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  • Member Application And Change Form Instruction - Upmc Health Plan

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

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Call the UPMC Health Plan Open Enrollment Hotline at 1-800-644-1046 Monday through Friday from 7 a.m. to 7 p.m. and Saturday from 8 a.m. to 3 p.m. TTY users should call 711.

UPMC Insurance Services covers 4.5 million members with a focus on providing the highest-quality care at the most affordable price. To learn more, visit UPMC.com.

UPMC Health Plan accepts claims up to 180 days after the date of service for UPMC Community HealthChoices (Medical Assistance), UPMC for Kids (CHIP), and UPMC for You (Medical Assistance) Members. UPMC for You EPSDT claims must be submitted within 90 days after the date of service.

1990, the name “University of Pittsburgh Medical Center,” or UPMC, was adopted. UPMC continued to merge with community and specialty hospitals, creating the first truly integrated health care delivery system in the Pittsburgh region.

UPMC for Life is a Medicare Advantage program offered by UPMC Health Plan. UPMC Health Plan is owned by the University of Pittsburgh Medical Center and offers its Medicare Advantage plans to residents of Pennsylvania and Ohio. These plans offer a number of coverage choices that extend beyond original Medicare.

UPMC Standard Network (HMO) This includes all UPMC doctors and hospitals, a certain group of non-UPMC providers, and most community hospitals. You must select a primary care provider and get a referral to see most specialists.

In order to enroll in UPMC for You, you must qualify for Medical Assistance (Medicaid) through the state of Pennsylvania. The Department of Human Services (DHS) will determine whether you qualify for Medicaid and what benefits you and/or your family members will receive.

After you have found a new insurer, it is important to read up on the procedure and timeline for shifting because you can change insurers only at the time of renewal of your existing policy, and if you miss this window, you will have to wait another year.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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