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Why Choose UPMC for You?

As a UPMC for You member, you can:

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 is one of five Medicaid plans in Pennsylvania to earn an overall rating of 4 out of 5 Stars in NCQA’s Medicaid Health Insurance Plan Ratings for 2021-2022.

 

Stevie

UPMC Health Plan has earned one of 10 coveted 2022 Grand Stevie® Awards for its exemplary customer service. 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.

 

ICMI

UPMC Health Plan was named Best Large Call Center of the Year in 2019 by the International Customer Management Institute (ICMI). This is not the first time ICMI has recognized UPMC Health Plan for customer service excellence. It won Global Call Center of the Year in 2017, 2015, and 2012, as well as earned other honors throughout the years. ICMI is the leading global provider of comprehensive resources for customer management professionals who wish to improve customer experiences and increase efficiencies.

 

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 from 7 a.m. to 7 p.m. and Saturday from 8 a.m. to 3 p.m. or call the number on your member ID card.

Resources for LGBTQIA+ Patients and Caregivers

NCQA Health Equity Accreditation

UPMC Health Plan has earned the National Committee for Quality Assurance’s (NCQA) Health Equity Accreditation for UPMC for You’s Medicaid product. The Health Plan also earned NCQA’s Health Equity Accreditation Plus Designation for UPMC for You’s Medicaid product. These national accreditations reflect our commitment to delivering high-quality, equitable health care to the populations we serve.

NCQA awards Accreditation to organizations that meet or exceed its rigorous requirements for health equity.

NCQA’s Health Equity Accreditation evaluates how well an organization has established a standardized framework for turning health equity into a culture of continuous improvement. The organization builds an internal culture that supports diversity, equity and inclusion; collects data to understand population demographics; offers language services and provider networks that consider individuals’ cultural and linguistic needs; and identifies opportunities to reduce health inequities and improve care.

NCQA’s Health Equity Accreditation Plus is for organizations whose health equity journey is more established. The organization collects data on social risk factors and social needs, establishes partnerships that support community-based organizations; engages consumers, members and community stakeholders in program evaluation; and refers individuals to social resources that will have the most impact.