PITTSBURGH, Oct. 1, 2016 /PRNewswire/ -- UPMC for Life
– the Medicare Advantage product of UPMC Health Plan – remains
committed in 2017 to offering high quality plans at premium costs
that are among the lowest in 28 counties in the Western Pennsylvania region.
UPMC for Life is offering six plans in 2017 – four HMO
plans and two PPO plans – so that Medicare-eligible members can
choose the one that best suits their needs.
All UPMC for Life Medicare Advantage members will have
access to a provider network that includes over 9,000 doctors and
86 hospitals in Pennsylvania,
including the doctors and hospitals of UPMC. For 18 years, UPMC has
been one of the top-ranked hospitals in the nation.*
All UPMC for Life HMO plans maintain an "Excellent"
accreditation from the National Committee for Quality Assurance
(NCQA), the highest honor a managed care plan can
receive.†
UPMC for Life Medicare Advantage members can also benefit
from UPMC Health Plan's Health Care Concierge program. Concierges
are local customer service representatives who are knowledgeable
about Medicare and are dedicated to answering members' questions
and to getting their problems solved with just one phone call.
For the second year in a row, UPMC Health Plan was named the
Best in Class Contact Center at the 2016 Call Center Week
Excellence Awards. The 2016 Call Center Week Excellence Awards are
a production of the International Quality & Productivity Center
(IQPC) and honor, recognize, and promote the most innovative
contact center solutions and individuals over the past year. The
awards are dedicated to recognizing superior thinking, creativity
and execution across the full spectrum of contact center
functions.
All of UPMC for Life's Medicare Advantage plans offer
more benefits than Original Medicare alone, including low copays
for primary care physician visits and complimentary membership at a
participating fitness club through
Silver&Fit™. Also, most plans will offer
preventive dental coverage.
The UPMC for Life HMO Deductible with Rx plan, UPMC
for Life's most popular plan in 2015 and 2016, will continue
to have a monthly premium of $22.
UPMC for Life HMO Rx has also kept its premium cost at
$83 per month for calendar year 2017
and UPMC for Life Rx Enhanced plan will carry a $255 monthly premium. In addition, UPMC for
Life will continue to offer a $0
premium plan (UPMC for Life HMO) that does not
include prescription drug coverage.§ This plan is
considered ideal for persons who have prescription coverage through
the Veterans Administration.
For the first time all UPMC for Life HMO members will
have full in-network coverage when traveling to the state of
Florida. That means they maintain
the same benefits and cost sharing when they see a provider in
Florida as they do at home in
Pennsylvania.
UPMC for Life PPO Rx Enhanced plan will have a monthly
premium of $137 and the UPMC for
Life PPO High Deductible with Rx plan has a $37 monthly premium.
"UPMC for Life continues to offer great coverage, great
value and security to the Medicare beneficiaries of Pennsylvania," said Diane P. Holder, President of UPMC Health Plan.
"Our members have the security and peace of mind with in-network
access to the top-ranked hospitals as well as the concierge support
of our top-quality member services."
Most UPMC for Life plans include preventive dental
coverage for cleanings and exams. The UPMC Dental Advantage
Medicare benefit includes a $15 copay
for one oral exam and cleaning every six months. It also offers a
$15 copay for one bitewing x-ray
every year.
All UPMC for Life members can take advantage of the
Silver&Fit Exercise and Healthy Aging Program. This program
provides membership at participating fitness facilities at no
additional cost to the member. Moreover, for those who prefer to
work out at home, the program provides home fitness kits including
walking, Pilates, yoga, dance, and cardio strength.
Additional benefits for all UPMC for Life plans include
Assist America, which provides help when travelling more than 100
miles from home or to a foreign country. Help is available 24 hours
a day, 365 days a year.
*U.S. News & World Report (8-2-16)
† This award was not given by Medicare. For more information
about UPMC for Life's CMS Star Rating go to
www.Medicare.gov.
§ Persons on this plan must continue to pay their Medicare Part
B premium.
This information is not a complete description of benefits.
Contact the plan for more information. Limitations, copayments, and
restrictions may apply. Benefits, premium, and/or
copayments/coinsurance may change on January
1 of each year. The provider network may change at any time.
You will receive notice when necessary.
UPMC for Life has a contract with Medicare to provide HMO
and PPO plans. 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., and UPMC Health
Benefits Inc.
About UPMC Health Plan
UPMC Health Plan, headquartered in Pittsburgh, Pa., is among the nation's
fastest-growing health plans. It is owned by UPMC, a world-renowned
health care provider. The UPMC Insurance Services Division — which
includes UPMC Health Plan, UPMC WorkPartners, LifeSolutions,
UPMC for Life, UPMC for You, UPMC for Kids,
Askesis, 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 over 2.9 million members. For
more information, visit www.upmchealthplan.com
UPMC for Life Offerings 2017 WPA
Y0069_17_0010
Accepted
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SOURCE UPMC Health Plan