Why Choose UPMC for You?
As a UPMC for You member, you can:
- Visit some of the best doctors and hospitals in Pennsylvania. Our provider network includes both UPMC and community providers, totaling more than 86 hospitals and more than 10,000 physicians.
- Get fast, no-hassle customer service from our Health Care Concierge team.
- Access tools for better health in our UPMC Health Plan member site.
- Keep track of your health information all in one place with our UPMC Health Plan mobile app.
- Get medical advice fast, 24/7 with the UPMC MyHealth 24/7 Nurse Line, UPMC Children’s AnywhereCare, or UPMC AnywhereCare.
- Get help for yourself and your family with our Special Needs Unit.
We strive for quality, and others notice. We're very proud to have received awards like these.
National Committee for Quality Assurance (NCQA)
UPMC for You earned national recognition in 2023 for its high level of quality and excellence, achieving a 4.5 out of 5 Star rating in NCQA’s Medicaid Health Plan Ratings 2023. UPMC for You is only one of two Medicaid plans in Pennsylvania and 13 in the nation to earn 4.5 out of 5 Stars in NCQA’s overall Health Plan rating.
The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. NCQA Accredits and Certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA's HEDIS® is the most widely used performance measurement tool in health care. NCQA’s website contains information to help consumers, employers and others make informed health care choices.
Health Equity Accreditation focuses on the foundation of health equity work: building an internal culture that supports the organization’s external health equity work; collecting data that help the organization create and offer language services and provider networks that are mindful of individuals’ cultural and linguistic needs; and identifying opportunities to reduce health inequities and improve care.
Health Equity Accreditation Plus is for organizations further along on their health equity journey. It focuses on collecting data on community social risk factors and patients’ social needs to help the organization offer social resources that can have the most impact; establishing mutually beneficial partnerships that support community-based organizations; building meaningful opportunities for patient and consumer engagement; and identifying opportunities to improve social need referral processes and the partnerships that make them possible.
Stevie
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.
2021 Best Places to Work for LGBTQIA+ Equality
The Human Rights Campaign Foundation has named UPMC Health Plan one of the 2021 "Best Places to Work for LGBTQIA+ Equality” because of its policies, benefits, and practices. The Health Plan earned a 100 percent rating. This is the third consecutive year the Health Plan has earned the award.
The Human Rights Campaign (HRC) is the largest civil rights organization working to achieve equality for lesbian, gay, bisexual, transgender, queer and/or questioning, intersex, asexual, and other (LGBTQIA+) people. These individuals often experience discrimination and other challenges because of their sexual orientation or gender identity.
UPMC Health Plan members interested in learning more about transgender coverage are encouraged to call the Health Care Concierge team at 1-844-202-0126 (TTY: 711) Monday through Friday 8 a.m. to 6 p.m. or call the number on your member ID card.