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Medicare

Preventive Dental Coverage

All UPMC for Life plans include preventive dental coverage for oral exams, cleanings, and x-rays. Copay and dental allowance amounts vary by plan. Compare UPMC for Life plans in your area.

Visit one of our participating UPMC for Life Dental Advantage providers for the following preventive benefits:

  • Two oral exams and cleanings per year
  • One bitewing x-ray per year
  • One panoramic x-ray every 36 months
  • Dental allowance for many dental services like fillings, tooth extractions, bridges, crowns, and much more–some plans now include DENTURE coverage (not all plans include a dental allowance)
  • One comprehensive oral exam every 36 months

In most cases, you are responsible for all other charges beyond preventive care. Preventive care copays and the dental allowance are excluded from the yearly medical deductible, if applicable, and do not count toward the annual maximum out-of-pocket.

Find a participating dental provider.

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Some group plans do not include preventive dental benefits administered by UPMC for Life.

More on Vision and Hearing Coverage

This information is not a complete description of benefits. Call 1-866-400-5077 (TTY: 711) for more information. Out-of-network/Noncontracted providers are under no obligation to treat UPMC for Life members, except in emergency situations. 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. Other physicians/providers are available in the UPMC for Life network.

This information is available for free in other languages. Please call our customer service number at 1-877-539-3080 (TTY: 711).

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. 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., UPMC Health Benefits Inc., and UPMC Health Coverage Inc.

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UPMC for Life Members
Call us toll-free: 1-877-539-3080
TTY: 711

Oct. 1 – March 31:
Seven days a week from 8 a.m. to 8 p.m.

April 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m., Saturday from 8 a.m. to 3 p.m.

UPMC for Life Prospective Members
Call us toll-free: 1-866-400-5077
TTY: 711

Jan. 1 – Sept. 30:
Seven days a week from 8 a.m. to 8 p.m.

Oct. 1 – Dec. 31:
Seven days a week from 7 a.m. to 9 p.m.

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Last Updated: 1/19/2024

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