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UPMC Health Plan

UPMC Advantage Catastrophic $8,700/$0 - Partner Network

Plan Overview

Medical Deductable
  • Individual: $8,700
  • Family: $17,400
  • Per Person: $8,700
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $8,700
  • Family: $17,400
  • Per Person: $8,700
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: No Charge after deductible
Specialist
  • Standard: No Charge after deductible

Prescription Drug Information

Preferred Brand Drugs
  • Standard: No Charge after deductible
Non Preferred Brand Drugs
  • Standard: No Charge after deductible
Generic Drugs
  • Standard: No Charge after deductible
Specialty Drugs
  • Standard: No Charge after deductible

Inpatient Coverage

Hospital Services
  • Standard: No Charge after deductible
Inpatient Services
  • Standard: No Charge after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: No Charge after deductible
Rates shown are determined based on age, geographic region, and tobacco use and are dependent on information provided by or on behalf of the consumer. If changes are made to the determining factors, rates will change accordingly. UPMC Health Plan is not responsible for typographical errors, errors of fact, or any other error resulting from information provided by or on behalf of consumer. UPMC Health Plan is not responsible for the calculation of any financial assistance, including advance payments of the premium tax credit, provided through the Federally Facilitated Marketplace. This managed care plan may not cover all of your health care expenses and all benefits are subject to the terms and conditions set forth in your policy. Read your contract/policy carefully to determine which health care services are covered.

Nondiscrimination statement

UPMC Health Plan1 complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

1UPMC Health Plan is the marketing name used to refer to the following companies, which are licensed to issue individual and group health insurance products or which provide third party administration services for group health plans: UPMC Health Network Inc., UPMC Health Options Inc., UPMC Health Coverage Inc., UPMC Health Plan Inc., UPMC Health Benefits Inc., UPMC for You Inc., and/or UPMC Benefit Management Services Inc.

Translation Services"
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