dcsimg

Plans

Main Content

Your selections:

  • Medicaid
  • Mercer
Change selections
Co-Pays*

Ambulance
Per trip $0

Dental care $0

Inpatient hospital
Per day $3
Maximum with limits $21

Medical centers
Ambulatory surgical center $3
Federal Qualified Health Center / Regional Health Center $0
Independent medical / surgical center $2
Short procedure unit $3

Medical equipment
Purchase $0 
Rental $0

Medical visits
Certified nurse practitioner $0
Chiropractor $2 max
Doctor $0
Optometrist $0
Podiatrist $2 max

Outpatient hospital 
Per visit $2

Prescriptions
Generic $1
Brand name $3

X-rays
Per visit $1

Coordination of Care

Care Managers Partner with Providers: Help ease chronic conditions. Assist with community resources - housing, food, and other social services.

Care Management Programs

Free Health and Wellness Coaching: By phone or online chat - improve your health, manage conditions, overcome obstacles.

Free tobacco cessation support by phone, plus nicotine replacement medication benefits.

Member digital tools

UPMC AnywhereCare: Live video conversation with a UPMC provider from your digital device.

Mobile App and Member Portal: Access ID cards, select a PCP, find a healthcare provider, view claims and coverage, live chat with a Health Care Concierge. Make healthy choices with online resources found on UPMC MyHealth Online.

Pregnancy Benefits

UPMC Health Plan Maternity Program: Telephone or in person support for a healthy baby. Incentive program gift for participation - infant car seat, stroller, or portable crib. Breast pump after delivery.

Healthy Kids Programs

Pediatric First Steps Program: Work with a pediatric health coach throughout your baby’s first 3 years. Tips on care, safety, development, doctor visits, and immunizations.

Vision Benefits

Adult Vision Care: Services above basic coverage. UPMC for You members over 21 receive a yearly allowance for a pair of glasses or contacts/fittings.

24 Hour Medical Help Line

UPMC MyHealth 24/7 Nurse Line: Free health care advice from a registered nurse.

Urgent Care Benefits

$0 Copay Urgent Care Center Services: Find participating centers using our website, mobile app, or a Health Care Concierge.

Healthy Living and Health Education

Prescription for Wellness: Your doctor writes a prescription for a health coach to help you manage conditions, make informed decisions about surgeries; and improve family health.

Other Benefits

Free Safelink Smartphone: For qualified members. Comes with 3GB of data, 350 monthly minutes, unlimited texts, voicemail, caller ID, and 3-way calling. Members can contact a health care concierge without using minutes by calling 1-888-222-9877.


*Co-pays do not apply to the following: members who are pregnant, members under age 18, members age 18 through 20 who are in foster care, emergency services, or certain drugs for specific diseases. The information about the benefits from each plan was current at the time of printing. Please call the plan directly for the most up-to-date information.