​​​​​​A Golden Choice for Medicare Advantage Debenficiaries, Including Seniors
 

Know Your Options

To ensure health care choice and competition, which can lead to lower premiums for you, UPMC will continue to contract with a variety of Medicare Advantage plans with affordable access to UPMC.

When choosing a Medicare Advantage plan, make sure you understand your options. If you would like to ensure full, in-network access to UPMC's world-class care, choose a plan that includes all UPMC doctors and hospitals.

How will June 30, 2019 affect your Medicare Advantage plan?

Many UPMC doctors and hospitals in western PA will be out-of-network for Highmark Medicare Advantage members after June 30, 2019.

If you would like to see a doctor at or near a UPMC hospital or facility that will be out-of-network after June 30, 2019, such as UPMC Shadyside or UPMC Hamot, you can expect that doctor to be out-of-network for you as well.

If you would like to see a doctor at or near a UPMC hospital or facility that will be in-network after June 30, 2019, such as UPMC Altoona or UPMC Horizon, you can expect that doctor to be in-network for you as well.

​Greater Pittsburgh Area Hospitals​​ 
(After 6/30/19)

​In-Network

​Out-of-Network

UPMC ​Children's Hospital of Pittsburgh
UPMC ​Magee-Womens Hospital ​X
​UPMC East X
​UPMC McKeesport​​ X
​UPMC Mercy X
​UPMC Montefiore X
​UPMC Passavant (both campuses) ​​ X
​UPMC Presbyterian X
​UPMC St. Margaret X
​UPMC Shadyside X
​UPMC Hillman Cancer Center at UPMC Shadyside X
​​Western Psychiatric Institute and Clinic of UPMC ​​
 

 

​Western PA Hospitals (After 6/30/19)

​In-Network

Out-of-Network

​UPMC Altoona
​UPMC Bedford Memorial
​UPMC Hamot  X
​UPMC Horizon (both campuses) 
​UPMC Jameson
​UPMC Kane 
​UPMC Northwest ​​
 

Have Questions?

If you have a question about a specific UPMC hospital or doctor, please call our help line at 1-855-946-8762.

Please note: Community Blue Medicare HMO/PPO plans are out-of-network. Security Blue and Freedom Blue plans will be out-of-network after June 30, 2019.​​

If you have a question about a specific UPMC hospital or doctor, please call our help line at 1-855-946-8762. You can also learn about access to UPMC hospitals outside of western Pennsylvania.

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Health Care is Changing, Let Us Keep You Informed​

UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences | Supplemental content provided by Healthwise, Incorporated. To learn more, visit www.healthwise.org

For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

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