Health Plan has to offer, call your broker, consultant, or UPMC Health Plan representative.
Sales Offices
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Erie
Village West #13
3330 West 26th Street
Erie, PA 16506
1-814-833-6633
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Pittsburgh
One Chatham Center
112 Washington Place
Pittsburgh, PA 15219
1-888-383-UPMC (8762)
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Johnstown
350 Budfield Street
Johnstown, PA 15904
1-814-262-8441
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All offices: UPMCSalesHotline@upmc.edu
Introducing Small Business Advantage
Small businesses are unique. So are their challenges. That’s why UPMC Health Plan designed a
plan to specifically address the needs of companies with fewer than 100 employees. UPMC Health Plan’s Small Business Advantage includes a choice of medical, pharmacy, and vision coverage, coupled with a comprehensive package of MyHealth wellness services, employee assistance program, and 24/7 online advice to help employees manage their health. A dedicated account management and member service team who appreciate the unique challenges of small businesses will service each employer.
Your plan will include:
- MyHealth wellness services
- Smoking cessation program
- Employee assistance program
- Vision discount network
- Dedicated account management and member service team
- Health management programs
- Global emergency services from Assist America
- 24/7 health advice line
- Online tools and resources
- Healthy Living Rewards
Wellness Programs
UPMC Health Plan has collaborated with leading experts at the University of Pittsburgh Medical Center (UPMC) to develop MyHealth, an initiative designed to encourage healthy lifestyles. Through UPMC Health Plan’s Small Business Advantage small businesses now have access to a variety of wellness assessments and programs, including online tools, personalized health improvement programs, and discounts on physical fitness activities. The MyHealth program can help your employees stop smoking, increase physical activity, and eat a more balanced, nutritious diet by providing personalized programs, while the MyHealth Record lets them track and measure their health care status.
Smoking Cessation
UPMC Health Plan’s smoking cessation program uses a team approach to provide the most effective guidance for helping members quit smoking. Our experts include health educators, behavioral health specialists, respiratory therapists, dietitians, and exercise physiologists. Our program focuses on education, problem solving skills, social support, and stress management.
Employee Assistance Program (EAP)
EAP Solutions provides employers with a comprehensive program that enhances workplace productivity, health, and wellness. Through UPMC Health Plan’s Small Business Advantage, EAP Solutions provides members with 24/7 access to counselors skilled in services ranging from personal coaching and counseling to management consultation and training, crisis intervention, and workplace wellness.
Vision
UPMC Health Plan’s Small Business Advantage includes a discount vision network provided by Opticare. In place of this discount network, employers have the option to choose vision benefit coverage offered through our partnership with Vision Benefits of America.
Dedicated Account Management and Member Service Team
Easy administration and accessibility to UPMC Health Plan are key components of our service excellence. Answers to client questions are only a phone call away. From initial enrollment to renewal assistance, your designated account manager will work closely with you and your broker using a consultative approach to administer your account and resolve any issues that may occur.
A team of member service representatives specializing in addressing the unique needs of small businesses is available to assist you and your employees with questions. This team of representatives is available for your employees when they have specific questions regarding their benefits and coverage. It’s an approach that provides a familiar voice and a representative who knows your employees concerns and issues.
Health Management
Our health management programs, first introduced in 1999, serve members with chronic conditions such as respiratory problems, diabetes, low back pain, and heart disease. Our programs take into account not only medical conditions but also lifestyle factors that affect health status. By following recommended treatment guidelines for their illness, as well as changing behaviors that may contribute to poor health, members can significantly improve their health.
Assist America
Assist America, a unique global emergency services program, arranges for medical services and clears many of the obstacles caused by emergencies when members travel 100 miles or more away from home for less than 90 days. Assist America provides immediate connections to doctors, hospitals, pharmacies, and other services, including medical referrals, evacuations, repatriation, and more.
MyHealth Advice Line
UPMC Health Plan’s MyHealth Advice Line is available 24/7 to provide members with health care advice. When a member calls to discuss a specific health issue, experienced registered nurses are available to provide prompt and efficient service.
Online Tools
Online tools give members the resources to track their health, set goals, and achieve measurable results. Online resources for members include:
- MyHealth Questionnaire – a health risk assessment tool that allows members to build a personal health profile and receive immediate feedback about their health status
- MyHealth Record – a secure online collection of personal medical information that enables members to more effectively manage their health, coordinate their care, and communicate with their providers
- Lifetime Exercise Adherence Program (LEAP) – a personalized survey of the user’s fitness level, a tailored activity plan, and a virtual personal trainer to help members log their activity and track their progress
- Ready, Set Stop! – a smoking cessation program that blends behavior modification and clinical smoking research with input from actual smokers. This program guides users through the quitting process, offering practical suggestions that can help them make their next attempt to quit successful
- MyHealth OnLine Condition Centers – more than 35 condition centers that offer personal health assessments in areas like asthma, cardiovascular disease, and women’s health. In each condition center, members can find detailed information on risk factors, treatment options, and more
Healthy Living Rewards
Healthy Living Rewards is our exclusive member discount program which includes more than 200 fitness centers in Pennsylvania and more than 14,000 nationally. Members are enrolled automatically and simply need to present their ID card to be eligible for discounts at:
- Fitness centers
- Dance studios
- Health care supply stores
- Health food stores
- Optical centers
- Pharmacies
- Sporting goods stores
- Weight management programs
- Cultural facilities, such as museums and science centers
Network Hospitals in Northwestern Pennsylvania
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Hospital
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County
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Hospital
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County
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Armstrong County Memorial Hospital
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Armstrong
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Corry Memorial Hospital
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Erie
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UPMC Passavant Cranberry
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Butler
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Punxsutawney Area Hospital
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Jefferson
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Butler Memorial Hospital
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Butler
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Brookville Hospital
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Jefferson
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Clarion Hospital
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Clarion
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Ellwood City Hospital
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Lawrence
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DuBois Regional Medical Center
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Clearfield
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Jameson Health System
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Lawrence
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Clearfield Hospital
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Clearfield
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Bradford Regional Medical Center
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McKean
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Titusville Area Hospital
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Crawford
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Kane Community Hospital
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McKean
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Meadville Medical Center
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Crawford
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UPMC Horizon
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Mercer
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Elk Regional Health Center
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Elk
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Grove City Medical Center
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Mercer
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Millcreek Community Hospital
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Erie
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Charles Cole Memorial Hospital
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Potter
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Hamot Medical Center
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Erie
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UPMC Northwest
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Venango
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Saint Vincent Health Center
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Erie
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Warren General Hospital
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Warren
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Please visit our online provider search for a comprehensive listing.
