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  • UPMC for Life is proud to partner with Tower Health to offer high-quality, affordable Medicare Advantage plans.

    UPMC for Life is a Medicare Advantage plan that’s been around for 16 years. We are part of UPMC Health Plan and affiliated with the University of Pittsburgh Medical Center (UPMC). We are 165,000 members strong and growing!

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High-quality care from Tower Health (formerly Reading Health) Providers

You can enroll in a UPMC for Life plan and enjoy high-quality care from the local doctors and hospitals of Tower Health including Reading Hospital and the new, state-of-the-art Reading HealthPlex for Advanced Surgical & Patient Care. Advanced specialty care is also available through McGlinn Cancer Institute, Miller Regional Heart Center, and Emergency, Stroke, and Joint Care.

UPMC for Life HMO and PPO plans

We offer HMO and PPO plans in the Berks county area, including a new HMO plan with a $0 monthly plan premium*, no annual deductible, and Part D prescription drug coverage. Additional HMO and PPO plan benefits include:

  • Low primary care doctor visit copays
  • Brand-name and generic prescription drug coverage
  • Preventive dental coverage for cleanings and exams
  • Routine vision care and an allowance toward the cost of eyewear or contacts
  • Complimentary membership at a participating fitness facility
  • Travel benefits for HMO members and worldwide emergency assistance
  • Personal customer service every time you call with our Health Care Concierge team
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UPMC for Life Dual (HMO SNP) Special Needs Plan

This plan is available to anyone who is eligible for both Medicare and Medical Assistance (Medicaid) and offers more benefits than Original Medicare alone. Click here for a complete list of benefits.

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†U.S. News used data from the Centers for Medicare & Medicaid Services (CMS), including its rating of each Medicare Advantage plan. For an insurer to make the U.S. News list, its Medicare Advantage plans available in a given state had to earn an average rating of at least 4.5 out of 5 stars, and all its plans in the state had to earn at least 3 stars. This award was not given by Medicare. For more information about UPMC for Life’s CMS Star Rating go to www.Medicare.gov. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

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.

*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 1-877-381-3765 (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.

Tower Health may also contract with other Plans/Part D Sponsors. 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 may change on January 1 of each year. The provider network may change at any time. You will receive notice when necessary. Other physicians/providers are available in the UPMC for Life network.

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 Benefits, Inc., and UPMC Health Network, Inc.

UPMC for Life Dual is available to anyone who has both Medical Assistance (Medicaid) from the state and Medicare. UPMC for Life Dual is an HMO SNP plan with a Medicare contract and a contract with the Pennsylvania Medical Assistance (Medicaid) program. Enrollment in UPMC for Life Dual depends on contract renewal. UPMC for Life Dual is a product of and operated by UPMC for You Inc. Premium, copays, and coinsurance may vary based on the level of Extra Help you receive. Please contact the plan for further details.

*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.

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