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Enrollment

Have access to the tools you need to enroll your clients in one of your UPMC for Life plans, including how the enrollment process works.

Enrollment application process

Learn how the enrollment application process works and all the ways that your clients can easily enroll.

2022 Enrollment applications

  • Berks County
  • Indiana County
  • North Central PA — Centre, Clinton, Montour, Potter, Snyder, Sullivan, and Union counties
  • North Central PA Premier — Lycoming and Tioga counties
  • North Eastern PA — Bradford, Lehigh, Northampton, Susquehanna, Wayne, and Wyoming counties
  • Ohio — Harrison and Jefferson counties
  • PPO plans — Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Crawford, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Lawrence, Lycoming, McKean, Mercer, Montour, Potter, Snyder, Somerset, Sullivan, Tioga, Union, Venango, Warren, Washington, and Westmoreland counties
  • South Central PA — Adams, Fulton, Juniata, Lebanon, Lehigh, Mifflin, and Perry counties
  • South Central PA Premier — Cumberland, Dauphin, Lancaster, and York counties
  • Western PA — Cambria, Clearfield, Jefferson, Huntingdon, and Carbon counties
  • Western PA Premier — Bedford, Blair, Somerset, Erie, Mercer, Venango, Cameron, Clarion, Crawford, Elk, Forest, McKean, and Warren counties
  • Western PA Premier 2 — Allegheny, Armstrong, Fayette, Greene, Westmoreland, Beaver, Butler, Washington, and Lawrence counties
  • UPMC for Life Complete Care (HMO SNP) application

Virtual enrollment tools

Your clients can enroll in one of our UPMC for Life plans from the safety of their own home.

Health risk assessment (HRA)

You will now be able to receive an additional $75 payment for every Medicare and SNP member you enroll if they complete the HRA survey!