When it comes to health insurance, you probably have a lot of questions. It can be overwhelming to try to understand benefits, claims, and how to make the most of your insurance. That’s why we have a team of Health Care Concierges dedicated to helping you understand your UPMC Health Plan health insurance and take advantage of your benefits.
Here are just five things your Health Care Concierge can do for you:
- Answer questions about your benefits and explain how your health plan works. Want an estimate on how much a procedure would cost? Want to learn more about your network? A Health Care Concierge can explain all of this and more to you in just one phone call. They can check to see if a prescription will be covered under your plan, or recommend the nearest health facilities in your network.
- Find a network provider and schedule a doctor’s appointment. If you’ve recently switched your health insurance, or if you need to see a certain type of doctor for the first time, a Health Care Concierge can help you identify an available doctor or specialist in your network and schedule an appointment for you. A Health Care Concierge can also help you schedule a preventive service appointment, such as a vaccination, screening, or general health exam.
- Resolve claim questions. A claim is the bill that your health provider turns in to your health insurance after you’ve had an appointment, procedure, or consultation. Your bill or Explanation of Benefits (EOB) tells you how much of that claim you have to pay (your copayment, coinsurance, and/or deductible) and how much is covered by your health plan. Sometimes it can be confusing. If you have any questions or just want to walk through your coverage and the claim process one more time, a Health Care Concierge can help.
- Notify you of special events and benefits. Did you know that your UPMC Health Plan insurance entitles you to discounts at gyms and health facilities, and access to our health coaching program? Or that we offer a variety of health-related events throughout the year? Ask your Health Care Concierge about MyHealth Community member benefits, discounts, and events — and get involved! Enjoy a family trip to the zoo, become a member of a local gym to kick-start your New Year’s resolution, and take advantage of the various benefits of being a member of UPMC Health Plan.
- Serve as your personal contact and resource at UPMC Health Plan. We try to make all of the information we have online easy to find and easy to understand, but sometimes it’s just nice to have an actual person explain everything to you — especially for something as complicated as health insurance. With UPMC Health Plan, we’ve got you covered. Health Care Concierges are available over the phone, through our UPMC Health Plan Mobile App, and via live chat during extended business hours, and they go above and beyond to be your personal resource at UPMC Health Plan.
As an exclusive member benefit of UPMC Health Plan, Health Care Concierges are fast, efficient, and helpful. Ready to speak with a Health Care Concierge? Log in to your MyHealth OnLine account to get started.
Not a member of UPMC Health Plan? Browse our plans to find a health insurance plan that’s right for you, or give us a call at 1-855-394-2107.