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You or the person for whom you’re applying must have Medicare Part A and Part B in order to apply for UPMC for Life Dual or UPMC for Life Options.

If you would like to explore other plans that may meet your needs, or if you would like to continue to learn about Medicare Special Needs Plans, see the options below. If you would like to learn more about how to sign up for Medicare Parts A and B, visit www.medicare.gov for information.

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UPMC Health Plan offers plans and services for every need. Look here to learn more.

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Continue to learn more about UPMC Medicare Special Needs Plans even though you may not be eligible.

  • UPMC for Life Dual
  • UPMC for Life Options

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LEARN ABOUT OUR SPECIAL NEEDS PLANS

UPMC Medicare Special Needs Plans provide members with access to award-winning customer service from a team of Health Care Concierges*, top-ranked care** and a variety of health and wellness services and programs.

Learn More About Our Plan Benefits

UPMC FOR LIFE DUAL

This Special Needs Plan is for you if you are eligible for both Medicare and Medical Assistance (Medicaid). UPMC for Life Dual offers quality coverage, and access to local doctors and hospitals for those enrolled in Medicare Part A, Medicare Part B, and Medical Assistance. We’ll help coordinate these services and provide you with medical and prescription drug coverage as well as additional benefits and services not covered by Original Medicare.

View UPMC for Life Dual Details

UPMC FOR LIFE OPTIONS

For those with long-term care needs, UPMC for Life Options uses a network of specialized providers and facilities to provide excellent care in the setting you choose. This plan offers extra services and benefits to give you and your loved ones the peace of mind you deserve. To qualify, you must live in a nursing home or in the community and be assessed as having long-term care needs.

You must reside in one of the following counties to enroll in UPMC for Life Options: Allegheny, Erie, and Washington.

View UPMC for Life Options Details

COMPARE TO ORIGINAL MEDICARE

UPMC Medicare Special Needs Plan members receive all the benefits that Original Medicare offers, plus additional benefits and services that can help you live healthier. This includes routine vision care, preventive dental care, fitness benefits, transportation, wellness counseling and much more. Click here to see how our Special Needs Plan benefits compare to Original Medicare.

Learn More About Our Plan Benefits

Community Events

Want to chat in person? Come speak with one of our licensed representatives at a community event in your area. And check out our special events list, including health walks, community health fairs, flu shot clinics, and other sponsored community activities.

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Additional Resources

*UPMC Health Plan’s Health Care Concierge Contact Center has been recognized by J.D. Power for providing “an outstanding customer service experience” for the live phone channel.

**UPMC is ranked among the nation’s top hospitals and #2 in Pennsylvania by U.S. News & World Report (America’s Best Hospitals, 8-2-16).

Premium, copays, and coinsurance may vary based on the level of Extra Help you receive. Please contact the plan for further details. 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.

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.

UPMC for Life Options is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and/or resides in a nursing home. Premiums, copayments, coinsurance, and deductibles may vary based on the level of Extra Help you receive. UPMC for Life Options is an HMO SNP plan with a Medicare contract. Enrollment in UPMC for Life Options depends on contract renewal. UPMC for Life Options is a product of and operated by UPMC Health Plan Inc.

We are available to take your call:
Toll-free: 1-866-405-8762
TTY: 1-866-407-8762
seven days a week 8 a.m. to 8 p.m.*

*Our hours of operation change twice a year.

Oct. 1 – Feb. 14:
seven days a week 8 a.m. to 8 p.m.

Feb. 15 – Sept. 30:
Monday through Friday 8 a.m. to 8 p.m.

Y0069_18_1123 Approved

Last Updated: 10/01/2017

Copyright 2018.

UPMC Health Plan, Inc.

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