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members UPMC Vision Advantage

Overview

At UPMC Health Plan, we have a long history of providing members with high-quality benefit plans, provider networks, and outstanding customer service. We continue that tradition with UPMC Vision Advantage. UPMC Vision Advantage offers three plan options — Basic, Standard, and Premium — and a network of credentialed vision providers, within the regions that UPMC Vision Advantage is offered.

Advantages

  • You will receive outstanding customer service from our Health Care Concierge team. A Health Care Concierge can answer questions about your vision benefits as well as medical, UPMC Dental Advantage, and MyFlex Advantage benefits, if applicable — all at one number.
  • You can chat online with a Health Care Concierge regarding your vision benefits, eligibility, and claim status.
  • You have access to vision benefits and information through MyHealth OnLine. If you are enrolled in our other products, UPMC Dental Advantage or MyFlex Advantage, for example, or any of our medical plans, you will be able to access information on those products as well.
  • Expenses are auto-substantiated for UPMC Health Plan members who use the MyFlex Advantage (FSA) program to pay for out-of-pocket vision expenses — that means less work for you.
  • As a member of UPMC Vision Advantage, you can receive discounts on LASIK vision correction. View more information.

Our Plans

UPMC Vision Advantage offers PPO plan designs with a network of providers from which to choose. In addition, members receive a 20% discount on exams, frames, and lenses for glasses purchased through a participating UPMC Vision Advantage provider prior to their next eligibility period.

Out-of-Network Services

UPMC Vision Advantage encourages its members to use participating providers to maximize their benefit and minimize any out-of-pocket expenses. Participating providers can be located by clicking the Find a Vision Care Provider link to the left.

In the event you elect to have services performed by a non-participating provider, UPMC Vision Advantage will reimburse you for eligible services up to the benefit maximum. Call our Health Care Concierge team at 1-888-499-6914.

UPMC Vision Advantage has also partnered with OptiCare© to provide a national network of providers for members residing or traveling outside Pennsylvania. To locate a participating OptiCare provider, click here.

 

This is a summary of the features of the UPMC Vision Advantage options. If there are any differences between the information provided in this summary and the plan documents, the plan documents will prevail. All benefits are subject to the definitions, limitations, and exclusions set forth in the plan documents.