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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 17 years. We are proudly owned by the University of Pittsburgh Medical Center (UPMC). UPMC Presbyterian Shadyside has been recognized by U.S. News & World Report as one of the nation’s top-ranked hospitals (8-14-18). We are 175,000 members strong and growing!

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High-quality care from Tower Health Providers

Get access to the doctors and hospitals you know and trust. Medicare beneficiaries in Berks County can enroll in a UPMC for Life plan and receive medical care at all Tower Health facilities, including Reading Hospital and the new, state-of-the-art Reading HealthPlex, The Reading Hospital SurgiCenter at Spring Ridge, and Reading Health Rehabilitation Hospital.

Here are the plan options available through our partnership with Tower Health:

HMO PREMIER RX PLAN

This plan gives you low-cost health care coverage with MORE value:

  • $0 monthly plan premium
  • $0 annual deductible
  • $5 PCP visit copay
  • Part D prescription coverage
  • Additional benefits for routine vision and hearing care, a $1,500 allowance for hearing aids every three years, a $150 allowance for comprehensive dental services every year, free gym membership at participating locations, travel coverage, and much more!
Learn more about the HMO Premier Rx Plan

HMO and PPO plans

Our HMO and PPO plans offer:

  • 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
  • Routine hearing coverage (on some plans)
  • Complimentary membership at participating fitness facilities
  • A travel concierge program that offers HMO members full in-network coverage when traveling to Florida, Georgia, North Carolina, South Carolina, and Tennessee
  • Worldwide emergency assistance
  • Personal customer service every time you call with our Health Care Concierge team
Learn more about HMO and PPO Plans

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.

Enroll Today



†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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