UPMC Central PA Provider Network

UPMC for Life provides access to thousands of high-quality doctors and hospitals across PA. They want to help you understand what that means and how your clients can benefit. They know from researching this topic with Medicare Advantage consumers that there are a few key things they’re concerned about:

• Their doctors.
• ~~IMPORTANT: Make sure you check that your client’s providers participate in our network, and if your client is seeing providers that are not in network make sure they know about the PPO options UPMC has available.
• ~~ Online provider search tool―this resource provides the most up-to-date list of participating doctors and hospitals in the UPMC for Life network. You can search for doctors, hospitals, pharmacies, and other providers in the network. For tips and tricks on how to use the Provider Search Tool, click here.
• Local, high-quality providers.
• ~~Some of your clients are specifically looking for high-quality care close to home. Don’t forget to review the local and major health systems that participate with our plan.
• ~~North Central PA facilities―this document is an overview of the North Central PA facilities and the specialties each location offers. You can also click here to visit a webpage that’s dedicated to the UPMC North Central PA region.
• ~~Central PA facilities―this document is an overview of the Central PA facilities and the specialties each location offers. You can also click here to visit a webpage that’s dedicated to the UPMC North Central PA region.
• Easy access to many options for care.
• ~~UPMC offers access to 48,000 doctors and specialists, plus 250 hospitals and facilities, and 300 urgent care centers – go over the kind of care your client needs and point out to them which providers can meet their needs.
• ~~NEW! UPMC for Life provider network flier―includes an updated list of in-network hospitals and facilities for UPMC for Life HMO and PPO plans as of 2022.
• ~~Provider network page―the Broker Training site has a page dedicated to UPMC's provider network.
• Care when traveling.
• ~~UPMC offers common medical care for HMO members when traveling in the U.S. and global emergency medical assistance to all members.
• ~~Travel Concierge Program―UPMC for Life HMO plan members have in-network coverage when traveling to Arizona, Florida, Georgia, North Carolina, South Carolina, and Tennessee. They pay the same cost sharing when seeing providers in these states as they do in-network at home.
• ~~Global Emergency Medical Assistance When You Travel―Assist America provides emergency medical assistance when our members travel more than 100 miles from home or even to another country. Help is available 24 hours a day, 365 days a year, anywhere in the world.

You may have encountered clients who still believe they will have a limited network with a UPMC for Life plan. Helping your clients understand the value of UPMC's provider network can make or break a sale. Take this opportunity to discuss how far the carrier's reach can go and how it can benefit them if they become a member. It will also help them gain trust and comfort in knowing the options they have when seeking care.