2014 Additional Documents

 




Summary of Benefits

Please select the state in which you reside to see the Summary of Benefits for your region. These documents show a list of the benefits covered under our plans.

Pennsylvania   UPMC for Life  
West Virginia   UPMC for Life   PPO Summary of Benefits

Annual Notice of Changes

Please select the state in which you reside and the UPMC for Life plan name for the Annual Notice of Change (ANOC) you would like to view. These documents are effective for the 2014 plan benefit year.

Pennsylvania   UPMC for Life  
West Virginia   UPMC for Life   PPO High Deductible with Rx (PPO)

Evidence of Coverage

Please select the state in which you reside and the UPMC for Life plan name for the Evidence of Coverage you would like to view. These documents provide detailed plan benefits information and member rights and responsibilities.

Pennsylvania   UPMC for Life  
West Virginia   UPMC for Life   PPO High Deductible with Rx (PPO)

UPMC for Life has free interpreter services to answer any questions you may have about our plan. Click here for more information.


Extra Benefits and Services Information

Use the links below to find out more about the extra benefits and services you get just for being a UPMC for Life member. These features are offered at no additional cost. Using these programs can add more value to your health care plan. Here are just a few programs you can start using today:

NEW Fitness Benefit Fit for Life

Assist America

Routine Vision Coverage

Hearing Discount Program

Dental Discount Program


UPMC for Life Service Area Maps

Click the link below to see a map of states and counties included in the UPMC for Life service area.

UPMC for Life HMO/PPO Service Area Map


UPMC for Life Exclusions and Limitations Information

There are some services that are not covered and will not be paid for by UPMC for Life. The link below provides a detailed listing of these services.

Exclusions and Limitations of UPMC for Life Plans


Plan Ratings Information

Please select the state in which you reside to see the UPMC for Life plan ratings information for your region. These documents show how the Medicare program has rated our plans on quality of care and service to our members.

Pennsylvania  UPMC for Life  
West Virginia   UPMC for Life   PPO plan

Privacy Information

Your personal information is private and confidential. At UPMC for Life we take your privacy seriously. Whether you are a prospective, current, or former member, living or deceased, we respect and safeguard the privacy and confidentiality of the information that we have about you on file.

The information provided below outlines the steps UPMC for Life takes to safeguard your privacy.

Privacy Statement


HIPAA Notice of Privacy Practices

Please select the plan in which you are enrolled to see the applicable Notice of Privacy Practices.

Notice of Privacy Practices HMO/PPO Members


Fraud, Waste, and Abuse

Find out how you can protect yourself against various types of medical fraud.

 


Helpful Websites About Medicare