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Members' Out-Of-Pocket Cost Waivers Extended

UPMC Health Plan Extends Members' Out-Of-Pocket Cost Waivers for In-Network Telehealth Visits, Inpatient
COVID-19 Treatment and Monoclonal Treatment


This communication has been sent to all commercial group accounts


Following the recent renewal of the public health emergency by Health and Human Services, (HHS), UPMC Health Plan confirmed that it will continue to waive all deductibles, coinsurance and copays for in-network, inpatient COVID-19 treatment for its members enrolled in its Medicare Advantage plans, fully-insured employer group and individual ACA plans, as well as in self-insured employer group plans that do not opt out of this coverage. This policy change is effective immediately and will stay in effect through July 20, 2021. 

UPMC Health Plan will also continue to waive deductibles, copayments and cost-sharing for all in-network virtual visits (telehealth) with a health care provider, including through UPMC AnywhereCare, until July 20, 2021. Both before and during the current public health emergency, UPMC Health Plan has covered a wide range of telehealth services for preventive care, acute care and medical condition management—both physical and behavioral. These expanded services give particular focus to critical services and supports, like behavioral health and counseling, that allow patients to access the health care system using a mobile device, computer or telephone.

UPMC Health Plan is also waiving all member cost sharing (such as deductibles, copays, and coinsurance) for in-network monoclonal antibody treatment for COVID-19 through July 20, 2021.  For more information on monoclonal antibody treatments, visit Monoclonal Antibodies | UPMC or call 866-804-5251. 

UPMC Health Plan updates its websites with timely, trustworthy information on COVID-19, including useful resources and articles from UPMC doctors and links to other trusted sources, such as the Centers for Disease Control and Prevention.  More information about the services UPMC Health Plan provides is available at https://www.upmchealthplan.com or on our Linkedin page, and additional information on COVID-19 can be found at COVID-19 Support for Employers | UPMC Health Plan, or at  www.upmc.com

If you have any additional questions, please contact your UPMC Health Plan representative. 
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