UPMC for Life
members enrolled in an HMO plan have full in-network coverage when traveling to the state of Florida. That means HMO members pay the same cost-sharing when seeing a provider in Florida as they do in-network at home.
Make sure you call Member Services at the number on the back of your member ID card to activate this benefit before you travel to Florida. Our Member Services team will:
- Activate your Florida travel benefits.
- Locate a provider or pharmacy for you.
- Schedule a medical appointment for you.
- Help you obtain prior authorization for services as needed.
UPMC for Life
HMO members must call Member Services to activate the travel benefit. Claims for non-emergent and non-urgent care may be denied if the HMO member does not call Member Services prior to seeking medical care in Florida. This benefit is only applicable in the state of Florida.
Members will be charged in-network cost sharing for covered services received from any provider that accepts Medicare. PPO plan members will be charged out-of-network cost sharing as applicable for covered services received from non-participating providers. All members are charged the applicable cost sharing for emergent and urgent care as listed in the Evidence of Coverage. Members with coverage through their employer group do not have the Florida travel benefit. Some in-network services require prior authorization. Make sure you receive prior authorization for services as listed in the Evidence of Coverage when traveling to Florida.