June 30, 2019 is an important date. Make sure you understand how it will impact you and your family.
Most UPMC doctors and hospitals in greater Pittsburgh and Erie will be out-of-network for Highmark commercial members after June 30, 2019, when the Consent Decree protections end.
Among the Consent Decree protections ending for commercial members on June 30, 2019, will be in-network access for continuity of care.
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, 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, you can expect that doctor to be in-network for you as well.
If you have a question about a specific UPMC hospital or doctor, please call our help line at 1-855-646-8762.
Greater Pittsburgh Area Hospitals |
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 | ✔ | |
