Renewing Your Medical Assistance Coverage

Medicaid eligibility changes will impact all Medicaid recipients. Stay informed!

On April 1, 2023, Pennsylvania ended continuous coverage for Medicaid recipients. Medicaid is also known as Medical Assistance or MA in Pennsylvania. The continuous coverage requirement was initially put in place because of the national Public Health Emergency related to COVID-19.

UPMC for You wants to share information to help our members stay informed about this change. If you are a UPMC for You member, you should take the following steps to renew your Medicaid coverage after the continuous coverage requirement ends.

How can Medicaid recipients prepare?

Top 3 Reasons to Renew Your UPMC for You Coverage

1. Full in-network access to UPMC doctors and hospitals

Getting quality care is important to you and your family. With UPMC for You, you have full in-network access to health care providers at UPMC, plus other doctors and hospitals in your community.

2. Outstanding customer service

Our award-winning Health Care Concierge team* delivers fast, personal service. Plus they work hard to answer your questions on the first call. The dedicated UPMC for You Health Care Concierge team can help you renew your coverage. Or they can answer your benefit questions. Call 1-800-286-4242 Monday, Tuesday, Thursday, and Friday from 8 a.m. to 6 p.m. and Wednesday from 8 a.m. to 8 p.m. TTY users should call 711.

*UPMC Health Plan earned 11 Stevie® Awards in 2023, including three Gold Stevie Awards for Achievement in Customer Experience, Customer Service Team of the Year, and Back-Office Customer Service Team of the Year. The Stevie Awards for Sales & Customer Service are the world’s top honors for customer service, contact center, business development, and sales professionals.

Grand Stevie trophies are awarded to companies that submit an exceptional body of work for the Stevie Awards competition. More than 2,300 nominations from companies in 51 nations were considered in this year’s competition.

3. Online tools for taking charge of your health

As a member, you can access care and information when you need it, on your schedule. Our online tools include:

• UPMC Health Plan member site, our secure member website. You can log in to manage prescriptions, get your ID card, or live chat with a health coach.
• The UPMC Health Plan mobile app, which lets you manage your health on the go. Download it today from the iTunes App Store or Google Play.
• With 24/7 video visits*, members can have a video visit with a UPMC provider from a computer, tablet, or smartphone—day or night. This convenient, time-saving service works well for colds, the flu, sore throats, rashes, and other nonemergency conditions. The 24/7 video visits telemedicine service also offers care specifically for children. This service allows newborns to 17-year-olds to have virtual visits with UPMC providers over live video. Providers can diagnose, provide treatment options, and prescribe medication for many nonemergency illnesses.
  • *UPMC for You 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 temporarily traveling outside of Pennsylvania at the time of service will receive care from a provider employed or contracted by Online Care Network II PC (OCN), also known as Amwell Medical Group. OCN is not an affiliate of UPMC. 24/7 virtual visits are not covered services for UPMC for You members using Talk Therapy or Psychiatry services. Providers are not available to treat members who are in Puerto Rico.
    
    

Ready to re-enroll?

You can renew your Medical Assistance benefits at www.compass.state.pa.us or through your local County Assistance Office. Find a County Assistance Office near you.