Over-the-Counter Allowance

UPMC for Life Dual (HMO SNP) members receive an allowance to buy the covered health and wellness items they need. This allowance rolls over each quarter but must be used in full by the end of the calendar year. Members can purchase items through mail order or at participating pharmacies and retail locations.

Allowance amounts

Expand All Collapse All

Bucks, Chester, Delaware, Montgomery, and Philadelphia counties

  • You will receive $290 each quarter ($1,160 per year) – This allowance rolls over each quarter but must be used in full by the end of the calendar year.
    • Retail card. You will receive $125 each quarter to use at participating retail locations.
    • Mail order. You will receive $165 each quarter to use through mail order. We’ll mail you a catalog to get started.

All other PA counties

  • You will receive $325 each quarter ($1,300 per year) – This allowance rolls over each quarter but must be used in full by the end of the calendar year.
    • Retail card. You will receive $125 each quarter to use at participating retail locations.
    • Mail order. You will receive $200 each quarter to use through mail order. We’ll mail you a catalog to get started.

Mail order

Shop at home through mail order

You can use your quarterly allowance to shop at home and have items shipped directly to your door. Simply select the health and wellness items you need online or from a mail order catalog.

Participating locations

Shop at participating pharmacy and retail locations using your over-the-counter retail card. Some participating locations include Rite Aid, Family Dollar, Dollar General, Walgreens, and Walmart. Participating pharmacies and retail locations may vary from month to month.

Covered items

Below is a partial list of covered items that you can buy with your over-the-counter allowance. You do not need a prescription to buy these products. Certain brands may not be available at all pharmacy and retail locations. This list may vary from month to month.

Allergy and sinus medications
Antacids
Anti-fungal treatments
Antibiotic creams
Anti-itch treatments
Cold and flu medicine
Cough medicine
Dental and oral care products
Denture care
Diabetes accessories
Ear care
Eye and contact lens care
First aid items
Foot treatment items
Hemorrhoid Preparations
Incontinence items
Laxatives
Motion sickness medicines
Orthopedic and compression supports
Pain relievers
Respiratory treatments
Sleep aids
Smoking deterrents
Stomach remedies
Sun protection
Toothbrushes and toothpaste
Vitamins
Weight-control aids
This information is not a complete description of benefits. Call 1-844-575-8241 (TTY: 711) for more information.

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. UPMC for Life is a product of and operated by UPMC Health Plan Inc., UPMC Health Network Inc., UPMC Health Benefits Inc., and UPMC for You Inc.

Tivity Health and SilverSneakers are registered trademarks or trademarks of Tivity Health, Inc. and/or its subsidiaries and/or affiliates in the USA and/or other countries.


UPMC for Life Dual Members

Call us toll-free: 1-800-606-8648
TTY: 711

Oct. 1 through Mar. 31:
seven days a week from 8 a.m. to 8 p.m.

Apr. 1 through Sept. 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 8 a.m. to 3 p.m.

UPMC for Life Dual Prospective Members

Call us toll-free: 1-844-575-8241
TTY: 711

Oct. 1 through Dec. 31:
seven days a week from 8 a.m. to 8 p.m.

Jan. 1 through Sept. 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 9 a.m. to 3 p.m.

Y0069_201034
Last Updated: 10/01/2019
Apple Store Google Play