Thank you for helping UPMC for Life earn an excellent 5 out of 5 stars AGAIN
Oct. 2022Important Notices
"We are proud to announce that UPMC for Life earned an excellent 5 out of a possible 5 overall star rating for our HMO and PPO plans for 2023 from Medicare. UPMC for Life is the largest HMO plan in Pennsylvania with a 5-star rating. This perfect 5 out of 5-star rating is something that only the highest quality Medicare Advantage plans in the nation receive.
Additionally, UPMC for Life received National Committee for Quality Assurance (NCQA) Accreditation. This makes UPMC for Life the ONLY plan in PA to have achieved NCQA Accreditation and a 5-star rating from Medicare for both our HMO and PPO products.
UPMC for Life is simply THE BEST—thanks in large part to you! We could not have earned these important accomplishments without your contributions and continued partnership. Thank you for your dedication to bringing excellence and service to our more than 200,000 Medicare members. This reflects the strength and stability of the UPMC for Life products and our pledge to help our members live their fullest, healthiest lives. In fact, UPMC for Life has an excellent member retention rate of 96% for its Medicare plans over the last year. We appreciate all you do to provide the best possible care for our members.
These prestigious achievements are based on how well we deliver medical coverage, prescription drug coverage, customer service, and satisfaction to our members. They measure our quality and performance compared to other Medicare plans. This is truly an honor that we all should be proud of.
We hope these ratings resonate with your UPMC for Life patients as we continue to work together to provide the best possible member experience.
Thank you for your contributions."
Additionally, UPMC for Life received National Committee for Quality Assurance (NCQA) Accreditation. This makes UPMC for Life the ONLY plan in PA to have achieved NCQA Accreditation and a 5-star rating from Medicare for both our HMO and PPO products.
UPMC for Life is simply THE BEST—thanks in large part to you! We could not have earned these important accomplishments without your contributions and continued partnership. Thank you for your dedication to bringing excellence and service to our more than 200,000 Medicare members. This reflects the strength and stability of the UPMC for Life products and our pledge to help our members live their fullest, healthiest lives. In fact, UPMC for Life has an excellent member retention rate of 96% for its Medicare plans over the last year. We appreciate all you do to provide the best possible care for our members.
These prestigious achievements are based on how well we deliver medical coverage, prescription drug coverage, customer service, and satisfaction to our members. They measure our quality and performance compared to other Medicare plans. This is truly an honor that we all should be proud of.
We hope these ratings resonate with your UPMC for Life patients as we continue to work together to provide the best possible member experience.
Thank you for your contributions."
Recent Announcements
Pause in Prior Authorization Policies
On April 1, 2025, we announced that UPMC Health Plan would start requiring prior authorization for certain services. Please note that we are delaying or changing the implementation of prior authorization for some of these services, as described below.May 2025Important Notices
May is Mental Health Awareness Month
“Turn Awareness into Action”Mental Health America founded Mental Health Month in 1949, and since that time, every May has been a time to unite millions of people to promote awareness, provide vital resources, and advocate for everyones mental well-being. 1 in 5 people will experience a mental health condition in any given year¹. Mental health affects us all, and its critical that we move beyond awareness to take meaningful steps for our well-being and that of our community.May 2025Important Notices
Special notice: Important policy changes
Effective June 1, 2025, UPMC Health Plan will be implementing policy changes that will require providers to obtain prior authorizations for services listed in the following policies. For more information, please visit upmchp.us/policiesandprocedures.May 2025Important Notices