Need help, or have questions? We’re here to help.

By Phone: UPMC Medicare Special Needs Plans Sales Call Center

Toll-free: 1-866-405-8762

TTY 711

Licensed sales agents are available to take your call. Our hours of operation change twice a year. We are available to take your call October 1 – March 31 from 8 a.m. to 8 p.m., seven days a week; April 1 – September 30 from 8 a.m. to 8 p.m., Monday through Friday and Saturday from 8 a.m. to 3 p.m

In Person: Schedule a home visit.

You can meet with one of our authorized representatives face-to-face at your home, office, or another place in the community.

Toll-free: 1-866-405-8762

TTY 711

Licensed sales agents are available to take your call. Our hours of operation change twice a year. We are available to take your call October 1 – March 31 from 8 a.m. to 8 p.m., seven days a week; April 1 – September 30 from 8 a.m. to 8 p.m., Monday through Friday and Saturday from 8 a.m. to 3 p.m

Find the Right Plan

You or the person for whom you’re applying must have Medicare Part A and Part B in order to apply for UPMC for Life Dual or UPMC for Life Options.

If you would like to explore other plans that may meet your needs, or if you would like to continue to learn about Medicare Special Needs Plans, see the options below. If you would like to learn more about how to sign up for Medicare Parts A and B, visit www.medicare.gov for information.

SHOP UPMC Health Plans for Individuals and Families

UPMC Health Plan offers plans and services for every need. Look here to learn more.

OR

Continue to learn more about UPMC Medicare Special Needs Plan even though you may not be eligible.

  • UPMC for Life Dual

Looking for traditional Medicare or Medical Assistance?

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Together We Can Find the Right Plan for You

Here at UPMC Health Plan, health is our #1 priority. That’s why we offer coverage to meet and exceed our members’ needs. Take a closer look at our Special Needs Plan. We offer compassionate care, customer service excellence, and much more for every member.

UPMC for Life Dual

The UPMC for Life Dual (HMO SNP) plan is for you if you are eligible for Medicare and Medical Assistance (Medicaid). With UPMC for Life Dual, you don’t have to worry about questions like, “Is my doctor in the network?” or “Am I allowed to go to my neighborhood hospital?” You have access to all the doctors and hospitals of UPMC plus additional community hospitals, and specialty care centers. No referrals are required. UPMC for Life Dual also offers enhanced dental and vision benefits for dual eligible beneficiaries, along with extra benefits and services that help you manage your overall health and wellness. This plan can also help coordinate your Medicare and Medical Assistance services.

Enroll today

Apply online using our secure enrollment website.

Supplemental Benefits: What You Get Compared to Original Medicare

Benefits UPMC for Life Dual Original Medicare
Outpatient Medical Services $0 copay for surgery, rehabilitation services, mental health, and substance abuse You pay 20% of Medicare-approved amounts for doctor or provider's services, and the Part B deductible applies. For all other services, you also pay a copayment for each service.
Inpatient Medical Services $0 copay per stay Per benefit period, you pay:
$1,288 deductible
$0 coinsurance days 1-60
$322 coinsurance per day days 61-90
$644 coinsurance per each “lifetime reserve day" after day 90 (up to 60 days over your lifetime).
Beyond lifetime reserve days: all costs.
Prescription Drug Coverage $0 or low copays for generic and brand medications depending on your level of Extra Help Not covered
Routine Dental Benefits and Allowance for Comprehensive Services $0 copay for one oral exam and cleaning every six months
$0 copay for one bitewing x-ray every six months
A $3,000 yearly allowance for comprehensive services like dentures, bridges, root canals, crowns, fillings and simple tooth extractions.
Not covered
Routine Vision Benefits and Eyewear Allowance $0 for one routine vision exam every year
$250 allowance every year for contact lenses and eyewear, including lenses and frames
Not covered
Routine Podiatry Services $0 copay for four routine podiatry visits every year Not covered
Over the Counter Wellness Card $500 yearly allowance towards the cost of covered medications and wellness items. Not covered
Routine Hearing Benefits and Hearing Aid Allowance $0 copay for one hearing exam every year
$0 copay for one hearing aid fitting every year
$1,500 allowance for hearing aids every 3 years
Not covered
Fitness Benefits Join a local participating fitness facility and get one personal training session at no additional cost. Or choose the option to work out at home with fitness kits and DVDs. Not covered
Transportation Benefits Get a ride at no additional cost.
We cover 50 one-way trips to plan-approved locations.
Not covered
Meal Services (after an inpatient, observational, or skilled nursing facility hospital stay) Receive home-delivered meals after discharge from an inpatient, skilled nursing facility, or observational hospital stay at no additional cost to you. Get 14 meals delivered to your home. Not covered
Bathroom Safety Products Choose up to six different bathroom safety products from a menu of items. Not covered
In-Home Safety Assessment $0 copay for one in-home safety assessment each year. Not covered
24/7 Nursing Advice Line Call the UPMC MyHealth 24/7 Nurse Line to get health advice from experienced, registered nurses. Not covered
E-Visit a UPMC Provider with AnywhereCare E-visit a UPMC provider straight from your computer, anytime, day or night for a $0 copay. Get access to care for common medical conditions such as colds and flu, sinus infections, coughs and sore throats, urinary symptoms, back pain, sunburn, pink eye, and poison ivy. Not covered
A Customized Care Plan for Every Member Our Care Managers work with you to develop a care plan that helps you meet your personal health goals. Not covered

Benefits listed for individuals with Original Medicare do not include any benefits available through the state Medical Assistance (Medicaid) program.

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This information is not a complete description of benefits. Call 1-866-405-8762 (TTY: 711) for more information.

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plan has 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.


We are available to take your call:
Toll-free: 1-866-405-8762
TTY: 711
seven days a week 8 a.m. to 8 p.m.*

*Our hours of operation change twice a year.

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

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


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Last Updated: 10/01/2018
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