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Gina Pferdehirt
Director, Public Relations & Community Relations
UPMC Health Plan

UPMC for Life’s 2019 Plans Provide Continued Quality and Value in Berks County

UPMC for Life adds $0 premium, $0 deductible with pharmacy coverage HMO plan along with new health, fitness, and travel benefits and access to Tower Health

PITTSBURGH (Oct. 1, 2018) – UPMC for Life, the Medicare Advantage product of UPMC Health Plan, is proud to once again offer high quality plans with premiums that are among the lowest in Berks County.

UPMC for Life Medicare Advantage plans will continue to have access to a provider network that includes all the doctors and hospitals of Tower Health and UPMC.

In 2019, beneficiaries in Berks County will have three UPMC for Life plans in which to choose, including two HMO plans and one PPO plan.

UPMC for Life will once again offer its HMO Premier Rx plan in Berks County, which boasts a $0 premium, a $0 deductible, Part D prescription drug coverage, and includes access to the providers of Tower Health. Members can use any providers that participate with their plan without a referral. This plan includes a $150 dental allowance and a $1,500 hearing allowance.

"UPMC for Life continues to offer outstanding benefits and great value to Medicare beneficiaries in Pennsylvania," said John Lovelace, president of government programs at UPMC Health Plan. "Our member retention rate of 97% exceeds industry standards. We believe our members have peace of mind knowing that they have in-network access to UPMC and Tower Health, as well as award-winning concierge services. And this year we have the most robust benefit offerings in our history."

Enhanced Plan Benefits

UPMC for Life has added and enhanced many of its plan benefits for the upcoming year. All plans include at no additional cost:

Select plans also offer additional benefits, including:

Prescription Drug Coverage

UPMC for Life members will continue to have a $0 copay for preferred generic (Tier 1) prescriptions when filled at preferred pharmacies. Preferred pharmacies offer members the lowest copays on generic (Tier 2), preferred brand (Tier 3), and non-preferred (Tier 4) drugs.

Members can cost-effectively fill prescriptions at preferred pharmacy locations, including Costco, Giant Eagle, Giant Food Stores, Kmart, Rite Aid, Sam’s Club, Walgreens, Walmart, and Wegmans. Other pharmacies/providers are available in the network.

Starting Jan. 1, 2019, members filling 90-day maintenance prescriptions can also take advantage of the lowest copays available at preferred pharmacies and by using mail-order, which provides an added convenience for members.

Awards and Recognition

All UPMC for Life Medicare Advantage members will also enjoy access to UPMC Health Plan’s award-winning Health Care Concierge program. Concierges are customer service representatives who are knowledgeable about Medicare and are dedicated to answering members’ questions and to getting problems solved with just one phone call.

UPMC Health Plan has earned three 2018 Gold Stevie Awards for its outstanding sales and customer service.

UPMC for Life earned an overall 4 out of 5 rating in NCQA’s Medicare Health Insurance Plan Ratings 2017-2018.

Enrollment Details

The Annual Election Period is Oct. 15 through Dec. 7, 2018. Medicare beneficiaries can add or drop Part D prescription drug coverage, change to a Medicare Advantage plan, or change to Original Medicare. Changes in coverage will be effective Jan. 1.

Medicare beneficiaries who are interested in UPMC for Life can get information on the 2019 plans online at www.upmchealthplan.com/medicare or by calling UPMC for Life toll-free at 1-877-381-3765 seven days a week from 8 a.m. to 8 p.m. TTY users should call 711.

Other pharmacies/providers are available in our network. This information is not a complete description of benefits. Call 1-877-381-3765 (TTY: 711) seven days a week from 8 a.m. to 8 p.m. for more information.

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plan has 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 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.



About UPMC Insurance Services Division

The UPMC Insurance Services Division is owned by UPMC (University of Pittsburgh Medical Center), a world-renowned health care provider and insurer based in Pittsburgh, Pa. The UPMC Insurance Services Division—which includes UPMC Health Plan, WorkPartners, UPMC for Life, UPMC for You, UPMC for Kids, and Community Care Behavioral Health—offers a full range of group health insurance, Medicare, Special Needs, CHIP, Medical Assistance, behavioral health, employee assistance and workers' compensation products and services to more than 3.4 million members. For more information, visit www.upmchealthplan.com.