2024 UPMC for Life Plans
UPMC for Life is excited to share our improved plan benefits with you for the upcoming year, including our best PPO plans ever! Our plans help Medicare beneficiaries get easy access to the care they need with important extra benefits and outstanding customer service. Now you have more opportunities to grow your book of business than ever before!
2024 Plan Grids
Western PA plans
Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Lawrence, McKean, Mercer, Somerset, Venango, Warren, Washington, and Westmoreland counties
- HMO Premier Rx (HMO) — Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Fayette, Greene, Lycoming, Somerset, Tioga, Washington, and Westmoreland counties
- HMO Premier Rx (HMO) — Cameron, Clarion, Crawford, Elk, Erie, Forest, Lawrence, McKean, Mercer, Venango, and Warren counties
- HMO No Rx (HMO)
- HMO Deductible Rx (HMO)
- HMO Rx Choice (HMO)
- HMO Rx (HMO)
- HMO Rx Enhanced (HMO)
- PPO Premier Rx (PPO) — Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Carbon, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Lawrence, McKean, Mercer, Somerset, Venango, Warren, Washington, and Westmoreland counties
- New Segment! PPO Rx Choice (PPO)— Allegheny County
- PPO Rx Choice (PPO) — Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Carbon, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Lawrence, McKean, Mercer, Somerset, Venango, Warren, Washington, and Westmoreland counties
- PPO Salute (PPO) — Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Mifflin, Montour, Northampton, Perry, Potter, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- PPO High Deductible with Rx (PPO)
- PPO Rx Enhanced (PPO)
- UPMC for Life Complete Care (HMO SNP) — Western and Central PA counties
South central and northeastern PA plans
Adams, Bradford, Cumberland, Dauphin, Fulton, Juniata, Lancaster, Lebanon, Lehigh, Mifflin, Northampton, Perry, Susquehanna, Wayne, Wyoming, and York counties
- HMO No Rx (HMO)
- HMO Premier Rx (HMO) — Berks, Cumberland, Dauphin, Lancaster, and York counties
- HMO Deductible Rx (HMO)
- HMO Rx Choice (HMO)
- HMO Rx Enhanced (HMO)
- PPO Premier Rx (PPO) — Adams, Centre, Clinton, Cumberland, Dauphin, Fulton, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Montour, Perry, Potter, Snyder, Sullivan, Tioga, Union, and York counties
- PPO Rx Choice (PPO) — Adams, Centre, Clinton, Cumberland, Dauphin, Fulton, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Montour, Perry, Potter, Snyder, Sullivan, Tioga, Union, and York counties
- PPO Salute (PPO) — Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Mifflin, Montour, Northampton, Perry, Potter, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- PPO Rx Enhanced (PPO)
- UPMC for Life Complete Care (HMO SNP) — Western and Central PA counties
- UPMC for Life Complete Care (HMO SNP) — Berks, Carbon, Lackawanna, Lehigh, Luzerne, Monroe, Northampton, Pike, Schuylkill, Susquehanna, Wayne, and Wyoming counties
North Central PA plans
Centre, Clinton, Lycoming, Montour, Potter, Snyder, Sullivan, Tioga, and Union counties
- HMO No Rx (HMO)
- HMO Premier Rx (HMO) — Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Fayette, Greene, Lycoming, Somerset, Tioga, Washington, and Westmoreland counties
- HMO Deductible Rx (HMO)
- HMO Rx Choice (HMO)
- HMO Rx (HMO)
- HMO Rx Enhanced (HMO)
- PPO Premier Rx (PPO) — Adams, Centre, Clinton, Cumberland, Dauphin, Fulton, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Montour, Perry, Potter, Snyder, Sullivan, Tioga, Union, and York counties
- PPO Rx Choice (PPO) — Adams, Centre, Clinton, Cumberland, Dauphin, Fulton, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Montour, Perry, Potter, Snyder, Sullivan, Tioga, Union, and York counties
- PPO Salute (PPO) — Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Mifflin, Montour, Northampton, Perry, Potter, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- UPMC for Life Complete Care (HMO SNP) — Western and Central PA counties
Southeastern PA plan
Bucks, Chester, Delaware, Montgomery, and Philadelphia counties
2024 Plan Comparison Guides
- Allegheny — Allegheny county
- Cumberland/Dauphin — Cumberland, Dauphin, Lancaster, and York counties
- Lycoming/Tioga — Lycoming and Tioga counties
- North and south central PA — Adams, Centre, Clinton, Fulton, Juniata, Lebanon, Mifflin, Montour, Perry, Potter, Snyder, Sullivan, and Union counties
- Northwestern PA — Erie, Mercer, Venango, Lawrence, Cameron, Clarion, Crawford, Elk, Forest, McKean, and Warren counties
- Western PA — Cambria, Clearfield, Jefferson, Huntingdon, Indiana, and Carbon counties
- Western PA Premier — Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Fayette, Greene, Somerset, Washington, and Westmoreland counties
2024 Summary of benefits
- HMO Premier Rx — Northwestern PA
- HMO Premier Rx — Southwestern PA
- HMO Premier Rx — South central PA
- HMO No Rx and HMO Rx Enhanced
- HMO Deductible Rx, HMO Rx Choice, and HMO Rx
- PPO Rx Enhanced — Central PA
- PPO High Deductible Rx and PPO Rx Enhanced — Western PA
- PPO Premier Rx and PPO Rx Choice — Central PA
- New! PPO Rx Choice — Allegheny County
- PPO Rx Choice — Western PA
- PPO Premier Rx — Western PA
- PPO Salute
- UPMC for Life Complete Care — Northeastern PA
- UPMC for Life Complete Care — Western and central PA
- UPMC for Life Complete Care — Southeastern PA
2024 Evidence of coverage
- HMO Premier Rx — Northwestern PA
- HMO Premier Rx — Southwestern PA
- HMO Premier Rx — South central PA
- HMO No Rx
- HMO Rx Enhanced
- HMO Rx Choice
- HMO Rx
- HMO Deductible Rx
- PPO Rx Enhanced — Central PA
- PPO Rx Enhanced — Western PA
- PPO High Deductible
- PPO Premier Rx — Central PA
- PPO Rx Choice — Central PA
- PPO Premier Rx — Western PA
- PPO Rx Choice — Allegheny
- PPO Rx Choice — Western PA
- PPO Salute
- UPMC for Life Complete Care — Northeastern PA
- UPMC for Life Complete Care — Western and central PA
- UPMC for Life Complete Care — Southeastern PA