Quick Answer: Is UPMC For You Medicare?

What kind of insurance is UPMC for You?

MedicaidUPMC for You is one of six Medicaid plans in Pennsylvania to earn an overall rating of 4 out of 5 in NCQA’s Medicaid Health Insurance Plan Ratings for 2018-2019..

What dentist takes UPMC for You?

We cover exams, cleanings, and fillings for all UPMC for You members. Avesis manages UPMC for You Dental benefits. Members can call Dental Member Services at 1-888-257-0474 to get a dentist’s name or to see what dental benefits they have.

What all does UPMC for you cover?

UPMC for You can help provide you with medical, maternity, vision, and dental care as well as no-cost or low-cost prescription drugs when you get sick. We handle all that — and much more — so you can live your life with less worry.

Where is UPMC Health Insurance accepted?

Understanding In-Network Access to UPMC UPMC provides most Highmark members with full, in-network access to UPMC hospitals, doctors, and services and accepts most major insurers, including Aetna, Cigna, Highmark, United Healthcare, and UPMC Health Plan.

Does UPMC for Life cover acupuncture?

Starting January 1, 2016, UPMC started offering acupuncture coverage for its commercial plans which include most PPO, HMO, and EPO plans. At this time, Medicare (UPMC for Life) and Medicaid (UPMC for You) plans are not covered. ​Life Balance Acupuncture is proud to be an In-Network provider with UPMC.

What does UPMC stand for?

University of Pittsburgh Medical CenterIt is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider. As part of an integrated health care delivery system, UPMC Health Plan is committed to providing its members better health, more financial security, and the peace of mind they deserve.

Is UPMC for You Medicare or Medicaid?

Medicaid/Medical Assistance Our medical assistance plan from UPMC for You has been named the #1 Medicaid plan in Pennsylvania for eight of the last 10 years.

How much does UPMC for Life cost?

In 2021, UPMC for Life will continue that commitment to reducing the financial stresses on members when accessing the health care system through the following: $0 Monthly Premium Plans—UPMC for Life offers plans with zero-dollar monthly premiums, making access to great benefits and services more affordable.

Can I use UPMC for you out of state?

Travel with a Plan If you are traveling outside UPMC Health Plan’s service area and need nonemergency care, you can: Call Member Services at 1-844-881-4146. You can also call the phone number on the back of your member ID card. A Health Care Concierge can help you find an urgent care center or a participating provider.

Is UPMC only in PA?

From hospitals to specialty and urgent care centers, UPMC provides warm, friendly patient-centered care throughout western Pennsylvania and the world. With more than 35 hospitals in Pittsburgh and beyond, UPMC combines high-tech medicine with world-class health care.

Does UPMC for Life have dental coverage?

UPMC for Life plans include preventive dental coverage for oral exams, cleanings, and x-rays. Copay and dental allowance amounts vary by plan View and compare plans by county.

Is UPMC for Life Medicare?

Plus, you get extra benefits to help you stay healthy and independent. UPMC for Life Complete Care (HMO SNP) is a Medicare Advantage plan that gives you medical and prescription drug coverage.

Which PA Medicaid plan is best?

AmeriHealth Caritas Pennsylvania–(BUSINESS WIRE)–AmeriHealth Caritas Pennsylvania, a Medical Assistance (Medicaid) managed care plan serving central and northwestern Pennsylvania and part of the AmeriHealth Caritas Family of Companies, is the top rated Medicaid plan in Pennsylvania and one of the highest-rated health insurance plans in the nation, …

Does UPMC insurance cover ambulance?

Emergency transportation and related Emergency Services provided by a licensed ambulance service constitute an Emergency Service and will be covered at the in-network level whether the service is provided by a Participating or Non- Participating Provider.

Does Pa access cover dental?

Medical Assistance covers all medically necessary dental services for enrolled children. This includes teeth cleaning, x-rays, cavity fillings, crowns and other services.

Does Medicaid cover dental for adults in PA?

If you are age 21 and older and covered by Pennsylvania’s Medical Assistance program, you likely have dental coverage. This is true whether you are covered by the ACCEESS card or a HealthChoices managed care plan.

Does UPMC cover root canals?

Dental benefits include: $0 copay for one oral exam, cleaning, and x-ray every six months. A $3,000 or $5,000 yearly allowance (depending on the plan offered in your area) for additional services like dentures, bridges, root canals, crowns, fillings and simple tooth extractions.


UPMC Premium Network (PPO)