Using your 2025 UPMC for Life Complete Care Shop Healthy Card

You have access to resources that can help you understand how your UPMC for Life Complete Care (HMO D-SNP) Shop Healthy Card works, where you can use your card, what types of products and services you can buy, and more!

The Shop Healthy Card resources and benefits vary based on plan year. For information about the current year, visit our 2024 Shop Healthy Card page.

Jump to a section:

• How the Shop Healthy Card works
• How to check your Shop Healthy Card balance
• Using your Shop Healthy Card at retail stores
• Using your Shop Healthy Card to buy mail-order products
• How to use your Shop Healthy Card to pay for utilities
• How to submit a claim for reimbursement
• Frequently asked questions about using your Shop Healthy Card
• Shop Healthy Card additional resources

How the Shop Healthy Card works

Your allowances will be added to your card on the first day of the month, starting on your plan effective date. Here are all the ways you can use your card:

You can spend $133 per month on over-the-counter (OTC) products and healthy foods.

• OTC products
  • You can use your card to buy covered OTC products at any of our participating retail stores, like Giant Eagle, Kroger, and Walmart. To do this you must shop in-store.
  • You can also buy OTC products from our mail-order catalog.
• Healthy foods
  • You can use your card to buy covered healthy foods at any of our participating retail stores, like Giant Eagle, Kroger, and Walmart. To do this you must shop in-store.

You can spend $34 per month on covered household utilities.

• Covered household utilities include gas, water, electric, heating, sewage, and trash.
• You can use your card to pay your utility provider directly, or you can pay your utilities out-of-pocket and submit a claim for reimbursement.

At the end of each month, any unused dollars will expire. Your allowances will not roll over from month to month.

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How to check your Shop Healthy Card balance

You can check your Shop Healthy Card balance in three easy ways:

• Call our automated system 24/7 at 1-833-293-6484 (TTY: 711).
• Have your UPMC for Life member ID card ready. You will enter your 11-digit primary member ID number to check your balance.
• Do not enter your Shop Healthy Card number to check your balance.
• Log in to the UPMC Health Plan member site.
• Download and log in to the UPMC Health Plan app.

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Using your Shop Healthy Card at retail stores

You can use your Shop Healthy Card to buy covered OTC products and healthy foods at participating retail stores, like Giant Eagle, Kroger, Rite Aid, Walgreens, and Walmart.

Remember, the Shop Healthy Card works just like a prepaid debit card. At checkout, swipe your Shop Healthy Card to pay for covered products. After swiping your card, if you still owe a remaining amount on your purchase, you can use another form of payment to complete your transaction.

You can buy 50 products per transaction at participating retail stores. If you have to pay out-of-pocket for covered products, you can submit a claim for reimbursement. You must have allowance dollars available on your card to be reimbursed.

Find participating retail stores

Use the Merchant Locator Tool to see the full list of participating retail stores and find specific retail store locations near you:

• Log in to the UPMC Health Plan member site.
• On the Spending Accounts card on the homepage, click View Account Summary. Click Shop Healthy Card Resources from quick links, then click UPMC for Life Shop Healthy Card Portal.
• Once on the portal, use the Merchant Locator tool, under Tools and Support, to search our complete list of retailers.

What products are covered at retail stores?

To make in-store shopping even easier, download the UPMC Health Plan app to scan products while you shop to see if they’re covered. To get started, log in to the UPMC Health Plan app, then tap Scan Items on the insurance tab.

Here are the types of OTC products you can buy at retail stores:

Here are the types of healthy foods you can buy at retail stores:

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Using your Shop Healthy Card to buy mail-order products

You can use your Shop Healthy Card to buy OTC products through our mail-order catalog. Products ordered through mail order will be delivered by mail to your home. Here are your mail-order options:

• Order online: There are two easy ways to access the UPMC for Life OTC website and order products:
  1. Log in to the UPMC Health Plan member site. On the Spending Accounts card on the homepage, click View Account Summary. Click Over-the-Counter (OTC) Resources from quick links, then click Visit the UPMC for Life OTC Website.
  2. Log into the UPMC Health Plan app. Tap View Account Details under UPMC for Life Complete Care Shop Healthy Card on the insurance tab, then click Over-the-Counter store.
• Order by mail: See a copy of our catalog and complete an order form. Mail completed order forms to OTC Servicing Center, PO Box 526266, Miami, FL 33152-9819.
• Order by phone: A team of experts is standing by at 1-800-688-2515 (TTY: 711) Monday through Friday from 8 a.m. to 11 p.m.

Here are some examples of the products you can buy through mail-order. See our mail-order catalog for a complete list.

OTC products

• Allergy
• Antacids and acid reducers
• Digestive health
• Cold and flu
• Dental and denture care
• Diabetes care
• Eye and ear care
• First aid
• Nutritional supplements
• Pain relievers and fever reducers
• Vitamins and minerals

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How to use your card to pay for utilities

You can spend $34 per month on covered household utilities.

• You can purchase utilities through the vendor of your choice. Use your card to pay your utility provider directly, either by mail, by phone, or online. To do this, make sure your utility provider accepts MasterCard.
• You can also pay your utilities out-of-pocket and request reimbursement for the cost. See the reimbursement process below.
• You cannot use your card to pay a landlord or request reimbursement for payments made to a landlord.

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How to submit a claim for reimbursement

• Online:
1. Log in to the UPMC Health Plan member site.
2. On the Spending Accounts card on the homepage, click View Account Summary. Click Shop Healthy Card Resources from quick links, then click UPMC for Life Shop Healthy Card Portal.
3. Once on the portal, click Reimburse Myself.
• By fax: Fax a completed reimbursement form and proper documentation to 1-844-361-4700.
• By mail: Mail a completed reimbursement form and proper documentation to UPMC Health Plan, PO Box 2784, Fargo, ND 58108.
• Mobile:
1. Log into the UPMC Health Plan app.
2. Tap View Account Details under UPMC for Life Complete Care Shop Healthy Card on the insurance tab, then click Submit Reimbursement.

Submitted claims can take up to 72 hours to process. We will reimburse you by mailing you a check. Please allow 10-14 business days to receive your mailed check. Or you can follow these steps to set up direct deposit through the UPMC for Life Shop Healthy Card Portal. After your claim is processed, please allow 24-48 hours to receive your direct deposit reimbursement.

You must include proper documentation for the expenses included on this reimbursement form. Please include copies only of your receipts. Do not send original receipts. Receipts cannot be returned to you or retrieved if lost.

Proper documentation for expenses includes a third-party receipt containing the following information:

• Date of the transaction
• Name of the merchant or store
• Name or description of the product(s) or service(s) purchased
• Dollar amount of the product(s) or service(s) purchased

Proper documentation for utility payments includes a third-party receipt that contains the following information:

• Date(s) of the utility payment
• Name of the utility provider
• Description of the utility service (for example, electric, gas, water)
• If utilities are included in your rent, an itemized receipt that breaks out the utilities from the rest of the rent costs must be included.

Unacceptable forms of documentation include the following:

• Letters from a landlord
• Credit card receipts that only reflect a payment
• Handwritten receipts
• Copies of checks
• Bills for prepaid expenses where services have not yet occurred

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Frequently asked questions about using your Shop Healthy Card

Does my allowance expire?

The Shop Healthy Card is a monthly allowance. Any unused allowance dollars will expire on the last day of the month. Your allowance will be added to your card on the first of each month.

Where can I use my Shop Healthy Card?

You can use your Shop Healthy Card to buy eligible products at participating retail stores and through our OTC mail-order catalog. You can also use your card to pay the utility provider of your choosing but to do this, the utility provider must accept MasterCard. If your utility provider does not accept Mastercard, you can pay for your utilities out-of-pocket and submit a claim for reimbursement. You must have allowance dollars available to be reimbursed.

How do I see my recent transactions?

Our digital tools are the easiest way to manage your Shop Healthy Card. You can check your account balance, see your recent transactions, submit claims, and more. You can access these tools on both the UPMC Health Plan member site and the UPMC Health Plan app.

How do I know what products are covered at retail stores?

Use our Barcode Scanner Tool while you shop! This tool is available in the UPMC Health Plan app. To use it, simply log in to the app, tap Scan Items on the Insurance tab, and then scan the product barcode to see if it’s covered. You can use the barcode scanner tool for both OTC products and healthy foods.

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Shop Healthy Card additional resources

• UPMC for Life Complete Care Shop Healthy Card Catalog
• UPMC for Life Over-the-Counter Order Form
• UPMC for Life Shop Healthy Card Reimbursement Form
• Access the UPMC for Life Shop Healthy Card Portal:
  • Log in to the UPMC Health Plan member site.
  • On the Spending Accounts card on the homepage, click View Account Summary.
  • Find the Quick Links and click Shop Healthy Card Resources. Then click UPMC for Life Shop Healthy Card Portal.
• Access the UPMC for Life OTC Store:
  • Online:
    • Log in to the UPMC Health Plan member site.
    • On the Spending Accounts card on the homepage, click View Account Summary.
    • Find the Quick Links and click Over-the-counter (OTC) Resources. Then click UPMC for Life OTC Store.
  • Mobile:
    • Log in to the UPMC Health Plan app.
    • Tap View Account Details under UPMC for Life Complete Care Shop Healthy Card on the insurance tab, then click Over-the-Counter Store.

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