Full Answer
Is UPMC for life covered by Medicare?
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.
How much does UPMC contribute to the community?
In the most recent fiscal year, UPMC contributed $1.7 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $900 million in federal, state and local taxes.
How many members are enrolled in UMPC Medicare Advantage?
UMPC has more than 190,000 members enrolled in their Medicare Advantage plans. UPMC for Life is a Medicare Advantage program offered by UPMC Health Plan. UPMC Health Plan is owned by the University of Pittsburgh Medical Center and offers its Medicare Advantage plans to residents of Pennsylvania and Ohio.
Do out-of-network providers have to treat UPMC members?
Out-of-network/noncontracted providers are under no obligation to treat UPMC for Life members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.
How many employees does UPMC have?
The largest nongovernmental employer in Pennsylvania, UPMC integrates more than 92,000 employees, 40 hospitals, 800 doctors’ offices and outpatient sites, and more than 4 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania.
What stage of EHR adoption was UPMC?
UPMC Children’s Hospital of Pittsburgh was the nation’s first children's hospital to achieve HIMSS Stage 7, the highest stage of EHR adoption.
Is UPMC a nonprofit?
UPMC, a $23 billion world-renowned health care provider and insurer based in Pittsburgh, Pa., is a nonprofit that: Invents new models of accountable, cost-effective, patient-centered care. Melds a firm community mission with progressive business models. We're the first nonprofit health system to fully adopt Sarbanes-Oxley.
What is UPMC insurance?
The takeaway. UPMC is a private health insurance company that offers Medicare Advantage plans to residents of most counties in Pennsylvania plus some parts of Ohio. Costs and services vary based on how much you want to pay and what services you want included.
Who owns UPMC for life?
UPMC for Life is a Medicare Advantage program offered by UPMC Health Plan. UPMC Health Plan is owned by the University of Pittsburgh Medical Center and offers its Medicare Advantage plans to residents of Pennsylvania and Ohio. These plans offer a number of coverage choices that extend beyond original Medicare.
What is an HMO plan?
Some HMO plans, called HMO Point-of-Service (HMO-POS) plans, may allow you to see out-of-network providers for a higher fee.
What happens if you don't sign up for Medicare?
If you don’t sign up for drug coverage when you’re first eligible for Medicare and instead add it later, you’ll pay a penalty. By choosing a Medicare Advantage plan that includes prescription drug coverage, you’ll get all these “parts” bundled together into one plan.
Can Medicare replace original Medicare?
Several different types of Medicare Advantage plans can replace original Medicare. These plans vary based on their coverage and what options you choose for your coverage. These UPMC Advantage plan options include:
Does UPMC offer HMO?
UPMC Medicare Advantage plans offer the same coverage as original Medicare, plus additional services. UPMC offers HMO, PPO, PFFS, and SNP plan options. These plans are available to people who live in certain counties in Pennsylvania and Ohio. Prescription drug coverage can be added to some UPMC plans.
Do PPO plans have copays?
Depending on the plan you choose, you may go outside your plan’s network for healthcare. However, this expanded choice usually costs more. You’ll likely pay higher premiums for these plans, and higher copays if you choose to see an out-of-network provider.
What is the number to call for UPMC?
Call 1-866-400-5077 (TTY: 711) for more information. Out-of-network/noncontracted providers are under no obligation to treat UPMC for Life members, except in emergency situations.
Why did Diane and Bob choose UPMC for life?
They chose UPMC for Life for their Medicare coverage because it gives them access to the doctors and hospitals they know and trust, plus additional benefits like a free gym membership.
Does UPMC have a contract with Medicare?
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.
What does UPMC mean?
UPMC. for Life. means more than great insurance. It means access to your doctor and high-quality coverage for your health care when you need it. UPMC for Life works together with your doctors to give you the health care and coverage you need to be at your best health. Learn about our care and coverage.
What is the number to call for UPMC?
Call 1-866-400-5077 (TTY: 711) for more information. Out-of-network/noncontracted providers are under no obligation to treat UPMC for Life members, except in emergency situations.
What is the phone number for UPMC for life?
This information is available for free in other languages. Please call our customer service number at 1-877-539-3080 ( TTY: 711 ). UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans.
How many bathroom safety products can you use with UPMC?
Take advantage of benefits that can help you live safely and independently. UPMC for Life members can choose up to three bathroom safety products and have a yearly in-home safety visit—all at no additional cost.
Does UPMC have a contract with Medicare?
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.
Does UPMC cover labs?
Shots, lab tests, screenings, and an annual wellness visit are all services you can receive at no additional cost. UPMC for Life members can even earn a reward for completing their annual wellness visit.
Coverage for Individuals and Families
Being a UPMC Health Plan member will give you access to top-ranked care and other benefits that can help you stay healthy. And no matter what your financial or health care situation is, we have a plan for you.
UPMC Community HealthChoices
If you are dual eligible for Medicare and Medicaid or receive long-term services and supports, you must choose a Community HealthChoices Managed Care Organization.
Coverage for Children
Every child deserves to have quality health coverage. UPMC for Kids provides that coverage through the Pennsylvania Children's Health Insurance Program (CHIP).
UPMC Health Services
- 40 hospitals with 8,700 licensed beds More than 800 doctors' offices and outpatient sites More than 6,300 affiliated physicians, including more than 5,000 employed by UPMC One of the largest integrated community cancer networks in the United States with more than 70 centers in Pennsylvania, Ohio, New York and Maryland, and more than 2,000 physician...
UPMC International
- UPMC has one of the largest international footprints of any U.S.-based medical center, including established partnerships in Italy, Ireland, China and Kazakhstan.
Annual Patient Activity
- 355,000 inpatient admissions and observation cases 5.5 million outpatient visits 900,000 emergency visits 220,000 surgeries More than 750,000 home care visits
Community Benefits
- $1.7 billion, including: 1. $509 million in charity care and unreimbursed amounts from programs for the poor 2. $558 million in health and wellness programs and charitable contributions 3. $599 million in support for medical research and education UPMC’s community benefit contributions amount to 15% of its net patient revenue.
Economic Impact
- The spend and respend cycle that UPMC's activities initiate translates into an economic impact of $42 billion.
Education
- More than 1,900 medical residents and clinical fellows. More than 252,000 physicians and other health care professionals participate in our continuing medical education programs each year. An average of 700 nurses in training each semester.
Research
- More than $582 million in National Institutes of Health funding advances medical research at the University of Pittsburgh and UPMC.