Products
UPMC's Medicaid product.
What is UPMC for You?
Providers located in Ohio use this network.
What is MMO?
A snapshot of what a plan covers and what the member may pay for common services.
What is the SOB?
UPMC's Medicare product.
What is UPMC for Life?
Providers in all states except Ohio use this network.
What is Cigna?
Includes more specific language around coverage rules, limitations, exclusions, and conditions.
What is the COC?
Medicaid plan for individuals who need long-term services and supports (LTSS)
What is UPMC Community HealthChoices?
Providers directly contracted with UPMC.
What is participating?
Additional coverage provision added to a member’s base health insurance policy.
What is a Rider?
Health insurance offered through an employer.
What is a Commercial plan?
Providers not credentialed with UPMC, Cigna or MMO.
What is non-participating?
Document that contains coverage AND rules for one plan type.
What is the EOC?
Health insurance purchased directly through an insurance company or government marketplace.
What is an Individual plan?
Providers located in AZ, FL, GA, NC, SC, or TN utilize this network for these government funded plans.
What is the Medicare Travel Network?
Five separate waivers into one integrated program.
What is the LTSS Rider?