2026 Plan Highlights
Watch this short video for an overview of the 2026 UPMC for Life plan benefits.
Select your current plan from the drop down below for your personal guide to plan benefits for 2026! Use your UPMC for Life member ID card to confirm your plan name and CMS plan identifier (located under your plan name on your member ID card).
- HMO Deductible Rx (HMO) | H3907-037
- HMO No Rx (HMO) | H3907-002
- HMO Premier Rx (HMO) | H3907-059-001
- HMO Premier Rx (HMO) | H3907-059-002
- HMO Premier Rx (HMO) (Erie County) | H3907-059-002
- HMO Premier Rx (HMO) | H3907-059-003
- HMO Rx (HMO) | H3907-058-001
- HMO Rx (HMO) | H3907-058-002
- HMO Rx Choice (HMO) | H3907-057-001
- HMO Rx Choice (HMO) | H3907-057-002
- HMO Rx Choice (HMO) (Westmoreland County) | H3907-057-002
- HMO Rx Choice (HMO) | H3907-057-003
- HMO Rx Choice (HMO) (Erie County) | H3907-057-003
- HMO Rx Choice (HMO) | H3907-057-004
- HMO Rx Choice (HMO) | H3907-057-005
- HMO Rx Enhanced (HMO) | H3907-006
- PPO Essential Care (PPO) | H5533-017-001
- PPO Essential Care (PPO) | H5533-017-002
- PPO High Deductible Rx (PPO) | H5533-003
- PPO Premier Rx (PPO) | H5533-011
- PPO Premier Rx (PPO) | H5533-013
- PPO Rx Choice (PPO) | H5533-015-001
- PPO Rx Choice (PPO) | H5533-015-002
- PPO Rx Choice (PPO) (Westmoreland County) | H5533-015-002
- PPO Rx Choice (PPO) | H5533-015-003
- PPO Rx Choice (PPO) | H5533-015-004
- PPO Rx Enhanced (PPO) | H5533 005
- PPO Rx Enhanced (PPO) | H5533 008
- PPO Salute (PPO) | H5533-016-001
- PPO Salute (PPO) | H5533-016-002
Other ways to learn more:
- Review your future coverage and see your plan documents, like your Annual Notice of Changes and Summary of Benefits, on the UPMC Health Plan member site.
- If your plan includes prescription drug coverage, learn more about your 2026 prescription drug benefits and browse the 2026 formulary.
- Schedule a Personal Plan Review with a Health Care Concierge for dedicated time to ask questions, review your benefit changes, and make sure your plan is still the best fit for you.
- Compare UPMC for Life plans in your area to make sure your plan still meets your needs.
- Have just a quick question? Chat with our Health Care Concierge team through the UPMC Health Plan member site or the UPMC Health Plan app.
Medicare resources
View MoreThis 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 D-SNP, and PPO plans. The HMO D-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., UPMC for You Inc., and UPMC Health Coverage Inc.
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UPMC for Life Members
Call us: 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.
UPMC for Life Prospective Members
Call us: 1-866-400-5077
TTY: 711
Oct. 1 – March 31:
Seven days a week from 8 a.m. to 8 p.m.
April 1 – July 31:
Monday through Friday from 8 a.m. to 8 p.m.
Aug. 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: 10/1/2025