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Call us toll-free at 1-866-400-5077 (TTY: 711) to talk to a licensed Medicare Advisor or schedule a home visit.

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Licensed Medicare Advisors are available to take your call. Our hours of operation change twice a year. We are available to take your call October 1 – March 31 from 8 a.m. to 8 p.m., seven days a week; April 1 – September 30 from 8 a.m. to 8 p.m., Monday through Friday and Saturday from 8 a.m. to 3 p.m.

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UPMC for Life was named the Best Insurance Company for Medicare Advantage in PA by U.S. News & World Report (10-15-19).

The Annual Election Period ends December 7. You have to choose a Medicare plan.

Shop for Medicare Plans from UPMC for Life

Take a closer look at your Medicare plans.

Review your plans’ features and benefits in greater detail to find one that fits your needs and budget.

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Plan Name 1 Plan Name 2 Plan Name 3
Plan Premium (per month) $0 $0 $40
Annual Deductible No deductible No deductible No deductible
Annual Out-of-Pocket Maximum Your out-of-pocket spending limit for the year $3,400 for Medicare-covered services, including copays and coinsurance $6,000 for Medicare-covered services, including copays and coinsurance $3,400 for Medicare-covered services, including copays and coinsurance
Prescription Drug Not included Included Not included
Primary Care Physician $0 per visit $0 per visit $40 per visit
Specialist $45 per visit $35 per visit $30 per visit
Preventative Services, Immunizations, and Screenings $0 per service (deductible does not apply).
This means you pay nothing for your annual wellness exam, immunizations such as the flu and pneumonia vaccines, and important preventive screenings for breast cancer, pap and pelvic, prostate cancer, osteoporosis, and colon cancer.
$0 per service (deductible does not apply).
This means you pay nothing for your annual wellness exam, immunizations such as the flu and pneumonia vaccines, and important preventive screenings for breast cancer, pap and pelvic, prostate cancer, osteoporosis, and colon cancer.
$0 per service (deductible does not apply).
This means you pay nothing for your annual wellness exam, immunizations such as the flu and pneumonia vaccines, and important preventive screenings for breast cancer, pap and pelvic, prostate cancer, osteoporosis, and colon cancer.
Inpatient Hospital and Inpatient Mental Health $350 per stay $375 per stay $400 per stay
Outpatient Surgery $225 per surgery $350 per surgery $200 per surgery
Skilled Nursing Facility $20 per day (days 1-20); $80 per day (days 21-100) $0 per day (days 1-20); $160 per day (days 21-100) $20 per day (days 1-20); $80 per day (days 21-100)
Emergency Care $120 per visit $90 per visit $120 per visit
Urgent Care $50 per visit $50 per visit $50 per visit
Lab Services $5 per day per facility $10 per day per facility $10 per day per facility
X-rays $30 per service $50 per service $10 per service
Advanced Imaging (CT, MRI, and PET scans) $1100 per service $140 per service $100 per service
Durable Medical Equipment 20% of the cost per item 20% of the cost per item 20% of the cost per item
Diabetic Supplies 20% of the cost per item 20% of the cost per item 20% of the cost per item
Routine Vision 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 your annual out-of-pocket maximum. $0 for one routine vision exam every two years; $150 allowance for contact lenses and eyewear every two years $0 for one routine vision exam per year; $200 allowance for contact lenses and eyewearper year $0 for one routine vision exam per year; $200 allowance for contact lenses and eyewearper year
Preventive Dental Members must use a participating dental provider. Find participating dental providers. You are responsible for all other charges beyond preventive dental care. Preventive care copays and the comprehensive dental allowance are excluded from the yearly deductible, if applicable, and do not count toward the annual out-of-pocket maximum. No preventive dental benefits $0 for one oral cleaning and exam every six months; $0 for one bitewing x-ray per year; $325 allowance for comprehensive dental services per year $0 for one oral cleaning and exam every six months; $0 for one bitewing x-ray per year; $325 allowance for comprehensive dental services per year
Routine Hearing Members must use a participating hearing provider. Find participating hearing providers. Routine hearing copays and the hearing aid allowance are excluded from the yearly deductible, if applicable, and do not count toward your annual out-of-pocket maximum. No routine hearing benefits $0 for one hearing exam per year; $0 for one hearing aid fitting exam every three years; $1,500 allowance for hearing aids every three years $0 for one hearing exam per year; $0 for one hearing aid fitting exam every three years; $1,500 allowance for hearing aids every three years
SilverSneakers® Fitness Program FREE gym membership to a participating fitness facility or the option to work out at home; unlimited access to participating locations (if applicable); one FREE personal training session each year at a participating fitness facility. FREE gym membership to a participating fitness facility or the option to work out at home; unlimited access to participating locations (if applicable); one FREE personal training session each year at a participating fitness facility. FREE gym membership to a participating fitness facility or the option to work out at home; unlimited access to participating locations (if applicable); one FREE personal training session each year at a participating fitness facility.
Over-the-counter (OTC) mail order catalog $50 quarterly allowance to buy health and wellness items you use every day; this allowance must be used in full each quarter and does not roll over from quarter to quarter $50 quarterly allowance to buy health and wellness items you use every day; this allowance must be used in full each quarter and does not roll over from quarter to quarter $50 quarterly allowance to buy health and wellness items you use every day; this allowance must be used in full each quarter and does not roll over from quarter to quarter
Travel Concierge Program In-network coverage while traveling in Florida, Georgia, North Carolina, South Carolina, and Tennessee. Call the Health Care Concierge team before you see your provider so that we can help to coordinate your care. In-network coverage while traveling in Florida, Georgia, North Carolina, South Carolina, and Tennessee. Call the Health Care Concierge team before you see your provider so that we can help to coordinate your care. In-network coverage while traveling in Florida, Georgia, North Carolina, South Carolina, and Tennessee. Call the Health Care Concierge team before you see your provider so that we can help to coordinate your care.
Worldwide Emergency Assistance Assist America provides help 24/7 when you travel more than 100 miles from home or to another country. Assist America can help with: emergency medical evacuation, hospital admission, medical monitoring, round-trip transportation for a family member or friend, help replacing forgotten prescriptions (additional costs may apply), local language communications, and medically necessary transportation. Assist America provides help 24/7 when you travel more than 100 miles from home or to another country. Assist America can help with: emergency medical evacuation, hospital admission, medical monitoring, round-trip transportation for a family member or friend, help replacing forgotten prescriptions (additional costs may apply), local language communications, and medically necessary transportation. Assist America provides help 24/7 when you travel more than 100 miles from home or to another country. Assist America can help with: emergency medical evacuation, hospital admission, medical monitoring, round-trip transportation for a family member or friend, help replacing forgotten prescriptions (additional costs may apply), local language communications, and medically necessary transportation.
UPMC MyHealth 24/7 Nurse Line Call for general health information or facts about a specific medical issue at no additional cost. Experienced, registered nurses are on hand to provide you with prompt and efficient service. Call for general health information or facts about a specific medical issue at no additional cost. Experienced, registered nurses are on hand to provide you with prompt and efficient service. Call for general health information or facts about a specific medical issue at no additional cost. Experienced, registered nurses are on hand to provide you with prompt and efficient service.
UPMC AnywhereCare $0 for a medical visit; $35 for a dermatology visit $0 for a medical visit; $35 for a dermatology visit $0 for a medical visit; $35 for a dermatology visit
Telehealth You can virtually visit with your doctor over the phone or online if your provider participates in telehealth. You’ll have the same copay as if you were seeing your doctor in-person. Your provider must be in the same state as you during your visit. You can virtually visit with your doctor over the phone or online if your provider participates in telehealth. You’ll have the same copay as if you were seeing your doctor in-person. Your provider must be in the same state as you during your visit. You can virtually visit with your doctor over the phone or online if your provider participates in telehealth. You’ll have the same copay as if you were seeing your doctor in-person. Your provider must be in the same state as you during your visit.
Plan Name 1 Plan Name 2 Plan Name 3
This information is not a complete description of benefits. Call 1-866-400-5077 (TTY: 711) for more information. Out-of-network/non-contracted 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). We are available October 1 through March 31, seven days a week from 8 a.m. to 8 p.m. From April 1 through September 30, we are available Monday through Friday from 8 a.m. to 8 p.m. and Saturday from 8 a.m. to 3 p.m.

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., UPMC Health Coverage Inc., and UPMC for You Inc.

Tivity Health and SilverSneakers are registered trademarks or trademarks of Tivity Health, Inc. and/or its subsidiaries and/or affiliates in the USA and/or other countries.

UPMC for Life Members

Call us toll-free: 1-877-539-3080
TTY: 711

Oct. 1 through Mar. 31:
seven days a week from 8 a.m. to 8 p.m.

Apr. 1 through Sept. 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 8 a.m. to 3 p.m.

UPMC for Life Prospective Members

Call us toll-free: 1-866-400-5077
TTY: 711

Oct. 1 through Dec. 31:
seven days a week from 8 a.m. to 8 p.m.

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

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Last Updated: 10/01/2019
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