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Routine Vision Care

Get the eye care you need!

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. Find a participating vision provider.

The routine vision allowance can be used toward the cost of contact lenses or eyewear, including all lens types, such as progressive and transitional. Routine vision allowance amounts vary by plan. Compare UPMC for Life plans in your area.

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 you receive routine vision services from a nonparticipating provider, you may have to pay the cost of the service at the time of the appointment. You can submit a claim for reimbursement for up to the vision allowance amount for your plan.
  • To submit a claim for reimbursement, you will need to complete a vision claim reimbursement form and fax or mail it to us.

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 1-866-400-5077 (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.

SilverSneakers is a registered trademark of Tivity Health Inc. SilverSneakers GO is a trademark of Tivity Health Inc. © 2021 Tivity Health Inc. All rights reserved.
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

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

Dec. 8 – Dec. 31:
Seven days a week from 8 a.m. to 8 p.m.

Jan. 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m., Saturday from 9 a.m. to 3 p.m.

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Last Updated: 10/01/2021