I am guardian to my disabled sister who has Highmark. All of her psych care has been Highmark and all of her medical care UPMC for years. With separation, we have proactively moved everything to Highmark as psych is a bigger issue. But in making the move, we had difficulty finding a new PCP, as many practices in the McKeesport/Duquesne area are UPMC-affiliated. The independent MDs are not accepting any more patients, as they are overwhelmed from the switch. I had 5 MDs turn us down before I found one. We will also have to travel to Jefferson Hospital for emergencies, etc. instead of McKeesport five minutes away. Look around this area – it is mostly elderly and disabled who use McKeesport hosp. It will be difficult for most to get to Jefferson.