Dental Benefits

UPMC for Life members have preventive dental coverage for cleanings and exams. This coverage is available to you on a rolling six-month basis starting from the date you last used services. You also have an allowance for additional dental services that must be used each calendar year. Visit one of our participating providers to take advantage of these benefits:

UPMC for Life Dual:

  • $0 copay for one oral exam and cleaning every six months
  • $0 copay for one bitewing x-ray every six months
  • A $2,500 yearly allowance for additional services like dentures, bridges, root canals, and crowns, fillings and simple tooth extractions

UPMC for Life Options:

  • $0 copay for one oral exam and cleaning every six months
  • $0 copay for one bitewing x-ray every six months
  • $0 copay for fillings and simple tooth extractions
  • A $2,500 yearly allowance for additional services like dentures, bridges, root canals, and crowns.

To find a participating dental provider click here. Select Medicare Special Needs Plans (all plans) in the Select Type of Dental Coverage drop-down menu.

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
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