Preventive Services

Preventive care reward program

The UPMC for Life preventive care reward program allows members to earn reward dollars for completing certain preventive screenings by Dec. 31 each year. We'll let you know which preventive screenings you are eligible for in 2024.

• Annual wellness visit—$30 reward
  This visit gives you the time you need to catch up with your doctor and create or update your personal care plan. Here are some important topics and questions you should discuss with your doctor. Many doctors are now offering telehealth video visits, while others may prefer you come into the office. This is based on your needs and should be discussed with your doctor.
• Diabetic retinal eye exam—$25 reward
• Breast cancer screening—$50 reward
• Colorectal cancer screening—$60 reward

Earning reward dollars

If your plan includes the UPMC for Life Flex Spend Card or UPMC for Life Complete Care Shop Healthy Card, you should have already received your card in the mail with instructions on how to use it. After you complete eligible preventive care screenings and we process the claim from your doctor, reward dollars will be automatically added to this card. If your plan does not include this benefit, after you complete your first screening, we will mail a card to you pre-loaded with your reward dollars.

As you complete additional preventive care screening(s), we will add reward dollars onto your card. We will let you know when new rewards are added. You can also check your card balance in MyHealth OnLine or through the UPMC Health Plan app.

Using your reward dollars

All UPMC for Life members can use preventive care reward dollars to buy healthy foods at participating stores like Giant Eagle, Kroger, Rite Aid, Walgreens, and Walmart! Choose from a variety of healthy foods like fruits and vegetables, meats and seafood, healthy grains, and pantry staples. To take advantage of your reward dollars, you must shop in-store. Reward dollars will not be accepted on participating retailer websites or apps.

Your preventive care reward dollars can only be used to buy healthy foods. If your plan also includes the Flex Spend or Shop Healthy allowance, you can use your card towards healthy foods and over-the-counter (OTC) products. Here’s how:

• If your plan includes a Flex Spend Card allowance, you can use your card towards both OTC products and toward healthy foods. To do this, you would swipe your card like you normally would at check out. Your preventive care reward dollars will go towards the healthy foods, and the OTC amount will be deducted from your Flex Spend allowance. Any remaining healthy food amount not covered with your preventive care reward dollars, will require another form of payment. You cannot use your Flex Spend allowance to buy healthy foods.
• If your plan includes a Shop Healthy Card allowance, you can use your card towards both OTC products and healthy foods. To do this, you would swipe your card like you normally would at check out. Your preventive care reward dollars will go towards your healthy foods. Any remaining amount for OTC and healthy foods will be deducted from your Shop Healthy allowance.
• If your plan does not include the Flex Spend or Shop Healthy Card allowance, you can only use your card towards healthy foods.

You have until Dec. 31, 2025 to use your reward dollars earned for preventive care screenings completed in 2024. This date is different for your Flex Spend and Shop Healthy Card allowance. See your Evidence of Coverage for details.

Here are the types of healthy foods you can buy with your preventive care reward dollars

Scheduling a preventive care appointment

You can schedule an appointment with your doctor’s office directly or you can call your Health Care Concierge team at the number on your member ID card.

We also have a direct scheduling line for diabetic retinal eye exams. Call toll-free 1-833-779-6824 (TTY: 711) Monday through Friday from 7 a.m. to 7 p.m. and Saturday from 8 a.m. to 3 p.m.

Measures in place to keep you safe

Your providers should have safety measures in place so that you can get the in-person care you need without worry. Check with your doctor or provider directly. You can also visit our Medical Care and Advice page.

*These preventive care reward opportunities listed are valid for 2024. A separate copay may apply if additional medical services are received during the same visit or if the member’s screening becomes diagnostic in nature. Members may have a copay for telehealth video visits. For information about coverage of preventive services, members should see their Evidence of Coverage.