Vision Benefits

You can receive routine vision coverage and an allowance for contact lenses and eyewear, including lenses and frames. Make sure you see a provider who participates in the vision provider network.

What is the routine vision allowance amount?

UPMC for Life Dual:

  • $0 for one routine vision exam every year
  • $250 allowance every year for contact lenses and eyewear, including lenses and frames

UPMC for Life Options:

  • $0 for one routine vision exam every two years
  • $200 allowance every two years for contact lenses and eyewear, including lenses and frames

To find a participating vision provider click here. Select Medicare Special Needs Plans (all plans) in the Select Type of Routine Vision 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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