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Also part of the UPMC family:
In-network access to UPMC: a golden choice for Medicare Advantage beneficiaries, including seniors

UPMC is Here to Help

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.

Advance Payment for Out-of-Network Care

Although UPMC is under no obligation to schedule appointments for out-of-network patients, we recognize that patients who choose a product with no in-network access to UPMC might still want occasional care from us.

After June 30, 2019, those who wish to receive services on an out-of-network basis from a UPMC provider will need to pay in advance for all nonemergent services.

Find answers to our frequently asked questions about advance payment for out-of-network care.

Greater Pittsburgh Area Hospitals (After 6/30/19) 
Read Medicare FAQs
In-Network Out-of-Network
UPMC Children's Hospital of Pittsburgh
UPMC Magee-Womens Hospital
UPMC East
UPMC McKeesport
UPMC Mercy
UPMC Montefiore
UPMC Passavant (both campuses)
UPMC Presbyterian
UPMC St. Margaret
UPMC Shadyside
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
UPMC Bedford 
UPMC Hamot
Read FAQs
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.

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