Provider Search – Medicare Advantage Plans

To locate a network provider nearest to you, select the type of provider you would like to see.

1. Provider Search – Search for primary care providers and specialists in your area.
2. Hospital Search – Search for hospitals in your area.
3. Facility Search – Search for ancillary providers in your area, including audiology, dialysis, durable medical equipment, physical therapy, and more.
4. Behavioral Health Search – Search for Behavioral Health providers in your area.
5. 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.)
6. Dentist Search – Search for dentists that participate with the plan.
   (Clicking this link will take you away from UPHP’s website.)
7. 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.