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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 (After 6/30/19)
|UPMC Children's Hospital of Pittsburgh||✔|
|UPMC Magee-Womens Hospital||✖|
|UPMC Passavant (both campuses)||✖|
|UPMC St. Margaret||✖|
|UPMC Hillman Cancer Center at UPMC Shadyside||✖|
|UPMC Western Psychiatric Hospital||✔|
|Western PA Hospitals (After 6/30/19)||In-Network||Out-of-Network|
|UPMC Altoona – Read FAQs||✔|
|UPMC Bedford – Read FAQs||✔|
|UPMC Hamot – Read FAQs||✖|
|UPMC Horizon (both campuses) – Read FAQs||✔|
|UPMC Jameson – Read FAQs||✔|
|UPMC Kane – Read FAQs||✔|
|UPMC Northwest – Read FAQs||✔|
|UPMC Somerset – Read FAQs||✔|
This chart was updated 2/20/19 and replaces all previous versions.
Services and Locations for Highmark Commercial Members after June 30, 2019: