Dental, Vision, and Hearing Benefits

Dental Benefits*

The following preventive dental services are covered at no cost to you:

  • Most diagnostic x-rays
  • Oral exam every six months
  • Teeth cleaning every six months
  • Topical fluoride

Discounts are provided for other dental services.

Locate a Participating Dentist

Note: Select "My employer provides my health insurance" from the dropdown menu.

You may also call 1-877-648-9641 (TTY: 711) for more information. Representatives are available Monday through Friday 8 a.m. to 6 p.m.

Vision Benefits

Routine vision examination benefits through UPMC Vision Care are included as part of your UPMC Health Plan enrollment at no cost to you.

  • Adults and children are covered for one eye exam every 24 months.

To use your eye examination benefit, call us at 1-877-648-9641 (TTY: 711) Monday through Friday 8 a.m. to 6 p.m. To locate a vision care provider, use our provider search tool.

Dental and vision benefits are neither offered nor guaranteed under contract with the FEHB program, but they are available to all members enrolled with UPMC Health Plan.

Hearing Benefits

The Standard Option HMO plan includes a hearing benefit through Amplifon Hearing Health Care. Your benefit allowance is $1,325 per ear every 36 months for adults who are 21 or older (explained in more detail below). Services under this hearing health benefit are only available using participating providers in Amplifon Hearing Health Care’s Network. Additionally, your hearing health benefit may only be used on eligible hearing aids. An Amplifon Hearing Health Care participating provider will review the list of eligible hearing aids with you during your appointment.

An Amplifon Hearing Health Care Patient Advocate will explain the Amplifon Hearing Health Care process, request your mailing information, and help you make an appointment with an Amplifon participating provider near you. The program details are listed below. To schedule an appointment with an Amplifon Hearing Health Care participating provider by calling Amplifon Hearing Health Care toll-free at 1-844-336-8951 or visiting amplifonusa.com/lp/pshb.

Standard Option HMO HDHP Option
Benefit You Pay Benefit You Pay
Provider Network You must use an Amplifon participating hearing care provider. To do this you must call Amplifon to make your appointment. You pay 100% of the charges if you do not use an Amplifon participating provider You may use any licensed hearing care provider You pay 15% after deductible plus any remainder over your 36-month allowance of $1,500 per ear
Hearing aids (including dispensing fee) Allowance of $1,325 per ear every 36 months for members who are 21 or older when services are provided by an Amplifon participating hearing care provider Any remainder over your $1,325 per 36 month allowance per ear Allowance of $1,500 per ear every 36 months for members who are 21 or older You pay 15% after deductible plus any remainder over your 36-month allowance of $1,500 per ear
To learn more

Call Amplifon Hearing Health Care toll-free at 1-844-336-8951 or visiting amplifonusa.com/lp/pshb

 Call the UPMC Health Plan Health Care Concierge team at 1-877-648-9641 (TTY: 711).

*These benefits are neither offered nor guaranteed under contract with the PSHB program, but they are made available to all enrollees and family members who become members of UPMC Health Plan.

1A hearing exam is performed to establish your range of hearing. Specialized test equipment is used to determine if you have hearing loss, the cause of your hearing loss, the degree of hearing loss in each ear, and the best treatment options for your hearing loss.

2A hearing aid evaluation test is performed to determine which hearing aid(s) you may require.

3A conformity evaluation is performed to measure and quantify hearing aid function and benefit.