These resources can help you understand how your UPMC for Life Complete Care (HMO SNP) Shop Healthy Card works, where you can use your card, and what types of products you can buy:
What is my allowance amount?
With the Shop Healthy Card, you get a $400 quarterly allowance—that’s up to $1,600 per year—to buy covered over-the-counter (OTC) products and healthy foods. Here’s how it works:
- Your $400 quarterly allowance will be added to your card on Jan. 1, April 1, July 1, and Oct. 1 (depending on your plan effective date).
- Throughout the quarter, you can spend your allowance however you like on covered OTC products and healthy foods.
- You can shop for OTC products and healthy foods at any of our participating retail stores. You can also buy OTC products through mail order.
- At the end of each quarter, any unused dollars will expire. This allowance will not roll over to the next quarter.
How can I check my card balance?
Find participating retail stores
If you want to shop for OTC products and healthy foods in-person, you can use your card at any of our participating retail stores, including Giant Eagle, Kroger, Rite Aid, Walgreens, and Walmart.
Use the Merchant Locator Tool to find specific retail store locations near you:
- Log in to MyHealth OnLine.
- Under Your Insurance on the main homepage, click UPMC for Life Complete Care Shop Healthy Card. Then click UPMC for Life Shop Healthy Card Portal.
- Once on the portal, use the Merchant Locator tool, under Tools and Support, to search our complete list of retailers.
At checkout, swipe your Shop Healthy Card to pay for covered products. After swiping your card, if you still owe a remaining amount on your purchase, you can use another form of payment to complete your transaction. You can buy up to 50 products per transaction at participating retail stores. If you have to pay out-of-pocket for covered products, you can submit a claim for reimbursement.
What OTC products and healthy foods are covered at retail stores?
To make in-store shopping even easier, download the UPMC Health Plan app to scan products while you shop to see if they’re covered. To get started, log in to the UPMC Health Plan app, then tap Scan Items on the insurance tab.
Here are the types of OTC products you can buy with your card at retail locations:
- Cold and allergy
- Allergy prevention, relief, antihistamines
- Chest rubs
- Cough and cold remedies
- Decongestants
- Humidifiers and vaporizers
- Nasal strips and sprays
- Throat remedies
- Digestive health
- Antacids, indigestion, and flatulence remedies
- Diarrhea remedies
- General gastrointestinal remedies
- Laxatives
- Nausea remedies
- Motion sickness remedies
- Ear and eye care
- Ear preparations
- Eye preparations
- Contact lens care
- First aid
- Bandages, wraps, tapes, dressings, and kits
- Antibiotics and antiseptics
- Slings and supports
- Skin remedies and protectants
- Hand sanitizers
- Protective gloves and face masks
- Thermometers
- Insect bite relief
- Foot and leg care
- Antifungal products
- Wart, corn, and callus treatments
- Foot care and hygiene aids
- Therapeutic compression hosiery
- Oral care
- Dental cleansing
- Denture care
- Oral care aids (nonpowered and powered)
- Halitosis treatments
- Ulcer treatments
- Other health and wellness
- Pain relievers
- Sleep aids
- Smoking deterrents
- Diagnostic monitors
- Personal care
- Incontinence supplies
- Disposable and nondisposable underwear
- Pads
- Sun protection
- Sunscreen
- After-sun care
- Lip balm with SPF
- Vitamins and dietary supplements
Here are the types of healthy foods you can buy with your card at retail locations:
- Beverages
- Water (includes sparkling and enhanced water)
- Juice
- Coffee and tea
- Isotonic sports drink
- Breads and healthy grains
- Bread
- Rolls
- Tortillas
- Rice
- Hot and cold cereals
- Cereal and muesli bars
- Dairy and dairy substitutes
- Milk
- Cheese
- Eggs
- Butter
- Yogurt
- Fruit and vegetables
- Prepared fruits and vegetables
- Fresh fruits and vegetables
- Meat and seafood
- Prepared meats and seafood
- Fresh meats and seafood
- Nuts and seeds
- Prepared nuts and seeds
- Fresh nuts and seeds
- Trail mix
- Other prepared preserved foods
- Dairy and egg-based products
- Dough-based products
- Grain-based products
- Vegetable-based products
- Meat substitutes
- Pasta and noodles
- Prepared soups
- Sandwiches, filled rolls, and wraps
- Pickles, relishes, chutneys, and olives
- Pantry staples
- Flour
- Spreads (peanut butter, jelly, honey)
- Baking and cooking supplies
- Seasonings, preservatives, and extracts
- Herbs and spices
- Sauces, spreads, and condiments
- Vinegars and cooking wines
How to get OTC products by mail
OTC products can be delivered by mail to your home. Here are your mail order options:
- Order Online: There are two easy ways to access the UPMC for Life OTC website and order products:
- Log in to MyHealth OnLine. Under Your Insurance on the main homepage, click UPMC for Life Complete Care Shop Healthy Card. Then click Visit the UPMC for Life Shop Healthy Card Portal.
- Log into the UPMC Health Plan app. Tap UPMC for Life Complete Care Shop Healthy Card on the insurance tab, then click Over-the-Counter store.
- Order by mail: See a copy of our catalog and complete an order form. Mail completed order forms to OTC Servicing Center, PO Box 526266, Miami, FL 33152-9819.
- Order by phone: A team of experts is standing by at 1-800-688-2515 (TTY: 711) Monday through Friday from 8 a.m. to 11 p.m.
Here are some examples of products you can buy through mail-order. See our mail-order catalog for a complete list.
- Allergy
- Antacids and acid reducers
- Anticandidal (yeast)
- Anti-diarrheal, laxatives, and digestive health
- Anti-fungal
- Bathroom safety and fall prevention
- Cold and flu
- Cold sore and medicated lip products
- Dental and denture care
- Diabetes care
- Diagnostics
- Eye and ear care
- First aid
- Foot care
- Hemorrhoidal preparations
- Home aids
- Incontinence supplies
- Motion sickness
- Nutritional supplements
- Pain relief aids
- Pain relievers and fever reducers
- Pediculicide (lice treatment)
- Skin and sun care
- Sleep aids
- Smoking cessation
- Supports and braces
- Vitamins and minerals
- Wart remover
How to submit a claim for reimbursement
- Online:
- Log in to MyHealth OnLine.
- Under Your Insurance on the main homepage, click UPMC for Life Complete Care Shop Healthy Card, then UPMC for Life Shop Healthy Card Portal.
- Once on the portal, click Reimburse Myself.
- By fax: Fax a completed reimbursement form and proper documentation to 1-844-361-4700.
- By mail: Mail a completed reimbursement form and proper documentation to UPMC Health Plan, PO Box 2784, Fargo, ND 58108.
- Mobile:
- Log into the UPMC Health Plan app.
- Tap UPMC for Life Complete Care Shop Healthy Card on the insurance tab, then click Submit Reimbursement.
Submitted claims can take up to 72 hours to process. We will reimburse you by mailing you a check. Please allow 10-14 business days to receive your mailed check. Or you can follow these steps to set up direct deposit through the UPMC for Life Shop Healthy Card Portal. After your claim is processed, please allow 24-48 hours to receive your direct deposit reimbursement.
Proper documentation for expenses includes a third-party receipt containing the following information:
- Date service was received, or purchase made
- Description of service or item purchased
- Dollar amount (after insurance, if applicable)
Unacceptable forms of documentation include the following:
- Provider statements that only indicate the amount paid, balance forward or previous balance
- Credit card receipts that only reflect a payment
- Copies of checks
- Bills for prepaid dental, vision, or hearing expenses where services have not yet occurred