Contact: Gina Pferdehirt |
UPMC for Life offers new Medicare Advantage options for local residents with added health, fitness, and travel benefits and access to Commonwealth Health
PITTSBURGH (Oct. 1, 2018) – UPMC for Life, the Medicare Advantage product of UPMC Health Plan, will now offer high quality plans with low monthly plan premiums.
The UPMC for Life Medicare Advantage plans will have access to a provider network that includes more than 19,800 doctors and 3,594 facilities in Pennsylvania, along with access to the doctors and hospitals of Commonwealth Health.
In 2019, beneficiaries in the Northeastern Pa. region will have three UPMC for Life plans from which to choose, including two HMO plans and one PPO plan, in Bradford, Lackawanna, Luzerne, Susquehanna, Wayne, and Wyoming Counties.
"UPMC for Life offers outstanding benefits and great value to Medicare beneficiaries in Pennsylvania," said John Lovelace, president of government programs at UPMC Health Plan. "Our member retention rate of 97% exceeds industry standards. We believe our members have peace of mind knowing that they have in-network access to Commonwealth Health, as well as award-winning concierge services. And this year we have the most robust benefit offerings in our history."
Enhanced Plan Benefits
UPMC for Life has added and enhanced many of its plan benefits for the upcoming year. All plans include at no additional cost:
Select plans also offer additional benefits, including:
Prescription Drug Coverage
UPMC for Life members will continue to have a $0 copay for preferred generic (Tier 1) prescriptions when filled at preferred pharmacies. Preferred pharmacies offer members the lowest copays on generic (Tier 2), preferred brand (Tier 3), and non-preferred (Tier 4) drugs.
Members can cost-effectively fill prescriptions at preferred pharmacy locations, including Costco, Giant Eagle, Giant Food Stores, Kmart, Rite Aid, Sam’s Club, Walgreens, Walmart, and Wegmans. Other pharmacies/providers are available in the network.
Starting Jan. 1, 2019, members filling 90-day maintenance prescriptions can also take advantage of the lowest copays available at preferred pharmacies and by using mail-order, which provides an added convenience for members.
Awards and Recognition
All UPMC for Life Medicare Advantage members will also enjoy access to UPMC Health Plan’s award-winning Health Care Concierge program. Concierges are customer service representatives who are knowledgeable about Medicare and are dedicated to answering members’ questions and to getting problems solved with just one phone call.
UPMC Health Plan has earned three 2018 Gold Stevie Awards for its outstanding sales and customer service.
UPMC for Life earned an overall 4 out of 5 rating in NCQA’s Medicare Health Insurance Plan Ratings 2017-2018.
Enrollment Details
The Annual Election Period is Oct. 15 through Dec. 7, 2018. Medicare beneficiaries can add or drop Part D prescription drug coverage, 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 2019 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.
Other pharmacies/providers are available in our network. This information is not a complete description of benefits. Call 1-877-381-3765 (TTY: 711) seven days a week from 8 a.m. to 8 p.m. for more information.
UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plan has 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 for You Inc.
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About UPMC Insurance Services Division
The UPMC Insurance Services Division is owned by UPMC (University of Pittsburgh Medical Center), a world-renowned health care provider and insurer based in Pittsburgh, Pa. The UPMC Insurance Services Division—which includes UPMC Health Plan, WorkPartners, UPMC for Life, UPMC for You, UPMC for Kids, and Community Care Behavioral Health—offers a full range of group health insurance, Medicare, Special Needs, CHIP, Medical Assistance, behavioral health, employee assistance and workers' compensation products and services to more than 3.4 million members. For more information, visit www.upmchealthplan.com.