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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.

Which Medicare Special Needs Plan Is Right for You?

Both of our plans include many of the same benefits. For example, they provide comprehensive medical coverage, dental and vision benefits, and comprehensive prescription drug coverage.

So what is the main difference among our plans? UPMC for Life Dual will work best if you are eligible for both Medicare and Medical Assistance. UPMC for Life Options is best if you have long-term care needs and live either at home or in a nursing home.

Benefits UPMC for Life Dual UPMC for Life Options Original Medicare
Outpatient Medical Services X X X
Inpatient Medical Services X X X
Prescription Drug Coverage X X
Routine Dental Benefits and Allowance for Additional Services X X
Routine Vision Benefits and Eyewear Allowance X X
Routine Hearing Benefits and Hearing Aid Allowance X
Fitness Benefits X
Transportation Benefits X X
Meal Services (after an inpatient hospital stay) X
Bathroom Safety Product Benefit X
24/7 Nursing Advice Line X X
E-Visit a Trusted UPMC Provider X X
A Customized Care Plan for Every Member X X

UPMC for You Advantage

This Special Needs Plan is for you if you are eligible for both Medicare and Medical Assistance (dual eligible). UPMC for You Advantage offers quality coverage, and access to UPMC doctors and hospitals for those enrolled in Medicare Part A, Medicare Part B, and Medical Assistance. We’ll help coordinate these services and provide you with medical and prescription drug coverage as well as enhanced dental and vision benefits.

View UPMC for You Advantage Details

UPMC for Life Options

For those with long-term care needs, UPMC for Life Options uses a network of specialized providers and facilities to provide excellent care in the setting you choose. This plan offers extra services and benefits to give you and your loved ones the peace of mind you deserve. To qualify, you must live in a nursing home or in the community and require the same level of care.

View UPMC for Life Options Details
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

Copyright 2018.

UPMC Health Plan, Inc.

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