Upmc for you group number We process your claim based on your specific plan benefits. It was so nice to be treated like a person and not just a number. We operate 40 hospitals and 800 doctors’ offices and outpatient centers, with locations throughout Find information about and book an appointment with UPMC Rehabilitation Institute: Monroeville, Oxford Drive in Monroeville, PA. He practices at Blair Medical Associates, Department of Surgery and is affiliated A. Members. Members temporarily traveling outside of Pennsylvania at the Our Postal Service Health Benefits (PSHB) plans are designed with your needs in mind. Through contracts with 200 Lothrop Street Pittsburgh, PA 15213 412-647-8762 800-533-8762 He practices at Gateway Medical Group - UPMC and is affiliated with UPMC Mercy. He is affiliated with UPMC Somerset. Open this form: Medical Claim Reimbursement Form. MedCare Equipment Company 115 Equity Drive Greensburg, PA 15601. UPMC for You vision benefits include vision coverage for routine eye exams and eyewear. to 7 p. Log in to their My COMPASS Account. UPMC for Kids Prospective Members: 1-800-978-8762 Russelton Medical Group-UPMC. Fill Upmc For You Prior Auth Form, Edit online. 800-533-8762 Careers; Newsroom; Health Care Professionals; We offer ongoing support groups, seminars, and networking events. To verify eligibility and plan information, please call: UPMC Dental Advantage Provider Services 1-877-648-9609; UPMC Dental Advantage Medicare Provider Services 1-844-761-0081; Claims and pre-determinations should be submitted using one of the methods below: Search adult and pediatric providers and schedule appointments online. and 5 p. He received his medical degree from Dartmouth Medical School and completed vascular surgery residency at UPMC. Once you have updated the PCP, you will receive a new member ID card in the mail with the new PCP Search adult and pediatric providers and schedule appointments online. 1-800 Find information about and book an appointment with Dr. 32 Services Not Covered E. Our providers can diagnose and provide Search adult and pediatric providers and schedule appointments online. Call us toll-free: 1-800-650-8762 TTY: 711 Monday through Friday: 8 a. Representatives are available Monday, Tuesday, Thursday, and Friday from 8 a. 2585 Freeport Road, One Alexander Center, Suite 201, Pittsburgh, PA 15238; phone: 412-826-8840; Expertise. Enrolling in UPMC for You Medical Assistance Plans. Headquartered in Pittsburgh, UPMC is a world-renowned health care provider and insurer. 600 Oxford Drive, Suite 310, Monroeville, PA 15146; phone Q: Is it true that you can never get rid of type 2 diabetes once you have it? A: You can control type 2 diabetes by following your treatment plan and keeping your blood sugar level in the target range. He completed his Welcome to UPMC for You! Here you can explore resources and information about Medical Assistance coverage and benefits. You will need your member ID number to log in. to 6 p. With the UPMC Health Plan member site you can print ID cards, access claims information, Find contact information for patient services such as billing, medical records, and appointment requests. If you have been diagnosed with a heart condition, or are at risk for heart disease, the cardiologists at the UPMC Heart and Vascular UPMC for You; UPMC Health Plan; Aetna; Amerihealth Caritas; Cigna; Gateway; Highmark; Humana; Medicare; PA Health And Wellness; PA Medical Assitance; Tricare; Unison; I don't feel like I am just a "number" When you choose UPMC Health Plan, we’ll be there for you through every step of the process. The UPMC for You Member ID card is valid as long as the individual is a UPMC for You Member. Our plans help Medicare members get easy access to the care they need with important extra benefits and outstanding customer service. to 3 p. Held annually in Venango County, this one-day annual camp for children, ages 6 -17, includes grief workshops, crafts, rock wall climbing, and ziplining. UPMC Children’s AnywhereCare is also available for children ages 0-17, so you can quickly connect with UPMC Children’s Hospital of Pittsburgh providers to receive care for your sick child. UPMC Hillman Cancer Center accepts plans from most major insurers, including Highmark, Aetna, Cigna, United Healthcare, UPMC Health Plan and government plans but your level of access and benefits will depend on your For an appointment near you, call Western Behavioral Health’s main phone number at 1-877-624-4100 or 412-624-1000. Message your provider, schedule appointments, view test results, and more. Infant; Child; Adolescent; Book Appointment. He completed his medical degree at Favaloro University. Children's doctors. 1-888-257-0474 (TTY: 711) Envolve Member Services. edu UPMC for Life Prospective Members Call us toll-free: 1-866-400-5077 (TTY: UPMC for Kids Members: Health Care Concierge Services 1-800-650-8762 TTY users should call 711 Monday through Friday, 8 a. 2 At a Glance E. First-time users can create a Provider OnLine account . Search by name, specialty, location, or practice name. 200 Lothrop Dr. 800-533-8762 Russellton Medical Group-UPMC. The camp concludes with a memorial service at day’s end. 3: Medical Assistance Managed Care in Pennsylvania: E. If you need an estimate for DME or home health, please call UPMC’s DME and home health provider for more information: “We chose to renew with UPMC Health Plan this year primarily because of the quality of care that our folks get. She practices at Greater Pittsburgh OB/GYN and is affiliated with UPMC Magee-Womens Hospital, and UPMC Passavant. Enrollment in UPMC for Life depends on contract renewal. The number of Note: support groups operated by UPMC will be identified as such; other support groups are operated by third parties. He completed his residency at UPMC Mercy and medical degree at University of Pittsburgh School of Medicine. Here are some great ways you can use the app: Access your member ID card right when you need it. Skip to Content. (UPMC for Life Complete Care) 1-800-606-8648. Having that info handy will help improve your care. to 5 p. Accepting New Patients. He practices at Union Primary Care-UPMC and is affiliated with UPMC Horizon and UPMC Jameson. 36: Other Services (UPMC for You) E. Theodore H. Watching what you eat, checking your blood sugar, and taking your medications can all help you hit your target. We also handle durable medical equipment (DME) and home health services separately. Follow the instructions on the form and fill out as Search adult and pediatric providers and schedule appointments online. 4 Covered Benefits E. That’s why the UPMC for Life Complete Care (HMO D-SNP) plan offers trips to plan-approved locations at no additional cost. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. Please call our customer service number at 1-800-606-8648 (TTY: 711). Patients are responsible for identifying in Manage appointments, communicate with your doctor, pay bills, renew prescriptions, and view your medical records and lab results with MyUPMC. Dental Care Some UPMC for You members may receive routine dental care If you are a UPMC for You member residing in the Northeast and Southeast Physical HealthChoices zones and have questions about how to utilize the benefit, please contact the UPMC for You Transportation Unit at 1-833-779 Welcome to UPMC for You! Here you can explore resources and information about Medical Assistance coverage and benefits. Union Primary Care About UPMC ST MARGARET. That same JAMA study of 20-44-year-olds found that Black young adults had the highest rates of high blood pressure. For UPMC Dental Advantage Providers:. Member (UPMC for Life Complete Care) 1-800-606-8648. 5: Covered Benefits (UPMC for You) E. If you do not have your member ID number, call Member Services at 1-888-499-6885. The Medicare eligibility record must indicate that the beneficiary is enrolled in UPMC for You. (PDF): If you join UPMC Health Plan while receiving ongoing treatment from a nonparticipating provider, you can request to keep receiving care from that provider for up to 90 days from the date your UPMC Health Plan coverage UPMC nurses who answer calls are licensed to assist members in New York, Maryland, Pennsylvania, West Virginia, and Ohio. For assistance, please call UPMC Health Plan Direct Connect Sales Center at 1-855-208-8762 (TTY: 711). From the homepage, click on “ID cards” under “Your UPMC for You is a Managed Care Organization (MCO) licensed by the Pennsylvania Insurance Department. Monday through Friday. Noble House Medical Clinic. Some family medicine providers specialize in care just for young children — newborns through late teens. To learn how to register, watch our instructional Provider OnLine registration video . ; Wednesday The app makes it easy to explore the benefits you have as a UPMC for You member. Steel Tower 600 Grant Street Pittsburgh, PA 15219 Network Development UPMC Dental Advantage U. UPMC for Kids Members: Health Care Concierge Services 1-800-650-8762 TTY users should call 711 Monday through Friday, 8 a. UPMC FOR KIDS MEMBERS. Vision Services Contact Us. 29 Other Services E. 33 Program Exception Process E. submit the member's 11-digit ID number or the government-assigned identifiers for Medicare or Medical Assistance members. Contact Us. Yuo joined UPMC in 2014 as an assistant professor of surgery. Simple icons make it a snap to use. Specialties: Knee Orthopedic Surgery, Orthopedic Sports Medicine, Shoulder and Elbow Search adult and pediatric providers and schedule appointments online. A recruiter should be able to answer your email within four business days. Call 1-877 Connect with UPMC Our patient portals offer convenient and secure access to your health information, 24/7. As a member of UPMC for Life, you have access to top-ranked care, award-winning customer service, renowned health and wellness programs, and so much more. Search results. 5 out of 5 stars 5 out of 5. Our spacious new office is conveniently located and has 11 exam rooms, a Search adult and pediatric providers and schedule appointments online. 1-800-533-8762 Group / Clinic. Your required information will include your group name number. Skip to UPMC For You The services provided and small costs are all quite similar. You can also contact the UPMC for Kids Health Care Concierge team by calling 1-800-650-8762. UPMC for You Dental Member Services. Our members can qualify for a routine vision allowance that applies towards eyeglasses, lenses, frames, or contact lenses. Pittsburgh, PA 15213. m Contact Us. UPMC is your best bet if you're concern is access to care really just because of the number of Search adult and pediatric providers and schedule appointments online. See Copayment Schedule, UPMC for You (Medical Assistance), Chapter E. And no matter what your financial or health care situation is, we have a plan for you. She practices at Blair Medical Associates, Department Search adult and pediatric providers and schedule appointments online. UPMC 200 Lothrop St. Provider Type. St Francis Medical Center Residency. The practitioner's primary Russellton Medical Group-UPMC. Are you already a patient of this provider and have a MyUPMC account? Wonderful group of people! 5 out As a member of UPMC for Life, you can join GetSetUp at no extra cost. Use the free myCOMPASS PA mobile app. Learn More About Our Patient Portals. If you are a UPMC for You member, Recipients can use one of these methods to update their address, phone number, or email address. 12597 providers found. Yes I would recommend this place 5 out of 5 Search adult and pediatric providers and schedule appointments online. UPMC for Kids Prospective Members: 1-800-978-8762 Welcome to UPMC for You! Here you can explore resources and information about Medical Assistance coverage and benefits. UPMC for Life is a product The medical practices, George M. When you choose UPMC Health Plan, you get access to: Fifteen UPMC hospitals earned top "A" grades from The Leapfrog Group's spring 2024 Hospital Please call the Member Services phone number on the back of your ID card for questions regarding your plan Age Groups Seen. UPMC can provide Price Estimates for scheduled services provided at a UPMC facility, excluding dental and emergency services. UPMC for You accepts crossover claims for members younger than 21 years old, with both Medicare and Medical Assistance coverage (dual eligibles). Include your UPMC for You member ID number and group Search adult and pediatric providers and schedule appointments online. Dr. UPMC CHC Prospective Participants 1-844-833-0523 TTY: 711 Search adult and pediatric providers and schedule appointments online. Provider Contact Addresses. New Castle. For assistance, please call UPMC Health Plan Direct Connect Sales Center at 1-855-306-8276 (TTY: 711). Camp Good Grief. Practice Locations: Erie, PA. m Contact MedCare Equipment Company. With UPMC Health Plan's Provider OnLine, you can: View up-to-date eligibility, PCP information, and covered benefits. Toll Free: 1-800-503-5554 Fax: 724-850-6996 Visit our website. UPMC for You Southwest Zone Service Area UPMC for You Northwest Zone Service Area UPMC for You Lehigh-Capital Zone Service Area UPMC for You Southeast Zone Service Area (effective 9/1/2022) UPMC for You Northeast It's important to know the age groups your PCP sees. For Patients And Visitors Unified Group Services; Vitori Health; using the number on your card. Zubak, MD–UPMC and Torres Family Medicine–UPMC, merged to form UPMC Everett Primary Care Group. Yuo is board certified in vascular The integrated partner companies of the UPMC Insurance Services Division – which include UPMC Health Plan, Workpartners, UPMC for You (Medical Assistance), and Community Care Behavioral Health—offer a full range of group health insurance, Medicare, Special Needs, CHIP, Medical Assistance, Community HealthChoices, behavioral health, employee assistance, and 200 Lothrop Street Pittsburgh, PA 15213 412-647-8762 800-533-8762 Search adult and pediatric providers and schedule appointments online. Print the form. 19 Table A5 - UPMC for You (Medical Assistance) Monday through Friday, at the following numbers: UPMC Community HealthChoices (Medical Assistance) 1-844-860-9303 UPMC Behavioral Health Services (BHS) 1-866-441-4185 UPMC for Kids (CHIP) 1-800-650-8762 Discover primary care near you at UPMC. Sorting options Sort by Best Match Availability Connect with UPMC Our patient portals offer convenient For help and information, contact UPMC through one of the links below. To contact UPMC by phone, call 412-647-UPMC. UPMC for You (Medical Assistance) – Chapter E UPMC for You (Medical Assistance) E. edu. UPMC Western Psychiatric Hospital 3811 O’Hara St. He practices at West Erie Medical Group. 1-866-458-2138 (TTY: 711) Representatives are available Monday through Friday from 8 a. Eligibility ; How to Enroll ; How to Renew my Coverage UPMC for You, affiliate of UPMC Health Plan, offers high-quality care to eligible Medical Assistance recipients in 40 counties in the Commonwealth of Pennsylvania. Include your UPMC for You member ID number and group Events & Support Groups; Cancer Outreach; Education for Patients & Families treatments, and services can be complicated. 1604 Burtner Road, Suite 2100, Natrona Heights, PA 15065; phone I feel that my health concerns and treatments,are well managed by Dr. UPMC for You is a Managed Care Organization (MCO) licensed by the Pennsylvania Department of Health and the Pennsylvania Insurance Department. m Search adult and pediatric providers and schedule appointments online. You can follow up with additional questions to the HealthPlanEDI@upmc. Ehab Morcos, MD, specializes in cardiology and is certified in internal medicine, interventional cardiology, and cardiovascular disease by the American Board of Internal Medicine. Vydia and the Russulton medical This information is available for free in other languages. Attend our upcoming free event near you and explore the benefits of UPMC for Life today! Skip to main content. you can call a UPMC UPMC for You does not pay for members’ grocery, utility, or housing bills. , Monday through Friday. If you are a UPMC for You member residing in the Northeast and Southeast Physical HealthChoices zones and have questions about how to utilize the benefit, please contact the UPMC for You Transportation Unit at 1-833-779 covered by Medical Assistance. Pittsburgh, PA 15213-2582 412-647-8762 1-800-533-8762 *UPMC for You members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to availability and discretion of the provider. Do you qualify for both Medicare and Medicaid (Medical Assistance)? UPMC Health Plan has two If you forgot your user ID or need assistance, please call our Help Desk at 1-800-937-0438. UPMC for You network providers supply a variety of medical benefits and services, some of which are listed below or itemized on the following pages. UPMC CHC Prospective Participants 1-844-833-0523 TTY: 711 If you are a UPMC for Life member and have paid out-of-pocket for covered medical services, you can submit the form below to apply for reimbursement. Matthew Newlin, MD, specializes in bariatric surgery and general surgery, and is certified in surgery by the American Board of Surgery. She is a clinical Rheumatologist at UPMC St Margaret’s and Shadyside hospitals and an assistant professor at the University of Pittsburgh School of Medicine. Kasturba Enrolling in UPMC for You Medical Assistance Plans. Education. Specialties: Occupational Therapy, Physical Therapy. About UPMC. 2 Membership includes As a member of UPMC for Life, you have access to top-ranked care, award-winning customer service, renowned health and wellness programs, and so much more. Are you already a patient of this provider and have a MyUPMC account? Dr. The following information is printed on the UPMC for You Member ID card: • Member’s name • UPMC for You ID number • PCP name • The telephone number of the group in which their Our secure, members-only website makes it easy to manage your health and your health benefits. 31 Services Already Approved by Another MCO or Fee-for-Service E. UPMC for Life has a Daniel Kaplan, MD, is certified in dermatology by the American Board of Dermatology. Valley Family Medicine-UPMC. Find Care - A provider may bill a UPMC for You Member for a non-covered service or item only if, before performing the service, the provider informs the Member: • of the nature of the service; • that the service is not covered by UPMC for You and UPMC for You will not pay for the service; and • the estimated cost to the Member for the service. Plus the extensive network, and then from the business side of things UPMC FOR KIDS MEMBERS. S. Practice Locations; UPMC Children's Pediatric Dental Overall, the number of people dying from heart disease decreased from 2009 to 2019. As a UPMC for You member, you can: Visit some of the best doctors and hospitals in Pennsylvania. Provider Search ; Medication Search ; Member Resources ; UPMC for You After you receive care, your provider sends UPMC for Life a claim. Through contracts with the Department of Human Services (DHS), UPMC for You offers coverage to eligible Medical Assistance recipients throughout Pennsylvania. Member Resources ; Access to Care *UPMC for You members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to availability and discretion of the provider. 38: Services Already Approved by Another MCO Heart disease is the leading cause of death in the United States, but it is preventable. UPMC is here to support your journey toward a healthier lifestyle. edu distribution group. This page provides the complete NPI Profile along with additional information for Upmc St Margaret, a provider established in Pittsburgh, Pennsylvania operating as a General Acute Care Hospital. Manage appointments, communicate with your doctor, pay bills, renew prescriptions, and view your medical records and lab results with MyUPMC. UPMC Health Plan - Opens in new tab or window. Providers should review the Search adult and pediatric providers and schedule appointments online. He completed his residency at UPMC Hamot Medical Center and medical degree at Ross University School of Medicine. 37 The EPSDT Program Our member’s health is important to us. After you have your member ID number, you can: Access the UPMC Health Plan member site and the UPMC Health Plan app. Haleh Haerian, MD, specializes in endocrinology and is certified in internal medicine and endocrinology, diabetes, and metabolism by the American Board of Internal Medicine. UPMC Rehabilitation Institute: Monroeville, Oxford Drive. He practices at University of Pittsburgh Physicians, Department of Dermatology and is affiliated with UPMC Presbyterian, UPMC Shadyside, Search adult and pediatric providers and schedule appointments online. 200 Lothrop Street Pittsburgh, PA 15213 412-647-8762 800-533-8762. and Saturday from 8 a. Call 412-624-1000 or toll free Search adult and pediatric providers and schedule appointments online. Search adult and pediatric providers and schedule appointments online. By Mail UPMC Health Plan Attn: UPMC for You U. UPMC CHC Participants 1-844-833-0523 TTY: 711 Hours: 24 hours a day, seven days a week. The healthcare provider is registered in the NPI registry with number 1790795359 assigned on August 2006. This care is To reach a Health Care Concierge, call the number on your member ID card Monday through Friday from 7 a. For assistance, please call UPMC Health Plan Direct Connect Sales Center at 1-877-563-0292 (TTY: 711). UPMC for You is a Managed Care Organization (MCO) licensed by the Pennsylvania Department of Health and the Pennsylvania If you are enrolled in the UPMC Advantage Silver HSA $4,000/$0, UPMC Advantage Gold HSA $2,500/10%, or UPMC Advantage Catastrophic $9,200/$0 plan, UPMC AnywhereCare virtual visits will be covered at 100 percent after He is director of the Cardiac Amyloidosis Center and nuclear cardiology at the UPMC Heart and Vascular Institute. . The UPMC MyHealth 24/7 Nurse Line is not a substitute for medical care. Welcome to UPMC for You! Here you can explore resources and information about Medical Assistance coverage and benefits. Call 412-624-1000 or toll free Our member’s health is important to us. high blood pressure, and pre-diabetes. Please follow these steps to submit a medical care claim reimbursement form to us. m. For specific information not covered in this manual, call Provider Services at 1-866-918-1595 from 8 a. Enrolling in UPMC for You. Members temporarily traveling outside of Pennsylvania at the UPMC for Life Members Call us toll-free: 1-877-539-3080 (TTY: 711) Email: upmcforlifems@upmc. Our provider network includes both UPMC and community providers, totaling more UPMC for Life is excited to share our improved plans and extra benefits with you for the upcoming year. Steel Tower 600 Grant Street If you have questions about your benefits, call the UPMC for You Health Care Concierge team at 1-800-286-4242 (TTY 711). You're not just a number and he doesn't push you through to move on to the next. Health Care Concierge Services 1-800-286-4242 (TTY: 711) Prospective Members 1-888-424-2972 (TTY: 711) Our Health Care Concierge team is available to assist you Monday, Tuesday, Thursday, Friday from 8 If you have questions about specific products offered by the various insurers, please contact the insurance company directly, either through the company's website or by calling the number listed on your ID card. Please UPMC Health Plan Medicare Select currently receives crossover files from COBA. Practice Locations: Carnegie, UPMC for Life Complete Care and UPMC Community HealthChoices. Need to schedule by phone? Call our scheduling team at 1-800-533-8762 between 8 a. Specialties: Family Medicine. We want to make it easy for you to get the health care services you need. With locations across Pennsylvania and Maryland, our expert PCPs deliver personalized healthcare just for you. Because you have a UPMC PCP, the hospital team will have access to your electronic health records. Get more information about the helpful services and resources UPMC for You has available so you can live a healthy life!. 3 Medical Assistance Managed Care in Pennsylvania E. UPMC for Life has a contract with Non-UPMC for You members may also email pathwaystowork@upmc. Book an appointment today! 1-800-533-8762 Careers; Newsroom; Health Care Professionals; About Us Age Groups Seen. I've found in another state that the issues that can make a good choice are a) number of doctors/clinics/hospital in the network, and b) which paperwork they require. Waltrip, MD in Butler, PA, Cranberry Township, PA, Mars, PA. Black Americans have the highest number of heart disease deaths of any group. Find. Reviewed on 11/20/2024. For Patients And Visitors If you’d like to update your child’s PCP, you can log in to UPMC Health Plan member site and click on Select or Update Your Primary Care Provider. If you don’t have a This will take you to a page where you will fill in the required information to establish an online account. Robert L. You can also chat with a Health Care Concierge by logging in to My Health UPMC for You will not cover x-rays when performed by a chiropractor; however, chiropractors may refer members to a network provider for x-rays. The following information is printed on the UPMC for You Member ID card: • Member’s name • UPMC for You ID number • PCP name • The telephone number of the group in which their PCP practices For UPMC Community HealthChoices and UPMC for You Members Only Providers may call the Department of Human Services (DHS) Electron ic Verification System (EVS) at 1-800-766-5387 to determine whether the member is eligible on the date of service. If your insurance is provided through your employer, you may also want to direct this question to your employee benefits representative. Call the customer service number on your insurance card and ask if SilverSneakers is included in your plan. Members must be located in one of those states when calling the UPMC MyHealth 24/7 Nurse Line. You can find this six-digit number on your renewal Connect with UPMC Our patient portals offer convenient and secure access to your health information, 24/7. Locations. Pediatric Dentistry - Find a primary care physician or specialist at UPMC. Copayments may apply for some members 18 years old and older. UPMC Health Plan Provider Services U. If an emergency arises, call 911 or go to the nearest emergency At a Glance (UPMC for You) E. **UPMC Health Plan earned 11 Stevie® Awards in 2023, including three Gold Stevie Awards for Achievement in Customer Experience, Customer Service For an appointment near you, call Western Behavioral Health’s main phone number at 1-877-624-4100 or 412-624-1000. Shenango Valley Family Medicine–UPMC. Soman and his entire group The HMO D-SNP plans have a contract with the PA State Medical Assistance program. cqug vgit onhjr dkvc pri cghvv huzvt kmqqd ajktn jyctpj