2024 benefits | UPMC for Life Complete Care: Western and Central PA plans | UPMC for Life Complete Care: Northeastern and Southeastern PA plans | Original Medicare Parts A and B |
---|---|---|---|
Inpatient and outpatient medical services | $0 copay | $0 copay | $0 copay |
Prescription drug coverage | $0 copay | $0 copay | X |
UPMC for Life Complete Care Shop Healthy Card to buy over-the-counter (OTC) health care products, healthy foods, pest control, pet supplies, and household utilities with a retail card with a retail card and through mail-order catalog | $500 per quarter—that's up to $2,000 per year | $500 per quarter—that's up to $2,000 per year | X |
Dental allowance for services like dentures, bridges, crowns, root canals, and more | $7,250 | $4,000 (Southeastern PA) $5,000 (Northeastern PA) |
X |
Vision allowance for contact lenses or eyeglasses—including progressive and transitional lenses | $575 | $575 | X |
Hearing aids every three years* | $0 copay per ear every three years | $0 copay per ear every three years | X |
Trips to plan-approved locations like the doctor’s office, health care facilities, pharmacies, fitness centers, grocery stores, and adult day/community centers | $0 copay for 60 one-way trips; up to 28 can be used for non-medical locations. | $0 copay for 20 one-way trips; up to 8 can be used for non-medical locations. | X |
Six home safety products per year and one yearly in-home safety assessment | $0 copay | $0 copay | X |
Unlimited gym memberships and one personal training session per year at a participating fitness center | FREE | FREE | X |
Unlimited routine podiatry visits per year | $0 copay | $0 copay | X |
*Members must use a participating Amplifon hearing provider to take advantage of the $0 hearing aid copay. Go to upmchealthplan.com/find to find participating hearing providers. Routine hearing copays are excluded from the yearly deductible, if applicable, and do not count toward your annual maximum out-of-pocket.
This information is not a complete description of benefits. Call 1-844-575-8241 (TTY: 711) for more information.
This information is available for free in other languages. Please call our customer service number at 1-800-606-8648 (TTY: 711).
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 Health Coverage Inc.
SilverSneakers is a registered trademark of Tivity Health Inc. SilverSneakers GO is a trademark of Tivity Health Inc. © 2023 Tivity Health Inc. All rights reserved.
This information is available for free in other languages. Please call our customer service number at 1-800-606-8648 (TTY: 711).
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 Health Coverage Inc.
SilverSneakers is a registered trademark of Tivity Health Inc. SilverSneakers GO is a trademark of Tivity Health Inc. © 2023 Tivity Health Inc. All rights reserved.
UPMC for Life Complete Care (HMO D-SNP) members
Call us toll-free: 1-800-606-8648
TTY: 711
Oct. 1 – March 31:
Seven days a week from 8 a.m. to 8 p.m.
April 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m., Saturday from 8 a.m. to 3 p.m.
UPMC for Life Complete Care prospective members
Call us toll-free: 1-844-575-8241
TTY: 711
Jan. 1 – Sept. 30:
Seven days a week from 8 a.m. to 8 p.m.
Oct. 1 – Dec. 31:
Seven days a week from 7 a.m. to 9 p.m.
Call us toll-free: 1-800-606-8648
TTY: 711
Oct. 1 – March 31:
Seven days a week from 8 a.m. to 8 p.m.
April 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m., Saturday from 8 a.m. to 3 p.m.
UPMC for Life Complete Care prospective members
Call us toll-free: 1-844-575-8241
TTY: 711
Jan. 1 – Sept. 30:
Seven days a week from 8 a.m. to 8 p.m.
Oct. 1 – Dec. 31:
Seven days a week from 7 a.m. to 9 p.m.
Y0069_241344_C
Last Updated: 1/02/2024
Last Updated: 1/02/2024