Preventive Services

Preventive services can help spot health problems early so you can get the care you need right away!

It’s important to talk to your doctor about the preventive care that’s right for you based on your health care needs. Most preventive services are available at no cost to members when you see an in-network doctor.* Plus, UPMC for Life members can earn rewards for completing certain preventive care and taking steps to maintain their best health.

Preventive care reward program

The UPMC for Life preventive care reward program allows members to earn reward dollars for completing certain preventive screenings by Dec. 31 each year. Once you become a member, we’ll let you know which preventive screenings you are eligible for during the year.

  • Annual wellness visit—$30 reward
    Getting an annual wellness visit is one of the very best things you can do for your health. This important visit gives you the time you need to catch up with your doctor and create or update your personal care plan. We encourage you to reach out to your doctor and ask about your options for completing your annual wellness visit. Many doctors offer telehealth video visits, while others may prefer you come into the office. This is based on your needs and should be discussed with your doctor.
  • Diabetic retinal eye exam—$25 reward
  • Breast cancer screening—$50 reward
  • Colorectal cancer screening—$60 reward
  • At-home checkup—$25 reward
    UPMC Health Plan is working with Matrix Medical Network to bring your next checkup right to your home. A Matrix nurse practitioner will come to your home to complete a comprehensive assessment of your overall health as well as review your medications with you. You may even qualify for a virtual visit—this type of visit will also earn you a $25 reward! This next-level care is designed to complement your regular doctor visits and help you stay up to date on important health services.
Learn more about the preventive care program.

Measures in place to keep you safe

Your providers should have safety measures in place so that you can get the in-person care you need without worry. Check with your doctor or provider directly. You can also visit our Medical Care and Advice page.

*A separate copay may apply if additional medical services are received during the same visit or if the member’s screening becomes diagnostic in nature. Members may have a copay for telehealth video visits. For information about coverage of preventive services, members should see their Evidence of Coverage.

Contact us

UPMC for Life Members
Call us toll-free: 1-877-539-3080 (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. 

UPMC for Life Prospective Members
Call us toll-free: 1-866-400-5077 (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 9 a.m. to 3 p.m.

This information is not a complete description of benefits. 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. 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. Other physicians/providers are available in the UPMC for Life network.

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 D-SNP, and PPO plans. The HMO D-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., UPMC for You Inc., and UPMC Health Coverage Inc.

SilverSneakers is a registered trademark of Tivity Health Inc. SilverSneakers GO is a trademark of Tivity Health Inc. © 2024 Tivity Health Inc. All rights reserved.

UPMC for Life Members
Call us toll-free: 1-877-539-3080
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.

UPMC for Life Prospective Members
Call us toll-free: 1-866-400-5077
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 9 a.m. to 3 p.m.

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Last Updated: 10/01/2024