UPMC

Health Insurance Coverage in Pennsylvania

Health Plan Overview

Insurance CompanyUPMC
StatePennsylvania
Websiteupmchealthplan.com
Number of Hospitals in Network108
Number of Plans Offered14

Network Hospital Locations

Hospitals in Network (108)
Geisinger Community Medical CenterUPMC McKeesportGeisinger Bloomsburg HospitalPenn State Health Holy Spirit Medical CenterGeisinger Medical CenterSaint Vincent HospitalUPMC JamesonTemple Health - Chestnut Hill HospitalTemple University HospitalUPMC MercyLehigh Valley Hospital–Schuylkill S. Jackson StreetAllegheny Valley HospitalUPMC SomersetWVU Medicine Uniontown HospitalWashington HealthReading HospitalUPMC WilliamsportGeisinger Lewistown HospitalAllegheny General HospitalPenn Highlands HuntingdonUPMC CarlisleConemaugh Nason Medical CenterUPMC HamotUPMC HarrisburgUPMC LititzUPMC AltoonaGuthrie Robert Packer HospitalPenn Highlands DuBoisWest Penn HospitalUPMC NorthwestClarion HospitalPenn State Health St. Joseph Medical CenterLancaster General HospitalUPMC MemorialUPMC St. MargaretUPMC KaneUPMC PassavantConemaugh Memorial Medical CenterChan Soon-Shiong Medical Center at WindberMeadville Medical CenterUPMC Magee-Womens HospitalUPMC Bedford MemorialPottstown HospitalPhoenixville HospitalLehigh Valley Hospital - Cedar CrestIndependence Health System Westmoreland HospitalPenn Highlands Mon ValleyUPMC GreeneCanonsburg HospitalUPMC Presbyterian ShadysideIndependence Health SystemIndiana Regional Medical CenterUPMC HorizonChester County HospitalPenn Highlands ConnellsvilleLehigh Valley Hospital - HazletonMillcreek Community HospitalLehigh Valley Hospital-PoconoFrick HospitalLatrobe HospitalPenn Presbyterian Medical CenterPennsylvania HospitalSaint Clair HospitalUPMC HanoverPenn State Health Milton S. Hershey Medical CenterJefferson HospitalAHN Grove CityForbes HospitalMount Nittany Medical CenterGeisinger Wyoming Valley Medical CenterValley Forge Medical Center and HospitalEdgewood Surgical HospitalAdvanced Surgical HospitalOSS Health Orthopaedic HospitalUPMC EastAHN Emerus Westmoreland, LLCAHN Wexford HospitalPenn State Health Hampden Medical CenterGeisinger Medical Center MuncyLehigh Valley Hospital–Dickson CityPenn State Health Lancaster Medical CenterGeisinger Jersey Shore HospitalUPMC MuncyConemaugh Meyersdale Medical CenterGuthrie Troy Community HospitalEndless Mountains Health SystemsPenn Highlands TyroneLECOM Health Corry Memorial HospitalBarnes-Kasson County HospitalPenn Highlands BrookvilleUPMC ColeTitusville Area HospitalPenn Highlands ElkUPMC WellsboroConemaugh Miners Medical CenterUPMC Children's Hospital of PittsburghChildren's Hospital of PhiladelphiaSt. Christopher's Hospital for ChildrenNorristown State HospitalDanville State HospitalWernersville State HospitalWarren State HospitalTorrance State HospitalPennsylvania Psychiatric InstituteLancaster Behavioral Health HospitalTower Behavioral HealthBerwick Psychiatric HospitalGeisinger Behavioral Health Center Northeast

Available Plans

EPO

5 plans

HMO

5 plans

PPO

4 plans

Plan Details
Plan NamePlan Type
NAPPO
NAPPO
NAPPO
NAPPO
NAHMO
NAHMO
NAHMO
NAHMO
NAHMO
NAEPO
NAEPO
NAEPO
NAEPO
NAEPO

State Leadership

Mary Beth Jenkins

Executive Vice President, UPMC; President, UPMC Insurance Services Division; President and CEO, UPMC Health Plan

Serves as the executive vice president of UPMC, president of the UPMC Insurance Services Division, and president and CEO of UPMC Health Plan. Under her leadership, UPMC Health Plan is uniquely positioned in the health care marketplace to provide quality, choice, access, service, and value to its members. Ms. Jenkins has held multiple progressive roles at UPMC Health Plan since 1998, most recently as executive vice president and COO of UPMC Insurance Services Division. She is recognized for her strong, strategic leadership, driving growth and achieving quality awards. She has earned national recognition for her work in service excellence and has a personal commitment to community service, having served on boards including Slippery Rock University Health Care Administration & Management Board of Stakeholders, Carlow University, March of Dimes, and Leadership Pittsburgh, Inc.

Georgia Dodds Foley

Senior Vice President and Chief Risk and Compliance officer, UPMC Insurance Services Division

Responsible for all facets of UPMC Health Plan's Compliance Program, including strategic development and implementation of regulatory compliance best practices. Her leadership accountabilities include enterprise risk management, compliance with applicable laws and regulations, regulatory contracts oversight, and proposal development.

Chester (Chet) Ho, MD

Chief Medical Officer, UPMC Insurance Services Division

Has 25 years of leadership experience in clinical care delivery and managed care expertise, and leads initiatives dedicated to improving health outcomes through clinical, payment, and technology innovations. He has extensive expertise in various clinical settings and has successfully developed value-based payment models.

Georgean Wielock-Orr

Chief Operating Officer and Senior Vice President of Operations, UPMC Insurance Services Division

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.

Mr. Gebbens

Chief Financial Officer, UPMC Insurance Services Division

Executive leader for all facets of Finance, including tax planning, risk management, and investment, liquidity and cash flow planning for our division, accounting, accounts receivable, claims payable, actuarial, budget, commercial and government products finance, and statutory reporting departments.

Dr. Hurford

President and Chief Executive Officer, Community Care Behavioral Health Organization (part of the UPMC Insurance Services Division)

President and Chief Executive Officer (CEO) of Community Care Behavioral Health Organization, the nation's largest not-for-profit behavioral health managed care organization. As part of the UPMC Insurance Services Division, Community Care provides behavioral health coverage for one million Medicaid beneficiaries in 41 Pennsylvania counties.

James Schuster, MD, MBA

Chief Medical Officer, UPMC Insurance Services Division

Clinical Professor of Psychiatry, University of Pittsburgh. (Current through 12-31-2024)