Finding the right healthcare provider is a crucial step in managing your health, and UPMC Health Plan offers a wide network of doctors and specialists to meet your needs. Whether you are looking for a new primary care physician, a specialist, or need to verify if your current doctor is in-network, UPMC provides user-friendly tools to simplify the process. This guide will walk you through the steps to easily find a doctor within the UPMC Health Plan network, ensuring you receive the care you need.
Finding a Doctor Through MyUPMC Health Online (For Members)
If you are already a UPMC Health Plan member, the quickest way to find a doctor is through your MyUPMC Health Online account. This portal provides personalized access to your plan information and healthcare resources. Here’s how to find a doctor after logging in:
- Access MyUPMC Health Online: Begin by logging into your UPMC MyHealth Online account using your Pitt Passport credentials if applicable, or your established MyUPMC login.
- Navigate to Find Care: Once logged in, you will find multiple pathways to the provider search tool. Look for “Find Care” in the top right corner of the page, or in the central “Your Care and Treatment” section. Alternatively, you can use the hamburger menu in the top left corner, select “Your Care and Treatment,” and then choose “Find Care“.
After selecting “Find Care” through any of these methods, you will be automatically redirected to the UPMC Health Plan website. The system will recognize your enrolled plan, making the search process even more streamlined.
Finding a Doctor via the UPMC Health Plan Website (For Members and Browsers)
You can also find a doctor directly through the UPMC Health Plan website, whether you are a current member or simply exploring your options. This method is useful for both enrolled members and those who are just browsing UPMC’s network.
- Visit UPMC Health Plan Website: Go to www.upmchealthplan.com to access the main page.
- Select Find Care: At the top of the page, click on the “Find Care” option.
- Indicate Membership Status: Choose between “I’m A Member” if you are enrolled in a UPMC Health Plan, or “I’m Just Browsing” if you are exploring plans or provider options without logging in.
- Specify Care Type and Search Criteria: Select the type of care you need, either “medical” or “behavioral health“. Then, choose to search by doctor’s name or by medical specialty.
- Enter Location: Input your zip code to find doctors in your preferred geographic area.
Search Tips for UPMC Doctor Finder
To refine your search and ensure you find an in-network doctor that meets your specific plan requirements, consider these helpful tips:
- For Members (“I’m A Member”): When searching as a member, you may be prompted to enter your member ID number to confirm your specific health plan and network. This step ensures the search results are tailored to your coverage.
- For Browsers (“I’m Just Browsing”): If you are browsing or unsure of your plan’s network, you can verify if a doctor or office accepts your plan directly from the search results. After selecting a doctor, look for and select “Show Networks Accepted” to see a list of plans they participate in.
Alternatively, you can filter your search results by selecting your specific plan name from the dropdown menu at the top of the search page. For instance, to confirm coverage for Panther Gold, choose “Panther Gold Advantage Network for Pitt Employees.” For Panther PPO or Panther Basic plans, select “Premium Network.”
By following these steps, finding a doctor within the UPMC Health Plan network becomes a straightforward process. UPMC Health Plan is dedicated to providing accessible and convenient healthcare, and these online tools are designed to help you connect with the right providers for your health needs.