Preventive Services
Preventive services can help spot health problems early so you can get the care you need right away!
It’s important to talk to your doctor about the preventive care that’s right for you based on your health care needs. Most preventive services are available at no cost to members when you see an in-network doctor.* Plus, UPMC for Life members can earn rewards for completing certain preventive care and taking steps to maintain their best health.
Preventive care reward program
The UPMC for Life preventive care reward program allows members to earn reward dollars for completing certain preventive screenings by Dec. 31 each year. Once you become a member, we’ll let you know which preventive screenings you are eligible for during the year.
- Annual wellness visit—$30 reward
Getting an annual wellness visit is one of the very best things you can do for your health. This important visit gives you the time you need to catch up with your doctor and create or update your personal care plan. We encourage you to reach out to your doctor and ask about your options for completing your annual wellness visit. Many doctors are now offering telehealth video visits, while others may prefer you come into the office. This is based on your needs and should be discussed with your doctor.
- Diabetic retinal eye exam—$25 reward
- Breast cancer screening—$50 reward
- Colorectal cancer screening—$60 reward
How reward dollars work
In 2023, as members complete eligible screenings, reward dollars will be loaded to their UPMC for Life Complete Care Shop Healthy Card. Members can spend these rewards on covered OTC products and healthy foods.
Members enrolled in a UPMC for Life Complete Care (HMO SNP) plan will receive this card by their 2023 plan effective date. Reward dollars for completed screenings will then be automatically added to this card. We’ll let you know when new reward dollars are added.
In 2023, as members complete eligible screenings, reward dollars will be loaded to their UPMC for Life Flex Spend Card. Members can spend these rewards on covered over-the-counter (OTC) products and any out-of-pocket costs for dental, vision, and hearing services. You must use a provider that accepts MasterCard.
Members enrolled in a plan that includes the Flex Spend Card benefit will receive this card by their 2023 plan effective date. Reward dollars for completed screenings will then be automatically added to this card. If your plan does not include the Flex Spend Card, one will be mailed to you pre-loaded with the reward dollars you’ve earned after completing the care you need.
As you complete additional preventive care screening(s), we will continue to add reward dollars onto the Flex Spend card you already have. We’ll let you know when new reward dollars are added.
Measures in place to keep you safe
Your providers should have safety measures in place so that you can get the in-person care you need without worry. Check with your doctor or provider directly. You can also visit our Medical Care and Advice page.
*A separate copay may apply if additional medical services are received during the same visit or if the member’s screening becomes diagnostic in nature. Members may have a copay for telehealth video visits. For information about coverage of preventive services, members should see their Evidence of Coverage.