It gives you access to primary care providers, behavioral health care providers, and specialists with virtually enabled doctors who participate in the UPMC Partner or Select Networks. UPMC VirtualCare is a health insurance plan. How is UPMC VirtualCare different from UPMC AnywhereCare? Your provider will give further details on how to access your visit. Preventive in-person visits will be $0Īll you need is a smartphone, tablet, or computer and internet access. You can schedule in-person visits with cost-sharing. You can see a specialist for a reduced copay. There is a $0 copay for virtual visits, for wellness visits, primary care, urgent care, and behavioral health services. This plan also offers you the flexibility to see your doctor in person with a higher cost share. It may save you money, because there is no copay for virtual visits for wellness, primary care, urgent care, and behavioral health services. It can save time since you don’t have to go to a doctor’s office for visits. Having virtual visits through UPMC VirtualCare is easy. UPMC VirtualCare lets you have $0 copay virtual visits with virtually enabled doctors who participate in the UPMC Partner or Select Networks. When you have a traditional health plan, you get most of your care in person. Find a provider/select your primary care provider.What does UPMC VirtualCare have that regular health plans don’t?.This helpful guide will tell you how (and why) you should: We update it each year, and the information it contains will help you take control of your health and your health care expenses. Whether you are a new or returning member, it's important to take a few minutes to review your guide. You can review your member guide to get an understanding of how your plan works.Your Explanations of Benefits (EOBs) provide information about what you and your covered family members have paid during the plan year toward your out-of-pocket maximum.It also tells you if you will have to pay a deductible. Your Prescription Drug Rider (if applicable) lists your benefit limits and cost-sharing amounts for prescription medications.You can estimate what your portion of a medical procedure will be by using our medical cost estimator on MyHealth OnLine.Your Schedule of Benefits explains what services are covered under your plan and at what cost share.You can learn your out-of-pocket maximum on MyHealth OnLine. Some health insurance plans don’t count all of your copayments, deductibles, coinsurance payments, out-of-network payments, or other expenses toward this limit. This limit never includes your premium, balance-billed charges, or health care your insurance plan doesn’t cover. This is the most you will pay during a policy period (usually a year) before your health insurance plan will pay 100 percent of the allowed amount. You’ll need this number to complete medical forms.Doctors may ask for this information to ensure that they participate in your network.For full details of your plan, view your Schedule of Benefits on MyHealth OnLine. Keep in mind that these amounts vary by service type. Your member ID card lists your copayment amounts for common services. Copayments generally do not count toward the deductible. This is a fixed fee you must pay for a covered health care service, usually at the time you receive the service. Once you meet your deductible, your plan will pay for a percentage of your health care services and you will pay the balance. The deductible may not apply to all services. For example, if your deductible is $1,000, your plan won’t pay anything until you’ve paid your $1,000 deductible for covered health care services that are subject to the deductible. The amount you owe for covered health care services before your health plan will begin to pay. To understand the information in your Schedule of Benefits, you will need to know these terms: Deductible: Your plan will provide different coverage for different services, as explained in your Schedule of Benefits.
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