Health Insurance Coverage in Pennsylvania
| Insurance Company | UPMC Health Plan |
|---|---|
| State | Pennsylvania |
| Website | upmchealthplan.com |
| Number of Hospitals in Network | 106 |
| Number of Plans Offered | 38 |
2 plans
4 plans
12 plans
6 plans
1 plan
2 plans
11 plans
| Plan Name | Plan Type |
|---|---|
| UPMC;UPMC – All Products | PPO |
| UPMC Advantage – Premium Network | PPO |
| UPMC Behavioral Health | OTHER |
| UPMC CHIP | MEDICAID |
| UPMC Commercial | PPO |
| UPMC Community Health Choice | MEDICAID |
| UPMC Community HealthChoices | MEDICAID |
| UPMC Community HealthChoices Plan | MEDICAID |
| UPMC for Kids | MEDICAID |
| UPMC for Life | MEDICARE ADVANTAGE |
| UPMC For Life | MEDICARE ADVANTAGE |
| UPMC for LIFE DUAL Plan | MEDICARE ADVANTAGE |
| UPMC for LIFE HMO Plan | MEDICARE ADVANTAGE |
| UPMC for LIFE PPO Plan | MEDICARE ADVANTAGE |
| UPMC for You | MEDICAID |
| UPMC for YOU | MEDICAID |
| UPMC For You | MEDICAID |
| UPMC FOR YOU | MEDICAID |
| UPMC FOR YOU Community Health Choices | MEDICAID |
| UPMC for You/UPMC for Kids | MEDICAID |
| UPMC Health Plan | PPO |
| UPMC Health Plan Conversion HMO | HMO |
| UPMC Health Plan Conversion PPO | PPO |
| UPMC Health Plan Enhanced Access POS | POS |
| UPMC Health Plan HMO | HMO |
| UPMC Health Plan Point of Service | POS |
| UPMC Health Plan Premium EPO | EPO |
| UPMC Health Plan Premium PPO | PPO |
| UPMC Health Plan Premium PPO-Silver Advantage | PPO |
| UPMC Health Plan Standard HMO w/ referral | HMO |
| UPMC Health Plan/UPMC For Life/UPMC For You | PPO |
| UPMC Health Plans | PPO |
| UPMC Healthchoices | MEDICAID |
| UPMC HMO and PPO | HMO |
| UPMC Individual Advantage | PPO |
| UPMC Individual Advantage EPO | EPO |
| UPMC Life Dual plan | MEDICARE ADVANTAGE |
| UPMC Total Advantage | PPO |
Serves as the executive vice president of UPMC, president of the UPMC Insurance Services Division, and president and CEO of UPMC Health Plan. [2] She assumed the CEO role effective January 1, 2025, succeeding Diane Holder. [4, 5] Under her leadership, UPMC Health Plan serves over 4 million members and is recognized among top-quality plans. [2] Ms. Jenkins has held multiple progressive roles at UPMC Health Plan since 1998. [2, 4] When Diane Holder's retirement was announced in 2023, Jenkins was appointed as executive vice president and chief operating officer for UPMC's Insurance Services Division. [3, 4] She has earned national recognition for service excellence and community service and has served on the boards of multiple organizations. [3, 4]
Mr. Gebbens is the executive leader for all facets of Finance for the UPMC Insurance Services Division, including tax planning, risk management, investment, liquidity and cash flow planning, accounting, accounts receivable, claims payable, actuarial, budget, commercial and government products finance, and statutory reporting departments. [2]
Ms. Dodds Foley is responsible for all facets of UPMC Health Plan's Compliance Program. [2] Her leadership accountabilities include enterprise risk management, compliance with applicable laws and regulations, regulatory contracts oversight, and proposal development. [2] She has more than 25 years of experience in building and transforming enterprise compliance, ethics, and risk programs for national/multistate companies. [2]
Georgean Wielock-Orr leverages her expertise in system design, workflow methodology, data schematics, and technology enablement to streamline processes, optimize efficiencies, and drive transformative initiatives that enhance operational capabilities across the organization. [2]
Dr. Hurford is the President and Chief Executive Officer (CEO) of Community Care Behavioral Health Organization, which is part of the UPMC Insurance Services Division. [2] Community Care provides behavioral health coverage for one million Medicaid beneficiaries in 41 Pennsylvania counties. [2]
James Schuster is the Chief Medical Officer for the UPMC Insurance Services Division. [6]