Thank you for helping UPMC for Life earn an excellent 5 out of 5 stars AGAIN
Oct. 2022Important Notices
"We are proud to announce that UPMC for Life earned an excellent 5 out of a possible 5 overall star rating for our HMO and PPO plans for 2023 from Medicare. UPMC for Life is the largest HMO plan in Pennsylvania with a 5-star rating. This perfect 5 out of 5-star rating is something that only the highest quality Medicare Advantage plans in the nation receive.
Additionally, UPMC for Life received National Committee for Quality Assurance (NCQA) Accreditation. This makes UPMC for Life the ONLY plan in PA to have achieved NCQA Accreditation and a 5-star rating from Medicare for both our HMO and PPO products.
UPMC for Life is simply THE BEST—thanks in large part to you! We could not have earned these important accomplishments without your contributions and continued partnership. Thank you for your dedication to bringing excellence and service to our more than 200,000 Medicare members. This reflects the strength and stability of the UPMC for Life products and our pledge to help our members live their fullest, healthiest lives. In fact, UPMC for Life has an excellent member retention rate of 96% for its Medicare plans over the last year. We appreciate all you do to provide the best possible care for our members.
These prestigious achievements are based on how well we deliver medical coverage, prescription drug coverage, customer service, and satisfaction to our members. They measure our quality and performance compared to other Medicare plans. This is truly an honor that we all should be proud of.
We hope these ratings resonate with your UPMC for Life patients as we continue to work together to provide the best possible member experience.
Thank you for your contributions."
Additionally, UPMC for Life received National Committee for Quality Assurance (NCQA) Accreditation. This makes UPMC for Life the ONLY plan in PA to have achieved NCQA Accreditation and a 5-star rating from Medicare for both our HMO and PPO products.
UPMC for Life is simply THE BEST—thanks in large part to you! We could not have earned these important accomplishments without your contributions and continued partnership. Thank you for your dedication to bringing excellence and service to our more than 200,000 Medicare members. This reflects the strength and stability of the UPMC for Life products and our pledge to help our members live their fullest, healthiest lives. In fact, UPMC for Life has an excellent member retention rate of 96% for its Medicare plans over the last year. We appreciate all you do to provide the best possible care for our members.
These prestigious achievements are based on how well we deliver medical coverage, prescription drug coverage, customer service, and satisfaction to our members. They measure our quality and performance compared to other Medicare plans. This is truly an honor that we all should be proud of.
We hope these ratings resonate with your UPMC for Life patients as we continue to work together to provide the best possible member experience.
Thank you for your contributions."
Recent Announcements
Important announcement – Telehealth submissions
As of October 1, 2025, UPMC Health Plan continues to accept the submission of telehealth claims. Providers may conduct telehealth visits for UPMC Health Plan members in all UPMC Insurance products. UPMC Insurance products include UPMC Advantage group and individual products, UPMC for Life Medicare Advantage plans, UPMC for Kids CHIP plans, UPMC Community HealthChoices, and UPMC for You Medical Assistance plans.Sep. 2025Important Notices
October 2025 UPMC for You and UPMC Community HealthChoices Formulary Update
Effective October 1st, 2025, Xifaxan and Retin-A (cream, gel) will no longer be covered by UPMC for You and UPMC Community HealthChoices due to non-participation in the Medicaid Drug Rebate Program.Sep. 2025Pharmacy Updates
Biosimilar Medication Formulary Updates
Updates to formulary biosimilar medications for denosumab, eculizumab, and ustekinumab productsSep. 2025Pharmacy Updates