UPMC Health Plan

The page explains how UPMC Health Plan provides access to care for individuals and their dependents.

CHC Translation services and Nondiscrimination Notice (PDF)

The page answers common questions about COBRA basics.

UPMC Benefit Management Services is now offering Online Bill Pay as an option for participants to make their COBRA and Retiree premium payments.

The newsletter covers flexible spending accounts (FSAs) and COBRA eligibility.

UPMC Health Plan is aware of a nationwide scam affecting health insurers and their members. Fraudulent claims for Durable Medical Equipment are being submitted, and some UPMC Health Plan members may be impacted.

UPMC Health Plan announces updates for home and community-based providers.

The page provides updates on Medicaid/Medical Assistance and events for UPMC for You members.

To begin the process of becoming a producer for UPMC Health Plan, complete the form here.

UPMC supports vision health care professionals with administrative assistance and practice resources.

The Medicare Prescription Payment Plan spreads Part D drug costs across the calendar year for eligible members.

The Standard Option HMO includes a health incentive account (HIA) for coinsurance, pharmacy copayments, and deductibles.

UPMC Health Plan focuses on improving health outcomes for members, communities, and employees.

UPMC Health Plan supports community health through funding, resources, and partnerships.

The “Good Health, Better World” podcast series brings experts together to discuss some of health care’s most important (and often most challenging) topics.

Health Equity is about providing everyone a fair and just opportunity to be as healthy as possible. However, not everyone currently has access to what they need for good health.

UPMC Health Plan provides a form to request or inquire about 1095B tax documents.

UPMC Health Plan Connect Centers offer in-person support for plan selection and enrollment.

There are currently no active privacy or breach alerts.

UPMC Health Plan outlines its Privacy pledge and HIPAA Privacy forms.

UPMC Health Plan’s provider disclosure definitions for ownership and control interests, including requirements for reporting and compliance.

The page explains No Surprises Act negotiation details for providers.

These terms and conditions apply to UPMC’s websites and apps, including the websites and apps of the UPMC Health Plan.

UPMC and Highmark are reducing their Medicare Advantage plan offerings in the Pittsburgh area. The annual enrollment period for 2027 begins this week, with insurers scaling back networks and provider access. Fewer plans may limit beneficiary choices and disrupt continuity of care for existing enrollees.

Oct 2026Pittsburgh Post-GazetteNews article

UPMC Health Plan reports a **$447 million operating income** (4.7% margin) for the first half of 2026, marking a significant increase from **$106 million (1.1% margin)** in the same period last year. The health insurer’s financial report highlights strong year-over-year growth in profitability. The data reflects operational improvements and potential expansion in its commercial and Medicare Advantage segments.

Aug 2026Becker's Payer Issues | Payer NewsNews article

UPMC’s Freedom House 2.0 program trains EMTs using AI and virtual reality to help address Pittsburgh’s healthcare workforce shortage. The initiative aims to improve emergency response training through immersive simulations. UPMC Health Plan leads the effort as part of broader workforce development initiatives.

Aug 2026Pittsburgh Business TimesNews article

A husband-and-wife team operating a building on Erie’s Lower East Side has repurposed the space into a **Neighborhood Center**. The initiative aims to serve local residents by consolidating community resources under one roof. The center’s unique model distinguishes it from traditional commercial or retail spaces in the area.

Jan 2026Erie News NowNews article