UPMC for Life Plans

Get the eye care you need with UPMC for Life’s routine vision allowance

UPMC for Life plans include routine vision coverage for exams and eyewear. Members receive one routine vision exam plus a routine vision allowance every one or two years, depending on their plan. Members can see any provider they like, even if the provider is not in our vision provider network. Click here to find a participating vision provider.

The routine vision allowance applies toward the cost of eyewear, including lenses, frames, or contact lenses. Routine vision allowance amounts vary by plan. Click here to view and compare plans by county.

How does the routine vision benefit work?

  • If routine vision services are received from a participating provider, the vision provider will bill the plan.
  • If routine vision services are received from a non-participating provider, the member may have to pay the cost of the service at the time of the appointment. The member can submit a claim to the plan for reimbursement for up to the plan allowance. To receive a reimbursement form, call your Health Care Concierge team at the phone number on the back of your member ID card. You can also print one here.

The routine vision allowance does not apply to glasses after cataract surgery. It is excluded from the yearly deductible, if applicable, and does not count toward the annual out-of-pocket maximum.

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.

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*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.


Last Updated: 10/01/2018
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