Get more benefits than Original Medicare
Compare UPMC for Life Complete Care (HMO D-SNP) to Original Medicare and other Medicare plans to see your cost savings add up! All allowance amounts are based on the 2026 benefit year. For more information about benefit allowances, call us toll-free at 1-844-575-8241 (TTY: 711)
| 2026 benefits | UPMC for Life Complete Care: Western and Central PA plans | UPMC for Life Complete Care: Northeastern and Southeastern PA plans | Original Medicare Parts A and B |
|---|---|---|---|
| Inpatient and outpatient medical services | $0 copay | $0 copay | $0 copay |
| Prescription drug coverage | $0 copay for Tier 1 and Tier 2 medications | $0 copay for Tier 1 and Tier 2 medications | X |
| UPMC for Life Complete Care Shop Healthy Card | Additional dollars to buy over-the-counter (OTC) and home safety products. Members who qualify* get additional allowances for healthy foods and household utilities. | Additional dollars to buy over-the-counter (OTC) and home safety products. Members who qualify* get additional allowances for healthy foods and household utilities. | X |
| Dental allowance for services like dentures, bridges, crowns, root canals, and more | $8,250 | $3,995 (Southeastern PA) $5,000 (Northeastern PA) |
X |
| Vision allowance for contact lenses or eyeglasses—including progressive and transitional lenses | $575 | $575 | X |
| Coverage for hearing aids** | $0 copay every year | $0 copay every three years | X |
| Trips to plan-approved locations like the doctor’s office, health care facilities, pharmacies, and fitness centers. Members who qualify* can use some of their one-way trips to go to approved nonmedical locations, including grocery stores, salons, places of worship, libraries, banks, funeral homes, and community centers. | $0 copay for 60 one-way trips; up to 34 can be used for non-medical locations for members who qualify. | $0 copay for 20 one-way trips; up to 8 can be used for non-medical locations for members who qualify. | X |
| Up to five home safety products per year and one yearly in-home safety assessment | $0 copay | $0 copay | X |
| Unlimited gym memberships and one personal training session per year at a participating fitness center | FREE | FREE | X |
| Unlimited routine podiatry visits per year | $0 copay | $0 copay | X |
*These benefits are part of the Special Supplemental Benefits for the Chronically Ill (SSBCI) program. To be eligible, you must qualify for the Low-Income Subsidy (LIS) and have one of the following chronic illnesses: chronic/disabling mental health conditions, metabolic disorders, cardiovascular disorders, substance use orders, diabetes, or other eligible conditions not listed. Eligibility in this benefit cannot be guaranteed solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
**Members must use a participating Amplifon hearing provider to take advantage of the $0 hearing aid copay. Go to upmchealthplan.com/find to find participating hearing providers. Routine hearing copays are excluded from the yearly deductible, if applicable, and do not count toward your annual maximum out-of-pocket.
This information is available for free in other languages. Please call our customer service number at 1-800-606-8648 (TTY: 711).
UPMC for Life has a contract with Medicare to provide HMO, HMO D-SNP, and PPO plans. The HMO D-SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal. UPMC for Life is a product of and operated by UPMC Health Plan Inc., UPMC Health Network Inc., UPMC Health Benefits Inc., UPMC for You Inc., and UPMC Health Coverage Inc.
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UPMC for Life Complete Care (HMO D-SNP) members
Call us: 1-800-606-8648
TTY: 711
Oct. 1 – March 31:
Seven days a week from 8 a.m. to 8 p.m.
April 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m.
UPMC for Life Complete Care prospective members
Call us: 1-844-575-8241
TTY: 711
Oct. 1 – March 31:
Seven days a week from 8 a.m. to 8 p.m.
April. 1 – July 31:
Monday through Friday from 8 a.m. to 8 p.m.
Aug. 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m. Saturday from 9 a.m. to 3 p.m.
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Last Updated: 10/1/2025