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  • Member Application And Change Form - Upmc Health Plan

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Member Application and Change Form Instruction Sheet Select a Plan The attached application form will enable you to enroll in a UPMC Health Plan product or to make certain changes if you are already.

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C20110413-16 Questions & Answers

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Contact support

To speak with a customer service associate, please call 412-864-0284 or toll-free 1-844-591-5949. For questions about your UPMC Health Plan bill, please contact Member Services at 1-888-876-2756 or TTY 711. Hours: Monday - Friday: 7 a.m. - 7 p.m.

It is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider.

Just click to connect. You can also visit the Contact UPMC page or call 412-647-8762 (UPMC) or 1-800-533-8762 (UPMC).

By app: Download the PA Enrollment Services app. By phone: Call PA Enrollment Services at 1-800-440-3989 to enroll in UPMC for You. TTY users should call 1-800-618-4225. Help is available Monday through Friday from 8 a.m. to 6 p.m. Customer service is offered in multiple languages.

UPMC Health Plan is a health benefits company based in Pittsburgh, Pa., which serves more than 440,000 members with its commercial insurance, Medical Assistance and Medicare Advantage products. More than 325,000 members have enrolled through one of the Health Plan's 6,000-plus employer group business partners.

If you are a current user and you need assistance, please e-mail MyUPMC at help@myupmc.com, or call our support line at 1-866-884-8579. To sign up for MyUPMC, visit MyUPMC.com or download the MyUPMC app in the App Store for iOS or on Google Play for Android.

There are two ways you can ask to be disenrolled: You can make a request in writing to us. Contact your Health Care Concierge team toll-free at 1-877-539-3080. TTY users should call 1-800-361-2629.

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. This care is achieved by combining the benefits of a managed care organization with all the services covered by Medical Assistance.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232