Dental, Vision, and Hearing Coverage

UPMC for Life plans include dental, vision, and hearing benefits. Plus, some plans offer the UPMC for Life Flex Spend Card with additional dollars to spend however you like on dental, vision, and hearing services. You get this additional allowance on top of the coverage allowances below.

Coverage changes based on your plan, and not all plans have the same benefits. You can search and compare available UPMC for Life plans in your area using our Medicare shop tool.

Jump to section:

• Dental
• Vision
• Hearing

Preventive dental coverage

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

• Two routine oral exams and cleanings per year
• One bitewing x-ray every 12 months
• 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
• One comprehensive oral exam every 36 months

Remember, if your plan includes the UPMC for Life Flex Spend Card, you can use it to pay for noncovered services like teeth whitening and dental implants.

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. Copay and dental allowance amounts vary by plan.

Find a participating dental provider

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Routine vision care

Find a participating vision provider to receive the following benefits:

• One routine vision exam
• One contact lens fitting
• Routine vision allowance: This allowance can be used toward the cost of contact lenses or eyewear, including progressive and transitional lens. 

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. Routine vision allowance amounts vary by plan.

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Hearing benefits and hearing aid discount

Members enrolled in a plan with hearing coverage get the following benefits:

• One hearing exam per year at an in-network provider.
• One hearing aid fitting exam every year at an in-network provider.
• $690-$1,890 for one hearing aid per ear per year. You can choose from different types of hearing aids based on quality and cost. To get this important discount, make sure to use an Amplifon hearing provider.

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

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