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Medicare Parts A and B for Annuitants

UPMC Health Plan has designed the Standard Option HMO to assist you with your Medicare Part B payment.

Here's how it works:

  1. Choose to enroll in the Standard Option HMO.
  2. Choose to enroll in Medicare Part B along with Medicare Part A.*
  3. Your deductible is lowered to $700 for Self-Only coverage.
  4. Your coinsurance is reduced to zero.
  5. You’ll receive up to $800 in premium reimbursement through a health reimbursement arrangement (HRA).
  6. Set up a reimbursement by mail or online using these forms:

Remember, all plan options include a health incentive account (HIA) that enables you to earn up to $250 for Self Only coverage.

Annual Plan Deductible Member Coinsurance** Medicare Part B Premium Reimbursement
Standard Option with Medicare Part A $850 for Self Only coverage 20% after deductible N/A
Standard Option with Medicare Parts A and B $700 for Self Only coverage 0% after deductible Up to $800 per member

This is a summary of the features of the UPMC Health Plan options. Before making a final decision, please read the Health Plan’s Federal Employees Health Benefits Program and 2021 Plan Brochure RI 73-797. All benefits are subject to the definitions, limitations, and exclusions set forth in the plan brochure. The scenarios depicted in this document only apply when Medicare is the primary payer.

*Go to for information on how to purchase Medicare Part B.

**Office visit and prescription drug copayments apply for the Standard Option HMO plan, including when it is paired with Medicare Parts A and B.



It is important to know that when you enroll in this plan, services are provided through UPMC Health Plan's participating providers as described in UPMC Health Plan's federal brochure — but the continued participation of any one doctor, hospital, or other provider cannot be guaranteed.

Continue to UPMC Health Plan online provider search


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