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SNP

Get more benefits than Original Medicare

Compare UPMC for Life Complete Care (HMO SNP) to Original Medicare and other Medicare plans to see your cost savings add up!

2022 Benefits UPMC for Life Complete Care: Western and Central PA plans UPMC for Life Complete Care: North Eastern and South Eastern 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
Over-the-counter allowance for health care products each year (use at participating stores or through mail order) $1,400 each year**
$350 per quarter
  • $125 retail card
  • $225 mail-order catalog
 $900 each year**
$225 per quarter through mail-order catalog		 X
Healthy food allowance (special supplemental benefit for those with diabetes—not all members will qualify) $300 each year
$25 per month		 Not covered X
Dental allowance for dentures, bridges, crowns, and more each year $5,000 $3,000 X
Vision allowance for glasses or contact lenses each year $575 $575 X
Hearing allowance for hearing aids every three years $2,000 per ear $1,500 X
Trips to the doctor’s office, health care facilities, and pharmacies $0 copay for 60 one-way trips (30 round trips) $0 copay for 12 one-way trips (6 round trips) X
Six home and bathroom safety products and one yearly in-home safety assessment $0 copay $0 copay X
Access to a free gym membership FREE FREE X
Unlimited routine podiatry visits every year $0 copay $0 copay X

*Copays are based on the level of Extra Help you receive.

**All allowance amounts are based on the 2022 benefit year. Some benefit allowances are monthly or quarterly based. For more information about benefit allowances, call us toll-free at 1-844-575-8241 (TTY: 711).

Also of Interest:
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. © 2021 Tivity Health Inc. All rights reserved.

The healthy food allowance benefit is only for our UPMC for Life members with diabetes and is part of the Special Supplemental Benefits for the Chronically Ill (SSBCI) program. You must meet certain eligibility requirements to qualify for this program.
UPMC for Life Complete Care (HMO SNP) Members
Call us toll-free: 1-800-606-8648
TTY: 711

24 hours a day, 7 days a week

UPMC for Life Complete Care Prospective Members
Call us toll-free: 1-844-575-8241
TTY: 711

Oct. 1 – Dec. 31:
Seven days a week from 8 a.m. to 8 p.m.

Jan. 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m., Saturday from 9 a.m. to 3 p.m.

Y0069_221022

Last Updated: 10/01/2021

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