UPMC Health Plan
Pittsburgh (Nov. 9, 2022) – UPMC Health Plan today announced that UPMC for Life, the insurer's Medicare Advantage product, was included among U.S. News & World Report "Best Insurance Companies for Medicare Advantage and Part D Prescription Drug Plans" for Pennsylvania.
U.S. News & World Report used the Centers for Medicare & Medicaid Services (CMS) Star Ratings data for its rankings, including CMS's recent five-out-of-five overall Star Ratings of both UPMC for Life's HMO and PPO plans for 2023. UPMC for Life is among only four percent of MA plans nationally to earn these exceptional, quality-driven scores.
"As this recognition confirms, UPMC for Life's unrivaled commitment to providing access to the best care, coverage and customer service for all members differentiates us from almost every other plan in the country," said Angela Perri, Chief Medicare Officer, UPMC Health Plan. "As a community-based plan, we are uniquely equipped to meet our members where they are to give them the coverage and access to care they need most."
For an insurance company to be eligible for the list of U.S. News & World Report's Best Insurance Companies for Medicare Advantage all Medicare Advantage plans offered by the insurance company in that state had to be rated overall with at least three out of five stars by CMS. U.S. News & World Report then averaged the CMS Star Ratings for each of the eligible plans and those companies with an average overall rating of 4.5 or more stars earned recognition as a Best Insurance Company for Medicare Advantage.
CMS rates all Medicare Advantage and prescription drug plans each year to assist Medicare beneficiaries and their families in comparing plans based on quality and performance. The CMS Five-Star Quality Rating System measures the experience Medicare beneficiaries have with their health plan and health care system. Ratings range from a low of "1" star, which is poor, to the highest possible "5" stars, which is excellent.
Each year, Medicare evaluates plans based on a 5-star rating system. 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.
About UPMC Insurance Services
The UPMC Insurance Services Division serves more than 4 million members and is owned and operated by UPMC, a world-renowned health care provider and insurer in Pittsburgh, Pennsylvania. The UPMC Insurance Services Division provides commercial products through UPMC Health Plan for both groups and individuals. Its commercial products also include workers' compensation and employee assistance from nationally known Workpartners®. Government products include Medicare Advantage plans (UPMC for Life); special needs plans for those who are eligible for Medicare and Medical Assistance (UPMC for Life Complete Care and UPMC Community HealthChoices); a Medical Assistance plan (UPMC for You); and Children's Health Insurance Program plans (UPMC for Kids). Community Care Behavioral Health Organization—one of the nation's largest nonprofit managed care behavioral health organizations—is also part of the Insurance Services Division. Community Care offers a full range of services to commercial and Medical Assistance members. For more information, visit upmchealthplan.com.