Skip to main content
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.*

Need help or want more information?

Start a Chat

Or call 1-866-400-5077 (TTY: 711)
Call Now (TTY 711)
Ready for a change? You can switch to our 5 star plans outside the annual enrollment period! When can I join a 5 star plan?
Back

Basic Medical Costs
Plan Premium
Part B Premium Reduction
(Money back in your social security check)
Annual Deductible
Prescription Drug
Primary Care Physician
Specialist Doctor
Telehealth
Inpatient Hospital and Inpatient Mental Health
Preventive Services
Routine Hearing
Preventive Dental
Routine Vision
Over-the-counter (OTC) mail order catalog
SilverSneakers® Fitness Program
Travel Concierge Program
Choice of Supplemental Benefits
UPMC for Life Flex Spend Card
Member Protection
Maximum Out-of-Pocket (your out-of-pocket spending limit for the year)
Facility Costs
Outpatient Surgery
Skilled Nursing Facility
Emergency Care
Urgent Care
Testing, Rehabilitation, and Supply Costs
Lab Services
X-rays
Advanced Imaging (CT, MRI, and PET scans)
Physical Therapy
Durable Medical Equipment
Diabetic Supplies
Part D Prescription Drug Coverage (Initial Coverage Stage)
30-Day Supply - Retail
Tier Preferred Pharmacy Standard Pharmacy
Tier 1
Preferred Generic		 $0 $15
Tier 2
Generic		 $0 $20
Tier 3
Preferred Brand		 $47 $47
Tier 4
Non-Preferred		 $100 $100
Tier 5
Specialty		 33% Coinsurance 33% Coinsurance
100-Day Supply - Retail
Tier Preferred Pharmacy Standard Pharmacy
Tier 1
Preferred Generic		 $0 $30
Tier 2
Generic		 $0 $40
Tier 3
Preferred Brand		 $129.50 $141
Tier 4
Non-Preferred		 $300 $300
Tier 5
Specialty		 Not offered Not offered
100-Day Supply - Mail-Order
Tier Preferred Pharmacy Standard Pharmacy
Tier 1
Preferred Generic		 $0 $30
Tier 2
Generic		 $0 $40
Tier 3
Preferred Brand		 $117.50 $141
Tier 4
Non-Preferred		 $300 $300
Tier 5
Specialty		 33% Coinsurance
(30-day supply only)		 33% Coinsurance
(30-day supply only)
Part D Prescription Drug Coverage (Initial Coverage Stage)
30-Day Supply - Retail
Tier Preferred Pharmacy Standard Pharmacy
Tier 1
Preferred Generic		 $0 $15
Tier 2
Generic		 $10 $20
Tier 3
Preferred Brand		 $47 $47
Tier 4
Non-Preferred		 $100 $100
Tier 5
Specialty		 33% Coinsurance 33% Coinsurance
90-Day Supply - Retail
Tier Preferred Pharmacy Standard Pharmacy
Tier 1
Preferred Generic		 $0 $30
Tier 2
Generic		 $20 $40
Tier 3
Preferred Brand		 $129.50 $141
Tier 4
Non-Preferred		 $300 $300
Tier 5
Specialty		 Not offered Not offered
90-Day Supply - Mail-Order
Tier Preferred Pharmacy Standard Pharmacy
Tier 1
Preferred Generic		 $0 $30
Tier 2
Generic		 $20 $40
Tier 3
Preferred Brand		 $117.50 $141
Tier 4
Non-Preferred		 $300 $300
Tier 5
Specialty		 33% Coinsurance
(30-day supply only)		 33% Coinsurance
(30-day supply only)
Additional Drug Coverage
Coverage Gap
Donut Hole Coverage for Insulin Medications
Additional Donut Hole Coverage
Catastrophic Coverage
Additional Benefits
Additional Benefits
Fitbit
RxWell
UPMC AnywhereCare
UPMC MyHealth 24/7 Nurse Line
Assist America
Personal Counseling
Bathroom Safety Products
Home Safety
Tools for Caregivers

Plan Documents

English
Español


Doctors Prescriptions

Access to the doctors and the prescriptions you need

Find Available Doctors

Find Available Prescriptions
five stars

Why are the star ratings important?

More stars mean a better plan–members get better care, better quality, and better customer service. Medicare beneficiaries can use this score to compare quality and performance of Medicare plans. This important tool can help beneficiaries choose the best Medicare plan to fit their needs.

We’re here to help

Give us a call
1-866-400-5077

Live chat now
Start Chat

*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

Translation services available: