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Plan Benefits

Members of our UPMC Medicare Special Needs Plans have access to the world-renowned doctors and hospitals of UPMC. UPMC has been recognized by U.S. News & World Report for the 17th time as one of the nation’s top-ranked hospitals and is ranked #2 in Pennsylvania by U.S. News & World Report (America’s Best Hospitals, August 2, 2016). Here are some other features of our plans as well as additional benefits and services.

PREVENTIVE DENTAL COVERAGE

All of UPMC's Medicare Special Needs Plans include preventive dental coverage for cleanings and exams. UPMC for Life Dual and UPMC for Life Options include additional comprehensive benefits to help with crowns, bridges, and dentures.

Learn About Our Dental Coverage

ROUTINE VISION BENEFITS

UPMC for Life Special Needs Plan members can receive routine vision coverage and an allowance for contact lenses and eyewear, including lenses and frames.

Learn About Our Routine Vision Benefits

ROUTINE HEARING COVERAGE

UPMC for Life Dual members have routine hearing coverage for a routine hearing exam and hearing aid fitting. This also includes an allowance that can go towards the cost of hearing aids every three years.

Learn About Our Hearing Coverage

TRANSPORTATION SERVICES

UPMC for Life’s Special Needs Plans include transportation benefits. Each plan has a specific number of one-way trips available at no cost.

Learn About Our Transportation Benefit

Health Care Concierge

Our Health Care Concierge team is dedicated to answering your questions and helping you understand your benefits.

Learn More About Our Health Care Concierge Program

Caregiver Program

Our Powerful Tools for Caregivers program helps caregivers manage the stress of looking after loved ones.

Learn More About Our Caregiver Program

Preventive Services

Preventive services can find health problems early, when treatment works best. We offer many services at no cost to members.

Learn More About Preventive Services

Our Medication Therapy Management (MTM) Program

Taking multiple medications as your doctor prescribes can be challenging. This program can help.

Learn More About Our MTM Program

Ways to Learn More

Find out about our plans and extra services.

How To Learn More About Our Plans

Additional Benefits and Services

We know that good health happens mostly outside the doctor’s office. That’s why we offer extra benefits and services to members of UPMC Medicare Special Needs Plans.

Learn More About Additional Benefits and Services
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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