An initiative of Allegheny County Controller Chelsa Wagner
An initiative of Allegheny County Controller Chelsa Wagner

FACTS ABOUT THE NEW UPMC/HIGHMARK CONTRACT

What the new contract does

  • Does more than just extend the current consent decree, which only gave Highmark patients in certain vulnerable groups (like seniors, cancer patients, people in the middle of treatment) access to UPMC.
  • This new ten-year contract allows Highmark to offer full in-network access to UPMC to any of its members (although it can choose to sell some plans that exclude UPMC– see next section).
  • More than 1 million Highmark plan members in Western Pennsylvania can go to UPMC doctors and hospitals that otherwise would have been out of network.
  • Patients who were going to lose access to their current UPMC doctors and hospitals on June 30 no longer have to worry.