What if I have insurance through Aetna, Cigna, United Healthcare, or UPMC Health Plan? – UPMC accepts most major insurers for all services, including Aetna, Cigna, United Healthcare, and UPMC Health Plan.
What network does UPMC use?
UPMC AnywhereCare virtual visits – With UPMC AnywhereCare,** members and their covered dependents, including children, † can access high-quality care 24/7 using their computer or mobile device. UPMC AnywhereCare is best for nonemergency conditions, such as cold and flu symptoms, allergies, or pink eye.
- Visit UPMC AnywhereCare or download the mobile app to have a virtual visit with a provider.
- If needed, a provider can send a prescription to a pharmacy near the member.
- 1 The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration.
Cigna is an independent company and is not affiliated with UPMC Health Plan and its affiliates. Access to the Cigna PPO Network is available through Cigna’s contractual relationship with UPMC Health Plan. All Cigna products are provided exclusively by or through operating subsidiaries of Cigna Corp., including Cigna Health and Life Insurance Company.
- The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property Inc.
- Access to the Cigna PPO Network outside of the UPMC Health Plan service area is applicable for members in Bucks, Chester, Delaware, Franklin, Fulton, Juniata, Mifflin, Montgomery, Montour, and Philadelphia counties in Pennsylvania; and all other states except Ohio; Garrett and Allegany counties in Maryland; and Chautauqua, Cattaraugus, and Allegany counties in New York.2 UPMC Health Plan commercial members and their dependents who reside or are traveling in Ohio will continue to access care through the SuperMed PPO Network and, while traveling outside of the state of Ohio, can also utilize the Cigna PPO Network.3 Cigna analysis of actual providers contracted as part of the Cigna PPO for Shared Administration as of September 2021.
Data is subject to change. *Assist America is available when members experience a medical emergency while traveling more than 100 miles from their residence, including to another country, for less than 90 days. Assist America is not medical insurance. **UPMC Health Plan members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to availability and discretion of the provider.
- Members located outside of Pennsylvania at the time of service will receive care from a provider employed or contracted by Online Care Network II P.C.
- OCN), also known as Amwell Medical Group.
- OCN is not an affiliate of UPMC.
- Limitations may apply for members of ASO plans that have opted out of coverage.
Providers are not available to treat members who are in Puerto Rico. † UPMC Children’s AnywhereCare is available only to patients who are in Pennsylvania. In order for a child to have a UPMC Children’s AnywhereCare visit, the child’s parent or legal guardian must be with the child during the video portion of the visit, and the child and parent or legal guardian must be in Pennsylvania during the visit.
- If you are located outside of Pennsylvania at the time of service, you may select the standard UPMC AnywhereCare module and you will receive care from a provider employed or contracted by Online Care Network II P.C.
- OCN), also known as Amwell Medical Group, at the discretion of the provider.
- OCN is not an affiliate of UPMC.
During the COVID-19 emergency declaration, UPMC for You members located outside of Pennsylvania will receive service from OCN. After the COVID-19 emergency declaration, UPMC AnywhereCare virtual visits are not covered services when UPMC for You members are traveling outside of Pennsylvania.
What type of insurance is UPMC for you?
Medicaid and Medical Assistance Plans.
Does UPMC accept Blue Cross Blue Shield?
We accept, but are not limited to, the following insurances:
Highmark Blue Cross/ Blue Shield HMOs Medical Assistance Medicare Private Insurances United Mine Workers UPMC For Life UPMC For You UPMC Health Plan
Our Insurance Verification team will verify insurance coverage prior to the start of services. Call 1-888-860-2273 (press option 1 then 1) for more information, except for Altoona and Harrisburg locations. For Altoona, call 1-800-453-1788. For Harrisburg, call 1-800-453-1788. For Susquehanna, call 570-320-7690.
Does UPMC accept original Medicare?
Original Medicare, with or without a Medigap plan (including Highmark Medigap), also provides full, in-network access to UPMC doctors and hospitals.
Who is UPMC biggest competitor?
UPMC’s competitors and similar companies include Community Health Systems, Universal Health Services, Tenet Healthcare and Ascension.
Is UPMC Health Insurance good?
About UPMC – UPMC is a top-rated local group and individual health insurance provider. This provider maintains an A- (excellent) rating with A.M. Best, the world’s oldest and most authoritative insurance rating source. Located in Pittsburgh, Pennsylvania, UPMC is an integrated health care system.
Who owns UPMC insurance?
It is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider.
What is UPMC best known for?
Changing Lives and the Future of Health Care – As the largest nongovernment employer in Pennsylvania, UPMC has:
95,000 staff members.40 academic, community, and specialty hospitals.800 doctors’ offices and outpatient sites. More than 5,000 employed doctors. An array of rehab, retirement, and long-term care options.
UPMC has created a genuinely integrated health delivery system, with:
Renowned centers of excellence in transplantation, cancer, neurosurgery, psychiatry, rehabilitation, geriatrics, and women’s health. Top-ranked hospitals and service lines.U.S. News consistently ranks UPMC Presbyterian Shadyside among the nation’s best hospitals in many specialties and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of Best Children’s Hospitals. Our close work with the University of Pittsburgh Schools of the Health Sciences on breakthrough research and world-renowned health programs. The school is among the top 10 in the U.S. to receive research funding from the National Institutes of Health.
Is UPMC one of the best hospitals?
Overview – UPMC Presbyterian Shadyside in Pittsburgh, PA is nationally ranked in 9 adult specialties and rated high performing in 3 adult specialties and 16 procedures and conditions. It is a general medical and surgical facility. It is a teaching hospital.
Is UPMC a public or private hospital?
| Type | Private ( not-for-profit ) |
|---|---|
| Industry | Health care |
| Founded | 1893 ; 130 years ago |
| Headquarters | U.S. Steel Tower, Pittsburgh, Pennsylvania, United States |
| Number of locations | 40 hospitals, 800+ doctors’ offices & sites (2021) |
| Area served | Western Pennsylvania, North Central Pennsylvania, South Central Pennsylvania, Western New York, Western Maryland, Italy, Ireland, China, Kazakhstan, Singapore |
| Key people |
|
| Services | Tertiary level clinical care Rehabilitation Cancer centers Community medical facilities Retirement & long-term care Health insurance Health care management Medical information technology |
| Revenue | US$ 24 billion (2021) |
| Operating income | US$843 million (2021) |
| Total assets | US$23 billion (2021) |
| Number of employees | 92,000 (2021) |
| Parent | UPMC Health System |
| Divisions | Health Services Insurance Services UPMC International UPMC Enterprises |
| Website | upmc,com |
The University of Pittsburgh Medical Center ( UPMC ) is an American integrated global nonprofit health enterprise that has 92,000 employees, 40 hospitals with more than 8,000 licensed beds, 800 clinical locations including outpatient sites and doctors’ offices, a 3.8 million-member health insurance division, as well as commercial and international ventures.
It is closely affiliated with its academic partner, the University of Pittsburgh, It is considered a leading American health care provider, as its flagship facilities have ranked in U.S. News & World Report “Honor Roll” of the approximately 15 to 20 best hospitals in America for over 15 years. As of 2016, its flagship hospital UPMC Presbyterian is ranked 12th nationally among the best hospitals (and first in Pennsylvania ) by U.S.
News & World Report and ranked in 15 of 16 specialty areas when including UPMC Magee-Womens Hospital. This does not include UPMC Children’s Hospital of Pittsburgh which ranked in the top 10 of pediatric centers in a separate US News ranking.
Can I use Aetna at UPMC?
What if I have insurance through Aetna, Cigna, United Healthcare, or UPMC Health Plan? – UPMC accepts most major insurers for all services, including Aetna, Cigna, United Healthcare, and UPMC Health Plan.
Is UPMC a HMO or PPO?
Browse Networks – For residents of Allegheny, Bedford, Blair, Clinton, Erie, Lawrence, Lycoming, Mercer, Somerset, Tioga, and Venango counties The UPMC Partner Network is our most affordable network option. The network includes all UPMC providers as well as some non-UPMC providers.
In a true emergency, you can seek care from any emergency department, even if the hospital is not in the Partner Network. The emergency care you receive will be covered at the in-network benefit level. Partner Network 2023 Plan offered to individuals living in these counties Allegheny Allegheny Bedford Bedford Blair Blair Clinton Clinton Erie Erie Lawrence Lawrence Lycoming Lycoming Mercer Mercer Somerset Somerset Tioga Tioga Venango Venango Plan not offered to individuals living in these counties Adams Adams Armstrong Armstrong Beaver Beaver Berks Berks Bradford Bradford Bucks Bucks Butler Butler Cambria Cambria Cameron Cameron Carbon Carbon Centre Centre Chester Chester Clarion Clarion Clearfield Clearfield Columbia Columbia Crawford Crawford Cumberland Cumberland Dauphin Dauphin Delaware Delaware Elk Elk Fayette Fayette Forest Forest Franklin Franklin Fulton Fulton Greene Greene Huntingdon Huntingdon Indiana Indiana Jefferson Jefferson Juniata Juniata Lackawanna Lackawanna Lancaster Lancaster Lebanon Lebanon Lehigh Lehigh Luzerne Luzerne McKean McKean Mifflin Mifflin Monroe Monroe Montgomery Montgomery Montour Montour Northampton Northampton Northumberland Northumberland Perry Perry Philadelphia Philadelphia Pike Pike Potter Potter Schuylkill Schuylkill Snyder Snyder Sullivan Sullivan Susquehanna Susquehanna Union Union Warren Warren Washington Washington Wayne Wayne Westmoreland Westmoreland Wyoming Wyoming York York Plan offered to individuals living in these counties Plan not offered to individuals living in these counties Partner Network Overview (PDF) Find Partner Network Providers Check Partner Network Drug Formulary For residents of Allegheny, Beaver, Butler, Fayette, Washington, and Westmoreland counties The UPMC Select Network includes all UPMC providers as well as a select group of non-UPMC providers.
Like the Partner Network, the Select Network is designed to encourage you to seek care from UPMC providers. However, the Select Network covers more non-UPMC providers than the Partner Network. You can seek care from any emergency department in a true emergency situation, even if the hospital is not in the Select Network.
The emergency care you receive will be covered at the in-network benefit level. Select Network 2023 Plan offered to individuals living in these counties Allegheny Allegheny Beaver Beaver Butler Butler Fayette Fayette Washington Washington Westmoreland Westmoreland Plan not offered to individuals living in these counties Adams Adams Armstrong Armstrong Bedford Bedford Berks Berks Blair Blair Bradford Bradford Bucks Bucks Cambria Cambria Cameron Cameron Carbon Carbon Centre Centre Chester Chester Clarion Clarion Clinton Clinton Clearfield Clearfield Columbia Columbia Crawford Crawford Cumberland Cumberland Dauphin Dauphin Delaware Delaware Elk Elk Erie Erie Forest Forest Franklin Franklin Fulton Fulton Greene Greene Huntingdon Huntingdon Indiana Indiana Jefferson Jefferson Juniata Juniata Lackawanna Lackawanna Lancaster Lancaster Lawrence Lawrence Lebanon Lebanon Lehigh Lehigh Luzerne Luzerne Lycoming Lycoming McKean McKean Mercer Mercer Mifflin Mifflin Monroe Monroe Montgomery Montgomery Montour Montour Northampton Northampton Northumberland Northumberland Perry Perry Philadelphia Philadelphia Pike Pike Potter Potter Schuylkill Schuylkill Snyder Snyder Somerset Somerset Sullivan Sullivan Susquehanna Susquehanna Tioga Tioga Union Union Venango Venango Warren Warren Wayne Wayne Wyoming Wyoming York York Plan offered to individuals living in these counties Plan not offered to individuals living in these counties Select Network Overview (PDF) Find Select Network Providers Check Select Network Drug Formulary For residents of Clearfield and Crawford counties The UPMC Standard Network gives you access to many high-quality providers.
This includes all UPMC doctors and hospitals, a certain group of non-UPMC providers, and most community hospitals. You must select a primary care provider and get a referral to see most specialists. In an emergency, you can visit any emergency department.
Your emergency care will be covered at the highest benefit level, even if the hospital does not participate with UPMC Health Plan. Standard Network 2023 Plan offered to individuals living in these counties Clearfield Clearfield Crawford Crawford Plan not offered to individuals living in these counties Adams Adams Allegheny Allegheny Armstrong Armstrong Beaver Beaver Bedford Bedford Berks Berks Blair Blair Bradford Bradford Bucks Bucks Butler Butler Cambria Cambria Cameron Cameron Carbon Carbon Centre Centre Chester Chester Clarion Clarion Clinton Clinton Columbia Columbia Cumberland Cumberland Dauphin Dauphin Delaware Delaware Elk Elk Erie Erie Fayette Fayette Forest Forest Franklin Franklin Fulton Fulton Greene Greene Huntingdon Huntingdon Indiana Indiana Jefferson Jefferson Juniata Juniata Lackawanna Lackawanna Lancaster Lancaster Lawrence Lawrence Lebanon Lebanon Lehigh Lehigh Luzerne Luzerne Lycoming Lycoming McKean McKean Mercer Mercer Mifflin Mifflin Monroe Monroe Montgomery Montgomery Montour Montour Northampton Northampton Northumberland Northumberland Perry Perry Philadelphia Philadelphia Pike Pike Potter Potter Schuylkill Schuylkill Snyder Snyder Somerset Somerset Sullivan Sullivan Susquehanna Susquehanna Tioga Tioga Union Union Venango Venango Warren Warren Washington Washington Wayne Wayne Westmoreland Westmoreland Wyoming Wyoming York York Plan offered to individuals living in these counties Plan not offered to individuals living in these counties Standard Network Overview (PDF) Find Standard Network Providers Check Standard Network Drug Formulary For residents of Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clinton, Cumberland, Columbia, Dauphin, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Northampton, Northumberland, Perry, Potter, Schuylkill, Snyder, Somerset, Sullivan, Tioga, Union, Venango, Warren, Washington, Westmoreland, Wyoming, and York counties The UPMC Premium Network—our highest-priced and broadest network and it is available throughout our service area.
This network allows you to use in- and out-of-network providers. The Premium Network also offers the most flexibility in terms of cost sharing. You may pay less if you choose in-network providers than if you choose out-of-network providers. You can seek care from any emergency department in a true emergency situation, even if the hospital is not in the Premium Network.
Does UPMC have their own insurance?
11/22/2004 PITTSBURGH, (November 22, 2004) In an effort to directly address vital health care issues in the workplace, UPMC Health Plan and the University of Pittsburgh Medical Center (UPMC) have begun a joint venture called My Health. This initiative is being offered to approximately 24,000 UPMC employees, who also are members of the UPMC Health Plan, and involves such features as online health risk assessments and workplace screenings.
The program allows employees to learn about their health status and take action to make positive changes designed to improve their quality of life. Through this program, UPMC Health Plan will be testing the concept that providing more information about health, coupled with incentives to take action and personal assistance to change unhealthy behaviors, can not only address major public health problems but also help curb rising health care costs.
According to Jeffrey Romoff, president, UPMC, “Because UPMC is an insurer, provider and employer, ours is a unique laboratory. My Health should be able to give us valuable aggregate data about our employee base, pinpoint problem areas, and lead to the development of new programs that can address the particular health concerns of our workforce.” He went on to say that while consumer-driven health care is often just a euphemism for consumer paid health care, this program truly makes the consumer a partner in the management of his or her own health.
My Health, a voluntary program, begins with the employee responding to a confidential, online personal health questionnaire. Upon its completion, an evaluation of the employee’s health status is immediately made available to the employee with feedback about lifestyle or behavior changes that could improve the individual’s health.
This evaluation also can serve as a blueprint for a discussion between employees and their physicians. To date, nearly 20,000 UPMC employees have completed this questionnaire. This year, UPMC is adding for its employee group a $200 deductible for individuals, and a $400 deductible for families, for hospital and laboratory expenses.
- For those UPMC employees who are Health Plan members and complete this online questionnaire, the deductible is waived, thus adding a financial incentive for participation.
- Our goal is to help our employees improve their health by assisting them in optimizing the resources and expertise available through UPMC and the Health Plan,” said Diane P.
Holder, president, UPMC Health Plan. “UPMC wants to partner with its employees to affect positive change – a change for healthier lives. Additionally, it is our hope that we can create a model that, in the long run, will improve health and reduce costs.
- The second element of My Health is a free health screening for height, weight, blood pressure, blood sugar and cholesterol levels.
- So far, more than 1,600 employees have participated in these workplace screenings and more than 2,500 are scheduled for upcoming appointments.
- Screening results are confidential and not shared with the employer, but are sent to a health care provider selected by the employee.
All those who elect to participate in the screening receive a free Family Health Guide and are eligible to win raffle prizes. If medical conditions that need attention are identified through the screening or questionnaire, employees are encouraged to schedule appointments with their providers.
Furthermore, employees who have an existing health condition such as diabetes or asthma and a related health risk – such as obesity or smoking – have the opportunity to be referred through their doctor to UPMC Health Plan coaches. Health coaches will assist members in accessing resources and developing individual plans for weight loss and smoking cessation.
As part of My Health, the Health Plan also is engaged in continuing education with physicians about how to work effectively with patients to help them change their at-risk behaviors, such as smoking, unhealthy eating, or lack of exercise. If successful, UPMC Health Plan intends to offer the program to additional interested employer groups in 2005 and eventually export the product.
- About UPMC Health Plan UPMC Health Plan is a health benefits company based in Pittsburgh, Pa., which serves more than 440,000 members with its commercial insurance, Medical Assistance and Medicare Advantage products.
- More than 325,000 members have enrolled through one of the Health Plan’s 6,000-plus employer group business partners.
UPMC Health Plan is a subsidiary of the University of Pittsburgh Medical Center (UPMC). UPMC is affiliated with the University of Pittsburgh Schools of the Health Sciences, and is a worldwide center of excellence for medical research and treatment. UPMC is the largest employer in western Pennsylvaniaand one of the nation’s premier health care delivery organizations.
Is UPMC for you considered Medicare or Medicaid?
UPMC Medicare Resources for Seniors – UPMC for Life is the UPMC Health Plan Medicare Program for seniors.
How is UPMC ranked?
UPMC Presbyterian Shadyside has once again been named to the U.S. News & World Report Best Hospitals Honor Roll, We are proud to be part of this elite group and to be ranked #15 in the nation, as well as #1 in Pennsylvania and Pittsburgh.U.S. News & World Report analyzed more than 4,500 hospitals nationwide based on a variety of factors, including hospital volume, patient safety, and outcomes, and surveyed responses from tens of thousands of physicians on hospitals’ reputation for delivering high-quality care.
This ranking reflects the exceptional care delivered every day by our extraordinary doctors, nurses, and staff who truly define world-class care. It is reassuring to know that when patients from all over the region, nation, or world search for top care, their search leads them to the same trusted doctors and hospitals that are close to home in Pittsburgh.
Below are just a few examples of the thousands of patients whose search for superb care led them to UPMC.
Who are Cleveland Clinic biggest competitors?
Cleveland Clinic main competitors are BronxCare Health System, Southcoast Health, and Lahey Hospital & Medical Center. Competitor Summary, See how Cleveland Clinic compares to its main competitors:
UPMC has the most employees (92,000).Employees at BronxCare Health System earn more than most of the competitors, with an average yearly salary of $79,991.The oldest company is Mount Sinai Health System, founded in 1852.
Work At Cleveland Clinic?
Is UPMC world wide?
UPMC is currently present in Italy, Ireland, China, and Kazakhstan where we are helping to transform the landscape of health care. In order to meet the unique needs of the global community, UPMC tailors our world-renowned clinical programs to be culturally relevant while maintaining international standards and best practices.
Is UPMC religious?
UPMC Mercy is committed to providing our patients with convenient services and comfortable accommodations. Please review the information on the following pages to be more prepared for your visit to UPMC Mercy. As a Catholic hospital UPMC Mercy carries out its mission through a commitment to a set of core values,
It is an extension of the Catholic health care ministry to all people in the tri-state region. UPMC Mercy has a long-standing tradition of providing quality health care to all people, as well as a commitment to improving the quality of life in the Pittsburgh region. The Mercy Hospital of Pittsburgh — the first hospital in Pittsburgh and the first Mercy Hospital in the world — was established in 1847 by the Sisters of Mercy.
It merged with UPMC effective Jan.1, 2008. Every three years, UPMC hospitals conduct a Community Health Needs Assessment (CHNA), To access the assessments and to learn how the hospitals are addressing important community health needs, click here,
What is UPMC extended network?
Urgent and emergency care Your dependents have access to a number of urgent care centers through the extended network. And in an emergency, they can visit any hospital, even if it doesn’t participate with UPMC Health Plan. The emergency care they receive will be covered at the in-network benefit level.
How big is UPMC network?
Giving Back to the Places We Serve – UPMC, a $26 billion world-renowned health care provider and insurer based in Pittsburgh, Pa., is a nonprofit that:
Invents new models of accountable, cost-effective, patient-centered care. Melds a firm community mission with progressive business models. We’re the first nonprofit health system to fully adopt Sarbanes-Oxley. Gives back to our neighbors. Each year, UPMC gives back more than $1 billion to our communities, This amounts to more than 15 percent of net patient revenue.
What is UPMC Advantage Network?
Medical Coverage. UPMC Advantage Platinum medical coverage through UPMC Health Plan is available to you and your eligible dependents with no contributions. The Advantage Network is a home-host network consisting of hospitals and facilities owned by or affiliated with UPMC.
What is Level 1 network for UPMC?
Overview – UPMC Inside Advantage is a tiered benefit plan with out-of-pocket costs that vary based on where members receive care. Level 1 includes physician practices, UPMC-owned hospitals, and more. Level 2 includes community-based hospitals and the services affiliated with them, such as lab services, x-rays, MRIs, and other diagnostic testing.
Level 3 (PPO only) provides out-of-network access with the highest member cost share. With UPMC Inside Advantage, employers in northwestern Pennsylvania can offer maximum flexibility and provider choice to their employees. UPMC Inside Advantage plans are available to employers with 51 or more employees located in Clarion, Crawford, Elk, Erie, Forest, McKean, Mercer, Potter, Venango, and Warren counties.
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