Medicare Basics

UPMC for Life Part D Prescription Drug Coverage

Your Part D prescription drug coverage options
UPMC for Life offers many plan options that combine medical and Part D prescription drug coverage. All of our plans with prescription coverage have five levels of drug benefits: preferred generic, preferred brand, non-preferred, specialty, and select care generic.
Compare and view details about our medical and prescription drug coverage plans.

Make sure your prescription drugs are covered
The UPMC for Life covered Part D prescription drug list includes thousands of brand-name and generic medications. These drugs have been approved for coverage by UPMC Health Plan. They are also reviewed and approved by UPMC physicians, community pharmacists, and Medicare.
Check your prescriptions now.

Pharmacies in all the right places
You can fill prescriptions at your local pharmacy or through our mail order program, making it easier to take your medications on time. You can take advantage of 60,000 pharmacies nationwide. UPMC for Life members can get their prescriptions filled at any of these national and regional pharmacy chains: CVS, Giant Eagle, Kmart, Rite Aid, Sam’s Club, Target, Walgreens, and Walmart.

Select care generics for $0 copay
We’re excited to offer you select care generic drugs for a $0 copay.
Click here to see a complete list of select care generic drugs.
These drugs can be filled at 30-day and 90-day supplies. Once you’re a UPMC for Life member, use your member ID card to take advantage of this benefit.

Help for prescription drug costs
People with limited incomes may qualify for extra help to pay for their prescription drugs. Many people are eligible for these savings and don't even know it. Please select the area where you live to get information about low income subsidies.

Sign up for extra help at socialsecurity.gov for paying for your prescription drugs.
How do I ask about my LIS status or level?


 
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium, and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Out-of-network/non-contracted providers are under no obligation to treat UPMC for Life members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

The UPMC for Life Medicare Advantage HMO and PPO plans are available to persons entitled to Medicare Part A and enrolled in Part B. You must continue to pay your Medicare Part B premium, reside in the service area, and not have end-stage renal disease (ESRD).

This information is available for free in other languages. Please call our customer service number at 1-877-381-3765 (TTY: 1-800-361-2629). We are available October 1 through February 14, seven days a week from 8 a.m. to 8 p.m. From February 15 through September 30, we are available Monday through Friday from 8 a.m. to 8 p.m. and Saturday from 8 a.m. to 3 p.m.

Esta información está disponible en forma gratuita en otros idiomas. Llame a nuestro número de servicio al cliente al 1-877-381-3765 (TTY: 1-800-361-2629). Estamos disponibles del 1 de octubre al 14 de febrero los siete días de la semana, de 8 a. m. a 8 p. m. Del 15 de febrero al 30 de septiembre, estamos disponibles de lunes a viernes, de 8 a. m. a 8 p. m., y los sábados de 8 a. m. a 3 p. m.

UPMC for Life complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

UPMC for Life cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

UPMC for Life 遵守適用的聯邦民權法律規定不因種族膚色民族血統年齡殘障或性別而歧視任何人

UPMC for Life erfüllt geltenden bundesstaatliche Menschenrechtsgesetze und lehnt jegliche Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-381-3765 (TTY: 1-800-361-2629).

注意如果您使用繁體中文您可以免費獲得語言援助服務請致電
1-877-381-3765 TTY:1-800-361-2629)

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-877-381-3765 (TTY: 1-800-361-2629).

UPMC for Life has a contract with Medicare to provide HMO and PPO plans. Enrollment in UPMC for Life depends on contract renewal. UPMC for Life is a product of and operated by UPMC Health Plan Inc., UPMC Health Network Inc., and UPMC Health Benefits Inc.

The Silver&Fit program is a product of American Specialty Health Fitness, Inc., (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). All programs and services are not available in all areas. Silver&Fit® is a federally registered trademark of ASH and used with permission herein.

*Our hours of operation change twice a year.

You can call us:

October 1 through February 14:
seven days a week from 8 a.m. to 8 p.m.

February 15 through September 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 8 a.m. to 3 p.m.

Y0069_17_1193 Approved

Last Updated: 10/01/2016
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