Provider Search – Medicare Advantage Plans
To locate a network provider nearest to you, select the type of provider you would like to see.
- Provider Search – Search for primary care providers and specialists in your area.
- Hospital Search – Search for hospitals in your area.
- Facility Search – Search for ancillary providers in your area, including audiology, dialysis, durable medical equipment, physical therapy, and more.
- Behavioral Health Search – Search for Behavioral Health providers in your area.
- Pharmacy Search– Search for pharmacies that participate with the plan. If you need to locate a pharmacy outside of Michigan’s Upper Peninsula please click here. (Clicking this link will take you away from UPHP’s website.) (Scroll down for additional Pharmacy information.)
- Dentist Search – Search for dentists that participate with the plan.
(Clicking this link will take you away from UPHP’s website.)
- Live Fit Fitness Center Search – Search for a participating fitness center near you.
This searchable directory provides a list of Upper Peninsula Health Plan ‘s (UPHP) network providers.
This directory is for all counties of the Upper Peninsula of Michigan, including: Alger, Baraga, Chippewa, Delta, Dickinson, Gogebic, Houghton, Iron, Keweenaw, Luce, Mackinac, Marquette, Menominee, Ontonagon, and Schoolcraft counties.
This searchable directory is updated daily. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about UPHP’s network providers in your area, you can call UPHP Customer Service at 1-877-349-9324 (TTY: 711), Monday through Friday from 8 a.m. to 9 p.m. Eastern time. The call is free.
To request a hard copy or alternate format (such as large print) of UPHP’s Provider and Pharmacy Directory, please call UPHP Customer Service at 1-877-349-9324, Monday through Friday, 8 a.m. to 9 p.m. Eastern Time. UPHP will mail a hard copy of the provider directory to you within three business days of your request.
This directory provides a list of UPHP’s network providers and pharmacies. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).
You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. In most situations, our network PCP must give you approval in advance before you can use other providers in the plan’s network, such as specialists, hospitals, skilled nursing facilities, or home health agencies. This is called giving you a “referral”. Referrals from your PCP are not required for emergency care, urgently needed services, and some preventive services. To select a PCP, please call UPHP Customer Service at 1-877-349-9324. If you do not select a PCP, UPHP will select one for you. You may change your PCP for any reason, at any time. Please see your EOC for additional information.
The network providers listed in this directory have agreed to provide you with healthcare, vision, and/or dental services. You may go to any of our network providers listed in this directory; however, some services may require a referral or prior authorization. Your PCP will help you with this.
If you are a member of the UPHP Advantage HMO-POS Plan, your plan includes a Point-of-Service (POS) benefit. This benefit provides coverage for Medicare-covered services when traveling outside the Upper Peninsula, but within the United States and its territories. With the exception of emergencies, these services may cost more. Please see your EOC for additional information about the UPHP Advantage POS benefit.
If you are a member of the UPHP Advantage HMO-POS Plan, you will need a prior authorization if you need to see an out-of-network provider due to limited in-network access and availability. You will pay in-network cost sharing. If you are accessing the POS benefit, you will only need prior authorization for select services that require a prior authorization and will pay at the POS cost sharing rate. With the exception of emergencies, these services may cost more. Additional information can be found in your EOC.
If you are a member of the UPHP Choice HMO Plan, you must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor UPHP will be responsible for the costs.
In cases where out-of-network providers bill you directly, please do not pay the bill and submit directly to UPHP for determination of liability.
You may obtain emergency services from the closest available provider; you may obtain urgently needed services from any qualified provider when out of the plan’s service area or when network providers are not available. Please see your EOC for additional information.
What is the service area for UPHP?
The counties in our service area are listed below.
The service area includes all of Michigan’s Upper Peninsula which consists of: Alger, Baraga, Chippewa, Delta, Dickinson, Gogebic, Houghton, Iron, Keweenaw, Luce, Mackinac, Marquette, Menominee, Ontonagon, and Schoolcraft counties.
How do you find UPHP providers that serve your area?
You can find a network provider nearest to your home by searching first by specialty, then by county, and then practice or provider name. If you know the name of a provider, you can search the index by name
If you have questions about UPHP or require assistance in selecting a PCP, please call our Customer Service Department at 1-877-349-9324, Monday through Friday 8 a.m. to 9 p.m. Eastern Time. TTY users should call 711. You can also visit www.uphp.com/medicare.
UPHP has contracts with pharmacies that equal or exceed requirements of the Centers for Medicare and Medicaid Services (CMS) for pharmacy access in your area. UPHP has contracts with many pharmacies in the service area.
We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to plan members. In most cases, your prescriptions are covered under UPHP only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your UPHP Evidence of Coverage.
To find a pharmacy that participates with UPHP, use the search tool above. This search provides a list of UPHP network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the UPHP Evidence of Coverage and Formulary. Our pharmacy search tool allows you to search for pharmacies in your area by pharmacy type and county.
To use the search tool to locate a pharmacy in your area, you can search any of the following ways:
- Identify the “Pharmacy Type” you are looking for (retail, home infusion, long-term care, mail order, I/T/U); or
- Search and locate the “Pharmacy Type” section within this directory; or
- Search and locate the “County” you are looking for (counties are listed in alphabetical order); or
- Search and locate the “City” you are looking for (cities are listed in alphabetical order); or
- Search and locate a pharmacy by “Pharmacy Name” (pharmacies are listed in alphabetical order).
Mail Order Pharmacies
You can get prescription drugs shipped to your home through our network mail order delivery program. For refills of your mail order prescriptions, please contact us 14 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. Typically, you should expect to receive your prescription drugs 14 day from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact Customer Service at 1-877-349-9324 (TTY: 711) Monday through Friday from 8 a.m. to 9 p.m. Eastern Time. The call is free.
Home Infusion Pharmacies
Search the list of UPHP network pharmacies to find a home infusion pharmacy provider in your area.
Long-term Care Pharmacies
Residents of a long-term care facility may access their prescription drugs covered under UPHP through the facility’s long-term care pharmacy or another network long-term care pharmacy.
Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies
Only Native Americans and Alaska Natives have access to Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies through UPHP’s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (i.e. emergencies).
Page Last Updated: 08/29/2023