What is PENNCare Network?

The PENNCare Network is the top-tier benefit level for all health plans offered to employees of the University of Pennsylvania and the University of Pennsylvania Health System. This website is continuously updated throughout the benefits year.

For employees using the PENNCare Network, out-of-pocket expenses are significantly reduced or eliminated. The vast majority of services are available at the top-tier level, however, if a service is not available within the PENNCare Network, employees may access the full network available through the health plan they have selected at a middle-tier benefit level. Please note that for some selected services, PENNCare Network providers have limited capacity in their practices. While employees’ covered benefits will not change during the plan year, PENNCare Network providers/services may change. For questions or clarification call toll free 1-877-354-4999 or your benefits office.

To access behavioral health benefits, contact Penn Behavioral Health at 1-888-321-5533. The Penn Behavioral Health provider network is a staff-and-affiliate model consisting of more than 500 licensed practitioners credentialed to standards set by the National Committee on Quality Assurance. This model combines the significant resources of the parent organization with community-based providers in the delivery of accessible and quality behavioral health care.

PENNCare providers are physicians or facilities that have a contract with the University of Pennsylvania Health System. Providers may refer to non-UPHS hospitals whereby members would be responsible for co-payments/co-insurance amounts. Members are required to check with providers prior to services rendered to ensure they are aware of benefits and financial obligations.

The PENNCare Network supports health plans offered by the University of Pennsylvania, the University of Pennsylvania Health System, and some UPHS affiliates. It does not include all providers affiliated with UPHS.

• For employees with questions about this health benefits plan, please call your Human Resources department.
• For physicians affiliated with the University of Pennsylvania Health System who have questions about the PENNCare Network or are interested in becoming an in-network provider, please call (215) 662-7507 or email rani.fogel@uphs.upenn.edu.