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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! All allowance amounts are based on the 2024 benefit year. For more information about benefit allowances, call us toll-free at 1-844-575-8241 (TTY: 711).
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 $8,250 $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.
UPMC for Life Complete Care (HMO 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.

Y0069_241344

Last Updated: 10/1/2023

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