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UPMC for Kids Members

UPMC for Kids
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UPMC Health Plan
Behavioral Health Services Member Services
1-888-251-0083
1-877-877-3580 (TTY)

Monday - Friday, 8AM - 5PM
In urgent or emergency situations,
staff is available 24 hours a day,
7 days a week.

UPMC for Kids FAQs

Do I need a referral?

No referral is needed by your PCP, or from UPMC Health Plan Behavioral Health Services/UPMC for Kids for behavioral health services. However, we strongly encourage you to contact UPMC Health Plan Behavioral Health Services @ 1-888-251-0083 before receiving any behavioral health services.

UPMC Health Plan Behavioral Health Services has an experienced team of behavioral health staff who can help you find the right behavioral health provider. We will search for network providers who treat patients like you and who are in a convenient location. We can easily match you up with an experienced professional.

What is my behavioral health co-pay?

Behavioral Health financial questions can be answered by calling UPMC Health Plan Behavioral Health Services Customer Services at 1-888-251-0083 or TTY at 1-877-877-3580. Medical Health financial questions can be answered by calling UPMC for Kids member services 1-800-650-8762 or TTY at 1-800-361-2629.

What is my behavioral health deductible?

Why can't I continue seeing my old provider who is out of network?

The HMO plan requires you to choose an in network provider.

How can I find out who is a network provider?

Contact UPMC Health Plan Behavioral Health Services customer service, 1-888-251-0083 or TTY 1-877-877-3580, and someone will assist you.

How can I get a provider Directory?

Contact member services at UPMC for Kids at 1-800-650-8762 or TTY 1-800-361-2629 or log onto www.upmchealthplan.com

Is my EOB a bill?

No, it is a statement of services received and unless stated, this is an Explanation Of Benefits for your records.

What if I'm on vacation or living out of the area?

Only emergency services are covered with non-network providers when you are on vacation or living out of the local area if you have a HMO plan.