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Medicare

5 out of 5 stars THREE YEARS in a row for 2022, 2023, and 2024!

Every year, Medicare evaluates plans on a 5-star rating system.*

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Or call 1-866-400-5077 (TTY: 711)
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Apply to enroll in

Before you start your online enrollment, make sure you have on hand your Medicare card or letter from the Social Security Administration or Railroad Retirement Board.

Required fields are marked *.

Please provide First Name
Please provide Last Name
Please fix phone number. Your phone is not in a valid format To schedule an online one-on-one appointment, you must enter a valid phone number
Please provide your street address

You may be eligible for a lower-cost plan option if you receive Medicaid.
Schedule a one-on-one meeting with a licensed UPMC for Life Medicare Advisor at the time that works best for you.

By returning this form, I give my permission for a UPMC for Life representative to contact me to answer my questions and discuss my options.

Apply to Enroll

Monthly Premium:
$0

Annual Deductible:
No Deductible

Maximum Out-of-Pocket:
$3,400

Primary Care Doctor:
$5 per visit

Prescription Drug:
No Part D prescription coverage
Monthly Premium:
$0

Annual Deductible:
No Deductible

Maximum Out-of-Pocket:
$3,400

Primary Care Doctor:
$5 per visit

Prescription Drug:
No Part D prescription coverage

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Give us a call
1-866-400-5077

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*For UPMC for Life star rating information, visit upmchp.us/awards.

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. UPMC for Life is a product of and operated by UPMC Health Plan Inc., UPMC Health Network Inc., UPMC Health Benefits Inc., and UPMC Health Coverage Inc.

SilverSneakers is a registered trademark of Tivity Health Inc. SilverSneakers GO is a trademark of Tivity Health Inc. © 2023 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

Jan. 1 – Sept. 30:
Seven days a week from 8 a.m. to 8 p.m.

Oct. 1 – Dec. 31:
Seven days a week from 7 a.m. to 9 p.m.

Y0069_241177

Last Updated: 1/19/2024

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