2022 Lycoming Tioga MA Kit

Get started with UPMC for Life . Here is a summary of what our plans cover and what you pay for care. These benefits are effective Jan. 1, 2022 – Dec. 31, 2022. This booklet does not list every service that we cover or list every limitation or exclusion. To get a complete list of services we cover, you can review the plan Evidence of Coverage online at upmchp.us/documents or call us to have your Evidence of Coverage mailed to you. 63(&,$/,67 With UPMC for Life you can choose from plans that cover everything Original Medicare covers, plus more! If you want to know more about the coverage and costs of Original Medicare, look in your current “Medicare & You” handbook that you received in the fall. You can view it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, seven days a week. TTY users should call 1-877-486-2048. This book includes a PPO (Preferred Provider Organization) plan. A Preferred Provider Organization plan is a Medicare Advantage Plan that has a network of contracted providers that have agreed to treat plan members for a specified payment amount. A PPO plan covers plan benefits whether they are received from network or out-of-network providers. Member cost-sharing will generally be higher when plan benefits are received from out-of-network providers. To search for your providers in our network, visit upmchealthplan.com/find. upmchealthplan.com/medicare 2 PPO Summary of Benefits 23