Latest News

ALERT: The UPMC Health Plan web portals are experiencing intermittent slowness and connectivity issues at this time. We apologize for the inconvenience and thank you for your patience.

Shop UPMC for Life Plans

Your Information:
County
Contact Information

Back To View Plans
Email Share Print

Plan Compare Comparing 3 Plans

Plan Compare not available on mobile device.

Plan Name 1Plan Name 2Plan Name 3
BenefitYou PayYou PayYou Pay
Monthly Plan Premium$40 in addition to your Medicare Part B premium$40 in addition to your Medicare Part B premium$40 in addition to your Medicare Part B premium
Annual Maximum Out-of-Pocket LimitIn-Network: $6,700 Combined in- and out-of-network: $10,000
Annual Out-of-Pocket DeductibleCombined in- and out-of-network: $1,250
Primary Care Doctor Visit CopayIn-Network: $10 (deductible does not apply) Out-of-Network: $40 after deductible
Specialist Doctor Visit CopayIn-Network: $50 (deductible does not apply) Out-of-Network: $60 after deductible
Inpatient Hospital CopayIn-Network: $200 after deductible Out-of-Network: 30% of the cost after deductible
See More Benefits View Plan DetailsEnroll View Plan DetailsEnroll View Plan DetailsEnroll
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium, and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Out-of-network/non-contracted providers are under no obligation to treat UPMC for Life members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. 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.

The UPMC for Life Medicare Advantage HMO and PPO plans are available to persons entitled to Medicare Part A and enrolled in Part B. You must continue to pay your Medicare Part B premium, reside in the service area, and not have end-stage renal disease (ESRD).

This information is available for free in other languages. Please call our customer service number at 1-877-539-3080 (TTY: 1-800-361-2629). We are available October 1 through February 14, seven days a week from 8 a.m. to 8 p.m. From February 15 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 and PPO plans. 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., and UPMC Health Benefits Inc.

The Silver&Fit program is a product of American Specialty Health Fitness, Inc., (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). All programs and services are not available in all areas. Silver&Fit® is a federally registered trademark of ASH and used with permission herein.

*Our hours of operation change twice a year.

You can call us:

October 1 through February 14:
seven days a week from 8 a.m. to 8 p.m.

February 15 through September 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 8 a.m. to 3 p.m.

Y0069_18_1122 Approved

Last Updated: 10/01/2017

Copyright 2018.

UPMC Health Plan, Inc.

Download Our Mobile App

Apple Store Google Play

Translation services available: