Home | Provider Resources | About Us | Contact Us | Search

En Español

UPMC for Kids Benefits and Eligibility Information

UPMC Health Plan Behavioral Health Services is committed to ensuring that access to services is simple and member focused. If members wish to contact UPMC Health Plan Behavioral Health Services by phone, they may access all services via a dedicated toll-free number which is published on member ID cards, in all UPMC Health Plan Behavioral Health Services publications, within the provider network, on the website, and on public relations materials.

When first calling UPMC Health Plan Behavioral Health Services, the caller will be greeted by a Customer Service Representative, who is trained to assist the member with information about enrollment, the provider network, and other resources. All staff are knowledgeable about the provider network, the geography, the culture, and local community resources. All staff are able to identify a member’s eligibility and behavioral benefits. This allows staff to share with the member their in network and out of network (if applicable) behavioral health benefits as well as associated co-payments, deductibles, and coinsurance.

Members calling with a need that requires clinical decisions are directed immediately to a Care Manager. The Care Manager will assess the caller’s immediate needs and appropriately intervene, maximizing a member’s access to appropriate services and enhancing the coordination and continuity of behavioral health services along the continuum of care.