Welcome Pennsylvania Providers!

Participating Plans 

  • Ambetter of PA Health & Wellness (Marketplace)
  • PA Health & Wellness (Medicaid and CHIP)
  • UPMC Health Plan (Medicaid, Medicare and Community HealthChoice)

Resources for You

Thank you for being part of our network of eye care professionals. For the latest information and resources, we encourage you to join our provider network and register for our Eye Health Manager, where you can check member eligibility, vision benefits, plan specifics, and clinical policies, in addition to submitting authorizations and claims.

You can also verify member eligibility through our automated IVR system, available 24 hours a day, seven days a week. To speak with a Provider Services representative, call our Provider Services line Monday through Friday, 8 a.m. to 8 p.m. local time.

Ambetter from PA Health & Wellness (Marketplace)

ambetter from PA health and wellness

Ambetter Health: Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage.

+ optional vision coverage for subscribers

Ambetter Health Premier sample member ID card

Provider Services for Ambetter

833-850-6236

Members: call the number on the back of your ID card or visit your plan's website.

PA Health & Wellness (Medicaid and CHIP)

PA Health and Wellness

PA Health & Wellness coordinates physical health and long-term support services (LTSS) through the Community HealthChoices (CHC) plan and provides healthcare services to CHIP enrollees through WellKids by PA Health & Wellness.

sample member ID card for wellkids by PA health and wellness

Provider Services for PA Health & Wellness

844-788-4071

Members: call the number on the back of your ID card or visit your plan's website.

UPMC Health Plan

UPMC for Kids is a Pennsylvania Children’s Health Insurance Program (CHIP), a state and federally funded program that provides health insurance for eligible uninsured children and teens.

UPMC For You sample member ID card with name, ID, PCP, phone, contact numbers and website

UPMC for Kids sample member ID card with name, ID, PCP, phone, contact numbers and website

UPMC For Life HMO sample member ID card with name, ID, PCP, phone, contact numbers and website

UPMC For Life PPO sample member ID card with name, ID, PCP, phone, contact numbers and website

Provider Services for UPMC Health Plan

  • UPMC for You (Adult MCD): 866-458-2138
  • UPMC for Kids (MCD - CHIP): 866-921-7965 
  • UPMC for Life (MCR - HMO & PPO): 866-921-7963
  • UPMC for Life (MCR): 866-921-7964
  • UPMC Health Plan – UPMC Community HealthChoices (CHC - LTSS): 866-838-7612

Members: call the number on the back of your ID card or visit your plan's website.