UPMC Health Plan | Affordable Health Care for Individuals & Families

Latest News

February 20, 2019: Announcing "Accelerating Investments for Healthy Communities" Participants: Six Hospitals and Health Systems Step Up Efforts to Increase Affordable Housing in their Regions
January 28, 2019: UPMC Health Plan Announces Innovative, Value-Based Agreement with AstraZeneca
January 7, 2019: Rising Drug Prices Linked to Older Products, Not Just Newer, Better Medications
December 18, 2018: Sempre Health and UPMC Health Plan Expand Program that Improves Affordability and Adherence for Critical Medications

MAINTENANCE ALERT: Scheduled maintenance is planned for Saturday, 2/23/2019 beginning at 7:45PM until approximately 1:00AM Sunday, 2/24/2019. During this time, website functionality and secure logins may be affected by intermittent partial or complete outages. We apologize for any inconvenience and thank you for your patience as we work to upgrade our system.

UPMC for Life Plans

New for 2019 – We’ve Added Routine Hearing Coverage to More of Our Plans

Now more UPMC for Life plans include routine hearing coverage! If you join the HMO Premier Rx (HMO), HMO Choice Rx (HMO), or HMO Rx Enhanced (HMO) plans, you can take advantage of the benefits below.

$0 for one hearing exam per year
$0 for one hearing aid fitting exam every three years
$1,500 allowance for hearing aids every three years

Not all plans offer hearing coverage. Click here to compare UPMC for Life plans.

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

Shop Now for a Plan

This information is not a complete description of benefits. Call 1-866-405-8762 (TTY: 711) for more information. Out-of-network/non-contracted 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). We are available October 1 through March 31, seven days a week from 8 a.m. to 8 p.m. From April 1 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.

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plan has 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 for You Inc.

Tivity Health, SilverSneakers, SilverSneakers FLEX and SilverSneakers BOOM are registered trademarks or trademarks of Tivity Health, Inc. and/or its subsidiaries and/or affiliates in the USA and/or other countries. © 2018. All rights reserved

*Our hours of operation change twice a year.

You can call us:

October 1 through March 31:
seven days a week from 8 a.m. to 8 p.m.

April 1 through September 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 8 a.m. to 3 p.m.

Y0069_191055

Last Updated: 10/01/2018

Copyright .

UPMC Health Plan, Inc.

Apple Store Google Play