Your health matters to us

Welcome to UPMC for Life. Use our website as a resource when you need to find information about your health care coverage. Here is a list of things you can do on this site:

• Find a network provider or hospital
• Check covered prescription drugs
• Review your plan benefits
• Learn more about extra benefits and services
• Get information about prescription drug coverage
• View past Caring for Life member newsletters
• Take advantage of preventive care
• Login to our secure member portal, MyHealth OnLine
• Find resources in your community — log in to Resources for Life
• Access other important member information
  • Member forms
  • Appeals and grievances process
  • Notice of privacy information

If you have questions about your health care coverage, call UPMC for Life or our Health Care Concierge team toll-free at 1-877-539-3080, 8 a.m. to 8 p.m.,* seven days a week. TTY/TDD users should call
1-800-361-2629.

Click here for a list of additional plan documents and forms.

Take a healthy step by joining UPMC for Life for Walks at the Zoo

UPMC for Life members are invited to walk at the Pittsburgh Zoo and PPG Aquarium every other Wednesday starting now through October 19, 2011. Admission is complimentary for UPMC for Life members and one guest until 10 a.m.

Who: UPMC for Life members and one guest
What: Walks at the Zoo
Where: Pittsburgh Zoo and PPG Aquarium
When: Every other Wednesday starting April 6 through October 19, 2011 from 8 a.m. to 10 a.m.

Meet us at the front gates between 8 a.m. and 8:30 a.m. For those who wish to walk as a group, walks will start promptly at 8:30 a.m. Feel free to walk at your own pace. Water will be provided. Representatives from the Silver&Fit^® team will be available at each walk to help you get warmed up and answer your fitness questions.

After the walk, members and their guests are invited to stay at the zoo and enjoy the exhibits.

Admission is complimentary for UPMC for Life members and one guest until 10 a.m. Members must show their UPMC for Life membership ID card to gain complimentary admission. Guests do not have to be UPMC for Life members, but must accompany a member to gain no cost admission. Members must pre-register at least 24 hours before the scheduled walk by calling our Member Services department at 1-877-539-3080, Monday-Friday from 8 a.m. to 8 p.m. and Saturday 8 a.m. to 3 p.m. TTY/TDD users call 1-800-361-2629. For accommodations of persons with special needs, please call the number above.

You can get physically fit

Get fit, get educated, and have fun by enrolling today in Silver&Fit^®. This health and wellness program — designed specifically for UPMC for Life HMO and PPO members — offers exercise and healthy aging classes and social activities to help our members become physically fit. There are no copayments, coinsurance, or deductibles for any of the Silver&Fit programs and benefits.

Here's what Silver&Fit includes:

• Membership at a local participating fitness club
• Weekly fitness club exercise classes
• Classes on healthy aging to help you understand the aging process and your body
• Information about community social activities you can attend
• Access to a website featuring educational materials on health and wellness
• The chance to join the Silver&Fit Home Fitness Program, where you can follow along with exercise DVDs and utilize handheld weights and stretch bands, if you prefer to exercise at home

If you're already a UPMC for Life member, enrolling is easy. Visit www.SilverandFit.com and follow the instructions on their website to participate. Or call Silver&Fit toll-free at 1-877-427-4788, Monday – Friday, 8 a.m. to 9 p.m. Eastern time. TTY/TDD users should call 1-877-710-2746.

• If you'd like to find a list of the fitness centers and facilities nearest you, please click here.

Peace of Mind While You're Traveling

UPMC for Life has partnered with the nation's largest provider of global emergency services through employee benefits plans, Assist America^®, to give our HMO and PPO members emergency travel assistance worldwide.

Assist America's support is available while you are traveling, Assist America's support is available while you are traveling, in the U.S. or abroad. It is accessible 24 hours a day, 365 days a year. There are no caps, limits, or pre-existing condition exclusions for Assist America services. Services are arranged, provided, and paid for by Assist America. No claims for reimbursement will be accepted.

Here are just some of the services Assist America offers:

• Guaranteed hospital admission when traveling outside the U.S. for medically necessary treatment
• Transportation to get you to the nearest facility capable of providing proper care when adequate medical facilities are not available locally
• Round-trip transportation for a family member or friend to be with you if you are expected to be hospitalized for more than 7 days while traveling alone
• Assistance with local language communications
• Transportation back to your home or to a rehabilitation facility, with an escort if medically necessary, upon hospital discharge
• Transport and return of mortal remains to your legal residence in case of death
• Help replacing forgotten prescriptions (additional costs may apply)

Dental Discounts for Routine and Major Services

With one of the largest dental discount provider networks in the country, New Benefits, Ltd., provides UPMC for Life members with a convenient way to save money on routine and major dental services. You can take advantage of our easy-to-use dental discount program at any participating dental provider.

Please be aware that this dental discount program only applies to UPMC for Life members who have individual plan benefits through our UPMC for Life HMO, UPMC for Life HMO Rx (HMO), UPMC for Life HMO Rx Enhanced (HMO), UPMC for Life PPO High Deductible with Rx (PPO), and UPMC for Life PPO Rx Enhanced (PPO) plans. If you are a member of UPMC for Life through a previous employer, your dental benefits will not include this dental discount program.

Here are just a few of the advantages:

• Savings starting at 15% on dental services, such as routine cleanings and exams, x-rays and fillings, root canals and crowns, and dentures and bridges.
• You will have virtually no paperwork and no need to wait for a check; the discount is applied at the time of your dental services.
• There is no limit on the number of times you can use your dental discount card during the year.
• A list of network dental providers in locations closest to you will be providedto you upon enrollment.

If you are already a UPMC for Life member, you can begin using your dental discount program now. To locate a provider or for questions on the discount card, call New Benefits Member Services at 1-866-917-9730, Monday – Friday, from 9 a.m. to 8 p.m. and Saturday from 10 a.m. to 5 p.m. Eastern time. TTY/TDD users should call 1-800-361-2629. You can also visit the new benefits website at www.locateproviders.com. Enter the number 7951 in the group or client number field and click on continue.

Answering Your Health Questions Has Never Been Easier

Whether you're seeking general health advice or information regarding a specific medical issue, experienced registered nurses are available around the clock to provide you with prompt and efficient service.

Members have immediate access to health care advice 24 hours a day, seven days a week. If you're a UPMC for Life member, just call the MyHealth Advice Line at 1-866-918-1591. TTY/TDD users should call 1-866-918-1593.

Please note: This Advice Line is not a substitute for medical care. If an emergency arises, call 911 or go to a hospital emergency room.

Our Members Have Their Personal Health Information Available Online

MyHealth OnLine is a confidential, Internet-based tool used to help our members find and store information about their personal health care coverage. You'll have access to resources that can help you:

• Find information about exercise and nutrition
• Determine your health risks
• Keep track of medical appointments and recently filled prescriptions
• Track your yearly out-of-pocket prescription drug costs toward the Medicare prescription drug coverage gap
• Get details about your claims history
• Stop smoking

You can use one or all of the MyHealth OnLine services:

• Store information about your health care visits and medical history so you can view it in the privacy of your own home. You can also track your yearly drug costs and prescriptions.
• Get important and up-to-date information on various illnesses such as heart disease, asthma, and diabetes, plus details on more than 80 surgical procedures. You can also get advice on healthy eating, keep a log of what you eat, track your weight, and get help quitting smoking.
• Review your claims history since the beginning of your UPMC for Life membership, including the date of service, the provider, your costs, and the costs paid by UPMC for Life.
• Access an online library of your benefit information. You can review your plan information and copayment levels plus replace a lost member ID card, change your primary care physician, and review a claim's status.

If you're already a UPMC for Life member, you can start using MyHealth OnLine now, just log in.

Care Management Can Help You Manage Health Issues

Members can get one-on-one support from UPMC for Life health coaches who work with you to help you manage chronic medical conditions, improve your health, and enjoy the best quality of life possible.

Our health management programs have been developed in collaboration with leading clinical experts at the University of Pittsburgh Medical Center, using the latest research and guidelines. Health coaches are available to help identify, plan, and achieve the lifestyle changes that are important to help our members have the best quality of life.

UPMC Health Plan's integrated team of health care professionals – physicians, nurses, social workers, and pharmacists – provide additional support to help members accomplish their personal goals.

We currently offer care management programs for:

• Asthma
• Coronary artery disease
• Chronic obstructive pumonary disease (COPD)
• Diabetes
• Depression
• Heart failure
• High blood pressure
• Wound care treatment

If you are a UPMC for Life member and wish to receive more information or enroll in one of our care management programs, please call toll-free at 1-866-778-6073, 8 a.m. to 8 p.m.,* seven days a week. TTY/TDD users should call 1-800-361-2629. This program is not available for stand-alone Prescription Drug Plan members.

Self-Care for Those Who Care for Others

Caring for a loved one? You need care too. The Powerful Tools for Caregivers program can help.

Caring for a loved one who needs help can be challenging. UPMC for Life, in partnership with the Institute on Aging, is offering the Powerful Tools for Caregiver program. This program, designed specifically to help family caregivers, will teach you how to take care of yourself while you care for a spouse, relative, or friend who lives at home or in a nursing home.

View a schedule of upcoming classes.

• Classes consist of six weekly sessions.
• Two specially trained and experienced Class Leaders conduct the classes.
• Interactive lessons, discussions, and brainstorming will help you take the "tools" you choose and put them into action in your life.
• You will receive a book, The Caregiver Helpbook, that contains important information on:
  • Hiring in-home help
  • Making legal and financial decisions
  • Deciding whether someone should continue to drive

You'll learn to use tools that can help you:

• Reduce your stress.
• Communicate effectively with others (family members, your doctor, and other caregivers).
• Take care of yourself.
• Reduce guilt, anger, and depression.
• Relax your mind and body.
• Make tough decisions.
• Set goals and solve problems.
• Get rid of negative self-talk.

Class Schedule

UPMC for Life is taking reservations for the Powerful Tools for Caregivers Program in the following location:

UPMC Health Plan
109 Boston Store Pl.
Erie, PA 16501
RSVP By March 9, 2012

If you are a current caregiver and are interested in participating in this no-cost program, call today to reserve your spot as the class size is limited. Please make sure you can commit to participate in all six sessions. Contact our Health Care Concierge team at 1-877-539-3080 before March 9, 2012. You can call seven days a week, from 8 a.m. to 8 p.m.* TTY/TDD users should call1-800-361-2629.

* From February 15, through October 14, we are available from 8 a.m. to 8 p.m., Monday through Friday, and 8 a.m. to 3 p.m. on Saturday. UPMC for Life is a Medicare Advantage organization with a Medicare contract. UPMC for Life is a product of and operated by UPMC Health Plan, Inc., UPMC Health Network, Inc., and UPMC Health Benefits, Inc.

Powerful Tools for Caregivers Brochure

Self-Care for Those Who Care for Others

Caring for a loved one? You need care too. The Powerful Tools for Caregivers program can help.

Caring for a loved one who needs help can be challenging. UPMC for Life, in partnership with the Institute on Aging, is offering the Powerful Tools for Caregiver program. This program, designed specifically to help family caregivers, will teach you how to take care of yourself while you care for a spouse, relative, or friend who lives at home or in a nursing home.

View a schedule of upcoming classes.

• Classes consist of six weekly sessions.
• Two specially trained and experienced Class Leaders conduct the classes.
• Interactive lessons, discussions, and brainstorming will help you take the "tools" you choose and put them into action in your life.
• You will receive a book, The Caregiver Helpbook, that contains important information on:
  • Hiring in-home help
  • Making legal and financial decisions
  • Deciding whether someone should continue to drive

You'll learn to use tools that can help you:

• Reduce your stress.
• Communicate effectively with others (family members, your doctor, and other caregivers).
• Take care of yourself.
• Reduce guilt, anger, and depression.
• Relax your mind and body.
• Make tough decisions.
• Set goals and solve problems.
• Get rid of negative self-talk.

Class Schedule

UPMC for Life is taking reservations for the Powerful Tools for Caregivers Program in the following location:

UPMC Health Plan
109 Boston Store Pl.
Erie, PA 16501
RSVP By March 9, 2012

If you are a current caregiver and are interested in participating in this no-cost program, call today to reserve your spot as the class size is limited. Please make sure you can commit to participate in all six sessions. Contact our Health Care Concierge team at 1-877-539-3080 before March 9, 2012. You can call seven days a week, from 8 a.m. to 8 p.m.* TTY/TDD users should call1-800-361-2629.

* From February 15, through October 14, we are available from 8 a.m. to 8 p.m., Monday through Friday, and 8 a.m. to 3 p.m. on Saturday. UPMC for Life is a Medicare Advantage organization with a Medicare contract. UPMC for Life is a product of and operated by UPMC Health Plan, Inc., UPMC Health Network, Inc., and UPMC Health Benefits, Inc.

Powerful Tools for Caregivers Brochure

Fitness isn't just about your body anymore

New for 2010! UPMC for Life is now offering the award-winning InSightTM Brain Fitness computer program for all HMO and PPO Medicare Advantage members at no additional cost. This fun and engaging program has been shown in over 30 peer reviewed studies to help users think faster, focus better, and remember more.

Why is brain fitness so important?
Studies have shown that as we age our cognitive brain function declines. We can have trouble remembering things, lose attention to detail, and process information more slowly. This can lead to lower quality of life (withdrawal and depression) and loss of everyday function (hardships in completing daily tasks like grocery shopping and driving).

How can the InSight Brain Fitness program help?
The InSight Brain Fitness program is a suite of five game-like computer exercises that make brain fitness challenging and effective. Research trials have shown that spending time doing the exercises in the program has helped users improve their ability to visually process and store information. Continually doing these brain exercises can help you improve your functional independence, self-confidence, and health-related quality of life.

According to research studies that have measured the impact of the InSight Brain Fitness program (studies can be referenced at www.PositScience.com), there are benefits to using InSight over time:

• Reduces the risk of serious health-related quality of life decline by 35%
• Helps users maintain independence and complete everyday living taks
• Reduces risk of car crash in 87% of users
• Reduces dangerous driving maneuvers by 38%

Join UPMC for Life at an exclusive event — just for members

We want to partner with you to help you achieve the best health possible. That's why we're holding an exclusive member event in your area. This unique opportunity will allow you to:

• Learn about your plan benefits for 2011
• Get information about resources and programs that are available to you as a member
• Meet representatives from our Health Care Concierge team
• Receive immunizations and preventive services that can help you stay healthy

Featured presentations include:

• Your 2011 health plan benefits. Learn about the benefits and services you'll be receiving as of January 1, 2011.
• UPMC for Life Health Care Concierge.* Representatives from our Health Care Concierge team will be on site to answer your questions and explain your benefits.
• UPMC Resources for Life program.* Find out how you can get connected with important resources in your community for financial, legal, and personal challenges.
• Provider Services. Network managers will be available to talk about the providers and facilities in your area.
• Ask the Pharmacist. A pharmacist will instruct members on how to effectively manage medications and will answer individual prescription drug questions.
• Silver&Fit^®. Learn about our health and wellness program, which gives you a complimentary fitness club membership at a local participating fitness center or the option to exercise at home with the Silver&Fit Home Fitness Program.
• Care Management. One of our dedicated health care professionals will talk about programs that can help you manage and treat chronic medical conditions.

Preventive services can help you stay healthy

UPMC's Mobile Health Unit will be on site to offer preventive services to UPMC for Life members at no additional cost. Some of the services we're offering include:

• Yearly flu shot
• Diabetes testing
• Bone mass measurement
• Cholesterol testing
• Lung function testing (spirometry)
• Mammogram scheduling

Preventive services will be offered starting at 8 a.m. on the day of the event. If you are interested in receiving any of these services, please call the phone number below TODAY to RSVP, as space is limited. Members who RSVP will be first to receive preventive care. You will be asked to present your member ID card. Only UPMC for Life members are eligible to receive preventive services. For accurate results, it is important that you do not eat or drink anything for 12 hours before your scheduled screening. You may drink water and you should take any medications that you normally take. Refreshments will be available following the preventive services.

Members may attend the plan benefits meeting without receiving preventive services, but they still need to RSVP, as seating is limited for the benefits presentation.

Reserve your seat TODAY, space is limited

Contact UPMC for Life or our Health Care Concierge team to reserve your seat.
Toll-free: 1-877-539-3080
8 a.m. to 8 p.m., seven days a week**
TTY/TDD: 1-800-361-2629

Preventive services and flu shot immunizations will be available starting at 8 a.m. The plan benefits presentation will start at 10 a.m. for all meetings.

Please choose from the following counties to a list of dates and locations near you:

This event is open to UPMC for Life members and their friends and family. Click here for a list of times and locations. If you are interested in attending, please call TODAY.

Contact UPMC for Life or our Health Care Concierge team at 1-877-539-3080 to reserve your seat. You can call seven days a week,** from 8 a.m. to 8 p.m. TTY/TDD users should call 1-800-361-2629.

For accommodations of persons with special needs, please call the number listed above. A sales representative will be present with information and applications. At these seminars UPMC for Life will be presenting information on Original Medicare, Medicare Advantage plans, UPMC for Life Medicare Advantage plans, and Medicare prescription drug coverage.