Find the Right Plan


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 1-866-407-8762

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 – February 14 from 8 a.m. to 8 p.m., seven days a week; February 15 – September 30 from 8 a.m. to 8 p.m., Monday through Friday.

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 1-866-407-8762

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 – February 14 from 8 a.m. to 8 p.m., seven days a week; February 15 – September 30 from 8 a.m. to 8 p.m., Monday through Friday.

UPMC for Life Options

This plan is specifically designed for people with long-term care needs. It offers all the benefits of Original Medicare (Parts A and B), plus prescription drug coverage and enhanced dental and vision benefits.

If you live in a nursing home, a nurse case manager will support you, coordinate your care, and keep your family members updated about your health.

If you’re at home, you’ll receive personalized, in-home service to help you remain independent.

UPMC for Life Options uses a network of specialized providers and facilities in a setting you choose and offers extra benefits and services to give you and your loved ones the peace of mind you deserve. NOTE: You must live in Allegheny, Erie, or Washington County to enroll in this plan.

Supplemental Benefits: What You Get Compared to Original Medicare

Benefits UPMC for Life Options Original Medicare
Outpatient Medical Services 20% coinsurance for mental health, substance abuse, surgery, and rehabilitation services 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 You pay:*
$1,316 deductible days 1-60
$329 copay per day days 61-90
$658 copay per each “lifetime reserve day" after day 90 (up to 60 days over your lifetime)
Beyond lifetime reserve days, you pay all costs.
You pay:*
$1,316 deductible days 1-60
$329 copay per day days 61-90
$658 copay per each “lifetime reserve day" after day 90 (up to 60 days over your lifetime)
Beyond lifetime reserve days, you pay all costs.
Prescription Drug Coverage A $405 deductible for prescriptions Not covered
Routine Dental Benefits and Allowance for Additional Services $0 copays for one oral exam 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
Not covered
Routine Vision Benefits and Eyewear Allowance $0 copay for one routine vision exam every 2 years
A $200 allowance for routine eyewear once every 2 years
Not covered
Transportation Benefits Get a ride at no cost. We cover 26 one-way trips to plan-approved locations. 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
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.

*These amounts may change for 2018

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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