UPMC Health Plan Transitioning to SKYGEN USA

UPMC Health Plan will transition to SKYGEN USA for administering dental benefits beginning April 1, 2021 for the following UPMC products:

  • CHIP
  • Medical Assistance
  • UPMC Community HealthChoices (MLTSS)
  • Medicare (select University of Pittsburgh retirees only)
  • Medicare Special Needs Plans
  • Federal Employees Health Benefits.

This means that SKYGEN USA will be responsible for various dental administration processes including, but not limited to contracting, credentialing and processing claims for dental providers participating in any of the mentioned UPMC programs. UPMC will hold the participation contract with dental providers. To continue participation in the UPMC programs listed above, beginning April 1, 2021, you must sign and return a new Participating Dental Agreement with SKYGEN USA. Please Contact SKYGEN USA’s Network Development at 1-800-508-6965 or networkdevelopment@skygenusa.com to do so. Avesis will continue to administer UPMC’s dental benefits for the above product lines through March 31, 2021. If there are dental contracting, credentialing or claims related questions through March 31, 2021, please contact your Avesis provider network representative. These changes will not impact your Commercial and/or Medicare contract with UPMC Dental Advantage. If you have questions in regards to your Commercial or Medicare contract, please email HPDental@upmc.edu or contact UPMC Dental Advantage Provider Services at 1-877-648-9609.