What does my UPMC Health Plan include?
As a UPMC Health Plan member, you have access to much more than top-ranked care. Your plan includes online health tools, award-winning customer service, health and wellness programs, travel coverage, and many more benefits and services. Manage the nuts and bolts of your plan from right here, or log in to your personalized member portal.
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 do I contact UPMC for life customer service?
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. The HMO SNP plans have a contract with the PA State Medical Assistance program.
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.
Does UPMC follow Medicare guidelines?
UPMC for Life is the only plan in PA to earn both a 5 out of 5-Star rating from Medicare and NCQA Accreditation for both its HMO and PPO products for 2022! Every year, Medicare evaluates plans based on a 5-star rating system.
Is Medicare a UPMC?
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 UPMC Partner Network?
UPMC Partner Network (EPO) The UPMC Partner Network is our most affordable network option. The network includes all UPMC providers as well as some non-UPMC providers. In a true emergency, you can seek care from any emergency department, even if the hospital is not in the Partner Network.
Is UPMC for Life a Medicare Advantage Plan?
UPMC for Life is a Medicare Advantage plan available in your area. Our members have access to UPMC and a large network of additional doctors and hospitals in your community.
Why do doctors not like Medicare Advantage plans?
If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.
Is UPMC Health Plan the same as UPMC for Life?
UPMC Health Plan offers Medicare beneficiaries a line of health benefit plans called UPMC for Life. These Medicare Advantage plans, formerly known as “Medicare+Choice,” replace traditional Medicare coverage with managed care options.
Does UPMC cover cataract surgery?
Same-day eye surgeries performed by UPMC Eye Center Mercy ophthalmologists include: Cataract surgery. Cornea transplant surgery.
What are UPMC benefits?
UPMC offers a comprehensive package that includes time off, medical, dental, short- and long-term disability, life insurance, company-paid pension, a matched savings plan, and voluntary benefits. The portal for UPMC Cole patients receiving inpatient care.
What does UPMC stand for insurance?
the University of Pittsburgh Medical CenterUPMC Health Plan, headquartered in Pittsburgh, Pennsylvania, is among the nation's fastest-growing health plans. It is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider.
Does Ahn accept UPMC for Life?
UPMC for Life Medicare Advantage members will continue to have the access to AHN hospitals that they have always had under their selected plan. UPMC for Life Medicare Advantage members have full in-network access to AHN primary care physicians and specialists, as well as the AHN hospitals shown in the table below.
Is UPMC Health Plan Medicaid?
UPMC for You is one of five Medicaid plans in Pennsylvania to earn an overall rating of 4 out of 5 in NCQA's Medicaid Health Insurance Plan Ratings for 2019-2020.
What is UPMC for Life dual?
UPMC for Life Complete Care (HMO SNP) offers enhanced dental, vision, hearing, transportation, meals, bathroom safety devices, an over-the-counter benefit, personal emergency response systems, and fitness benefits for dual eligible beneficiaries, along with extra benefits and services that help Members manage their ...
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.
How long does it take to enroll in UPMC for life?
To enroll in a Medicare Advantage plan you must be enrolled in Original Medicare Parts A and B. If you are over 65 and planning to retire soon, you have 7 months to enroll in Medicare Parts A and B. This time frame usually starts the month after your employment ends.
What are the benefits of UPMC for life?
Here are just a few benefits you get with a UPMC for Life plan: Part D prescription drug coverage with $0 copays for preferred generic drugs. Preventive dental benefits. Routine hearing coverage and an allowance for hearing aids (on most plans) Routine vision coverage and an allowance for eyeglasses and contact lenses.
How long do you have to enroll in Medicare?
Generally, you can enroll in Medicare if you are a U.S. citizen or lawfully present in the United States and turning 65. If you are turning 65 and will be eligible, you have seven months to enroll in Medicare Parts A and B. Your Medicare enrollment timeline includes: 1 Three months before the month of your 65th birthday 2 The month of your 65th birthday 3 Three months after the month of your 65th birthday
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.
What is the Medicare Part A number?
Medicare Part A covers inpatient and hospital coverage. Learn more about Part A. This information is not a complete description of benefits. Call 1-866-400-5077 (TTY: 711) for more information.
How old do you have to be to qualify for Medicare?
In order to qualify for Medicare, you must be a U.S. citizen or lawfully present in the United States. You must also: Be age 65 or older, or. Be under age 65 with certain disabilities, or. Have permanent kidney failure requiring dialysis.
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 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.
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.
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.
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.
What is a preferred pharmacy?
A preferred pharmacy is a pharmacy that has agreed to offer preferred cost sharing (our lowest copays) for covered prescription drugs. Here are just some of our preferred pharmacy locations: Giant Eagle, Rite Aid, Sam’s Club, Walgreens, and Walmart. Search for a preferred pharmacy near you .
How long can you fill a prescription for a 90 day prescription?
Drugs can be filled for 30-day or 90-day supplies. If you’re filling a 90-day maintenance prescription, you can save money at our mail-order pharmacy. Your out-of-pocket cost for preferred generic, generic, and preferred brand drugs will be lower than purchasing three 30-day supplies at a standard pharmacy.
How many levels of Part D coverage are there?
All plans that include Part D prescription drug coverage have five levels of drug benefits. These levels are referred to in our prescription drug list (formulary) as Drug Tier Numbers. Learn about our Drug Tier Numbers below, along with benefits that can help our members save money on covered prescription drugs.
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 Part D subsidy apply to HMO?
Members who receive Low Income Subsidy (Extra Help paying for Part D prescriptions) will not have reduced copays. This benefit does not apply to the HMO No Rx (HMO) plan, the HMO Premier Rx (HMO) plan, and some employer group plans. See your plan formulary for more information.
Getting the Care You Need With Video Visits
Our expanded care options include scheduled video visits with primary care providers and specialists, as well as on-demand video visits through UPMC AnywhereCare.
Manage and Schedule Appointments with our Patient Portals
Schedule with your existing doctors, view and manage appointments, find test results, message your doctor, and more, with convenient and secure access to your health care information 24/7.
What is the phone number for UPMC for life?
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.
How long before a wheelchair trip can you call?
If you need a wheelchair van or help to get into the vehicle, let the transportation service know when you call. You will receive a confirmation call 48 hours before your appointment to confirm your trip.