UPMC for Life

UPMC for Life Offers Affordable Medicare Advantage Plans with Broad In-network Access to UPMC Doctors and Hospitals

UPMC Health Plan is pleased to offer UPMC for Life, the largest individual Medicare Advantage plan in Western Pennsylvania. In 2021, UPMC for Life will include enhanced benefits that aim to expand our members’ ability to receive the highest quality health care services in the most affordable way.

UPMC for Life was awarded 4.5 out of a possible 5 Overall Star Rating for its HMO and PPO plans for 2020 according to ratings released by the Centers for Medicare & Medicaid Services (CMS). Every UPMC for Life plan provides members with a patient-centric model of care that focuses on delivering quality by caring for the “whole person,” attending to both the physical and emotional health of members in all settings, whether in person or through virtual care in the comfort of their homes.

“In 2021, UPMC for Life will continue to place the health and well-being of our members as our top priority, offering them access to the best doctors and hospitals, affordability, quality services, and protections in place, like no cost preventive care and clinical management programs, to help members manage their health and avoid large, unexpected medical costs,“ said April Golenor, Chief Medicare Officer for UPMC Health Plan. “We understand that out of pocket costs are as important as monthly premiums, so we want to give our members maximum value in term of benefits and services, like telehealth, low costs for medications, an allowance to buy health care products, and dental and vision care. We know that keeping costs low for these services is important to our members as they try to stay within their monthly budgets.”

Reducing Out of Pocket Costs
In addition to disease-related stress, UPMC for Life understood the many financial stresses that the pandemic created during 2020, and worked to alleviate those stresses by waiving deductibles, copays, and other cost-sharing for coronavirus testing and treatment. UPMC for Life also increased member access to medications by waiving early refill limits on prescriptions. In 2021, UPMC for Life will continue that commitment to reducing the financial stresses on members when accessing the health care system through the following:

• $0 Monthly Premium Plans
  
• Access to UPMC
  
• $0 Preventive Care Visits
  
• $0 Telehealth Copays
  
• $0 Preferred Generic Prescriptions
  
• Cost-Savings for Diabetic Prescriptions
  
• Additional Donut Hole Coverage for HMO Rx Members
  
• Dental Services
  
• OTC Allowance

Virtual Enrollment Help and Support
UPMC for Life has expanded their weekly Staying in Touch events to help members understand their benefits changes for 2021. Members will have the opportunity to participate by phone or online from the comfort and safety of home to get all the details on their new and improved benefits. Members can go to upmchp.us/medicare-intouch to see a complete list of event details. For members who want personal help, the award-winning Health Care Concierge is on-hand to answer questions and provide exceptional customer service.

Enrollment Details
The 2021 Annual Election Period is Oct. 15 through Dec. 7, 2020. Medicare beneficiaries can add or drop Part D prescription drug coverage, switch their current plan, or change to a Medicare Advantage plan, or change to Original Medicare. Changes in coverage will be effective Jan. 1.

Medicare beneficiaries who are interested in UPMC for Life can get information on the 2021 plans online at www.upmchealthplan.com/medicare or by calling UPMC for Life toll-free at 1-877-381-3765 seven days a week from 8 a.m. to 8 p.m. TTY users should call 711.

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