Find the Right Plan

You or the person for whom you’re applying must have Medicare Part A and Part B in order to apply for UPMC for You Advantage, UPMC for Life Options, or UPMC Community Care.

If you would like to explore other plans that may meet your needs, or if you would like to continue to learn about Medicare Special Needs Plans, see the options below. If you would like to learn more about how to sign up for Medicare Parts A and B, visit www.medicare.gov for information.

SHOP UPMC Health Plans for Individuals and Families

UPMC Health Plan offers plans and services for every need. Look here to learn more.

OR

Continue to learn more about UPMC Medicare Special Needs Plans even though you may not be eligible.

  • UPMC for You Advantage
  • UPMC for Life Options
  • UPMC Community Care

Looking for traditional Medicare or Medical Assistance?

Medicare
Medicaid

HERE'S THE PLAN

For Getting More From
Medicare With Our
Special Needs Plans

Learn More
UPMC for You Advantage

Do you qualify for Medicare and Medical Assistance? We offer no-cost and low-cost benefits that go beyond Original Medicare. To help keep our members healthy, we offer no-cost transportation to pre-approved medical appointments, eye care, and a no-cost fitness option, too! Our improved dental benefit includes an annual allowance for crowns, dentures, fillings, and simple tooth extractions. Let us help you sort out what Medicare covers versus the additional benefits that come with UPMC for You Advantage.

Explore Plan Options
UPMC for life Options

We are a Medicare plan designed for people with long-term care needs. Our large network of doctors and facilities has services that fit your life. Whether you’re in a nursing home or your own home, UPMC for Life Options gives you and your loved ones the peace of mind you deserve.

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UPMC Community Care

UPMC Community Care is a plan for those diagnosed with a serious mental illness. There are two parts to good health: mental and physical. You’ve already taken one step by using behavioral health services. Now you might want to lose weight or quit tobacco. Maybe even get more control over a condition like diabetes or asthma. UPMC Community Care is a Medicare plan that helps you reach these kinds of goals and supports your mental health.

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Start Viewing Plans In Your Area
Do you have Medicare?
View all Plans - Some plans are not available in all locations

The value of having a UPMC Medicare Special Needs Plan

Award-winning
Customer Service

Every plan from UPMC Health Plan comes with access to our award-winning Health Care Concierge team,* health care coordination services, and more. Give us a call and you'll see what we mean.

Learn About Our Customer Service

ACCESS TO TOP-RANKED CARE

UPMC Medicare Special Needs Plan members have access to the doctors and hospitals of UPMC. You'll be receiving your care from some of the top-ranked hospitals in the nation.*

Learn About Our Top-Ranked Care

PREVENTIVE DENTAL COVERAGE

For 2015, all of UPMC's Medicare Special Needs Plans include preventive dental coverage for cleanings and exams. UPMC for You Advantage and UPMC for Life Options include additional comprehensive benefits to help with crowns, bridges, and dentures.

Learn About Our Dental Coverage

HEALTH AND WELLNESS

UPMC for You Advantage members and UPMC Community Care members can join Active&Fit. This program gives you membership to a participating local fitness facility OR the option of an at-home workout, at no cost to you.

Learn About Health and Wellness
The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

UPMC for You Advantage is an HMO SNP plan with a Medicare contract and a contract with the Pennsylvania Medical Assistance (Medicaid) program. Enrollment in UPMC for You Advantage depends on contract renewal. UPMC for Life Options and UPMC Community Care are HMO SNP plans with a Medicare contract. Enrollment in UPMC for Life Options and UPMC Community Care depends on contract renewal.

UPMC for You Advantage is a plan available to anyone who has both Medical Assistance from the State and Medicare. Your Medicare Part B premium is paid on your behalf by the State’s medical assistance program. UPMC for Life Options is a plan available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home or in the community. UPMC Community Care is a plan available to anyone with Medicare who has been diagnosed with a serious mental illness. For UPMC for Life Options/UPMC Community Care, you must continue to pay your Medicare Part B premium.

We are available to take your call:
1-800-606-8648 or, for TTY users, 1-866-407-8762

*Our hours of operations change twice a year.

Oct. 1 – Feb. 14:
8 a.m. to 8 p.m., seven days a week.

Feb. 15 – Sept. 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 8 a.m. to 3 p.m.

Y0069_15_3097 – Approved

Last Updated: 6/5/2015