Does UPMC For You Need A Referral?

What does UPMC hospital stand for?

University of Pittsburgh Medical CenterThe University of Pittsburgh Medical Center (UPMC) is a $21 billion integrated global nonprofit health enterprise that has 89,000 employees, 40 hospitals with more than 8,000 licensed beds, 700 clinical locations including outpatient sites and doctors’ offices, a 3.7 million-member health insurance division, as well as ….

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.

How do I apply for UPMC for You?

Applying for enrollment in UPMC for Life is easyCall us toll-free at 1-866-400-5077 to apply for enrollment over the phone. TTY users should call 711.Apply online using our secure enrollment website.Print and mail your enrollment application. Click on the enrollment application for your area to download and print.

Is UPMC good health insurance?

When you are in Pittsburgh, the best health plan you should choose is UPMC. You can see their hospitals everywhere in western Pennsylvania. You can set up an appointment with doctors with specialties easily through myUPMC. And the insurance really gets you the best rate regarding the services you received.

Does UPMC cover gym memberships?

UPMC Health Plan members are eligible for discounts for gym memberships (and sometimes even waived initiation fees), discounts on fitness products such as bike rentals, admission discounts at local museums such as the Children’s Museum of Pittsburgh and the Pittsburgh Zoo and PPG Aquarium, and more!

Is UPMC for Life Medicaid?

UPMC for Life Dual (HMO SNP) is a Medicare Advantage plan that gives you medical and prescription drug coverage. … UPMC Community HealthChoices is a Medicaid plan that provides secondary coverage for most of your medical, prescription, vision, and dental services.

Does UPMC cover flu shots?

Flu shots are available at your doctor’s office, a participating urgent care center, or any convenient local pharmacy**—including Giant Eagle and Rite Aid. When you show your health care member ID card, your shot will be free.

What all does UPMC for you cover?

UPMC for You covers doctor visits, with no copayments….Services that do not require a referral:Well-woman visit.Pregnancy/birth services.Family planning.Vision exams.Substance abuse treatment.Dental care.Behavioral health.

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, …

Is UPMC for You Medicare?

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal.

Does UPMC cover glasses?

Vision Services Routine vision exams twice a year. $100 allowance toward eyeglasses (one frame and two lenses) or toward one pair of contact lenses and fitting per year* Glasses or contact lenses to treat cataracts or aphakia (medical condition) Specialist eye exam with referral from PCP.

Does Medicaid cover Xenical?

If you have coverage through Medicaid, or have dual eligibility, meaning you have coverage through Medicaid and Medicare together, you may have coverage for Xenical. Medicaid only covers these drugs for treatment of hypertension and not as a weight loss aid.

Is UPMC for You Medicaid or Medicare?

UPMC FOR LIFE COMPLETE CARE AND UPMC COMMUNITY HEALTHCHOICES Do you qualify for both Medicare and Medicaid (Medical Assistance)? Make sure you are getting the most out of your health care plan. UPMC Health Plan has two important plans that can provide you with the coverage you need.

What is PA Enrollment Services?

PA Enrollment Services is here to help you choose the best health plans and doctors for you and your family. Behavioral health services.

Does UPMC cover dental?

The UPMC for You network includes general dentists and specialists. 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.


UPMC Premium Network (PPO) The UPMC Premium Network—our highest-priced and broadest network and it is available throughout our service area. This network allows you to use in- and out-of-network providers. The Premium Network also offers the most flexibility in terms of cost sharing.

How much does UPMC for Life cost?

The UPMC for Life HMO Deductible with Rx plan will lower its monthly plan premium to $20. UPMC for Life HMO Rx will also lower its plan premium cost to $81 per month for calendar year 2018. Each plan will feature a $3 and $2 monthly plan premium reduction, respectively, based on the Philadelphia County rates from 2017.