2022 Berks MA Kit

UPMC for Life PPO Rx Enhanced Out-of-Network (OUT) In-Network (IN) Medicare-covered: 40% of the cost after deductible; Medicare-covered: $40 per visit; $0 for one hearing exam per year; Hearing services 5 50% of the cost for one hearing exam per year (deductible does not apply); $0 for one hearing aid fitting every 3 years 50% of the cost for one hearing aid fitting every 3 years (deductible does not apply) IN/OUT: $1,500 allowance for hearing aids every 3 years (deductible does not apply) Not covered $15 allowance per quarter to buy health care products Over-the-counter (mail order catalog) FREE unlimited gym memberships and one FREE personal training session each year at participating fitness facilities as well as the option to work out at home with fitness kits. SilverSneakers ® † Download this FREE app for help managing your mental and physical health through personalized programs, guided activities, and support from a live health coach. RxWell Choose up to three products from the UPMC for Life bathroom safety catalog at no additional cost. Bathroom Safety 6† Get one FREE in-home safety assessment per year with a licensed health care professional. Home Safety Assessment † Receive six counseling sessions per concern per year at no additional cost. Personal Counseling † Get tips and information on ways to reduce your feelings of loss, loneliness, or stress through our Powerful Tools for Caregivers program. Caregiver Support † If you have a serious or advanced illness, you will get a personal care plan, help with symptom and medication management, and home-delivered meals, if needed. This benefit is for members living at home or in an assisted living home (it is not available to members in a skilled nursing facility). Palliative Care* † Not covered. Transportation Members with congestive heart failure (CHF), diabetes, and chronic obstructive pulmonary disease (COPD) qualify for post hospital discharge meals. Members can receive 56 meals, 2 meals per day for 4 weeks. Meals* Not covered. Travel Concierge Get help 24/7 when you travel more than 100 miles away from home or to another country. This program connects you to doctors, hospitals, pharmacies, and other services all over the world, so you’re never without access to care. Assist America † Services with a dagger (†) if you receive these benefits out-of-network you will incur a higher cost-sharing. * Services with an asterisk (*) may require prior authorization. upmchealthplan.com/medicare 9 46