UPMC Health System — 2026 Summaries of Benefits
| Plan | Star rating | Counties | Summary of Benefits |
|---|---|---|---|
| UPMC for Life Complete Care (HMO D-SNP) H4279-001-000 · HMO D-SNP · D-SNP | 4.0out of 5 stars, Above average | 48 | |
| UPMC for Life Complete Care (HMO D-SNP) H4279-004-000 · HMO D-SNP · D-SNP | 4.0out of 5 stars, Above average | 12 | |
| UPMC for Life Complete Care (HMO D-SNP) H7123-001-000 · HMO D-SNP · D-SNP | 3.5out of 5 stars, Average | 5 | |
| UPMC for Life HMO Deductible Rx (HMO) H3907-037-000 · HMO | 4.5out of 5 stars, Above average | 43 | PDF ↗ |
| UPMC for Life HMO No Rx (HMO) H3907-002-000 · HMO | 4.5out of 5 stars, Above average | 58 | PDF ↗ |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-001 · HMO | 4.5out of 5 stars, Above average | 14 | |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-002 · HMO | 4.5out of 5 stars, Above average | 8 | |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-003 · HMO | 4.5out of 5 stars, Above average | 4 | |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-004 · HMO | 4.5out of 5 stars, Above average | 1 | |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-005 · HMO | 4.5out of 5 stars, Above average | 1 | |
| UPMC for Life HMO Rx (HMO) H3907-058-001 · HMO | 4.5out of 5 stars, Above average | 37 | |
| UPMC for Life HMO Rx (HMO) H3907-058-002 · HMO | 4.5out of 5 stars, Above average | 5 | |
| UPMC for Life HMO Rx (HMO) H3907-058-003 · HMO | 4.5out of 5 stars, Above average | 1 | |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-001 · HMO | 4.5out of 5 stars, Above average | 1 | |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-002 · HMO | 4.5out of 5 stars, Above average | 10 | |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-003 · HMO | 4.5out of 5 stars, Above average | 8 | |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-004 · HMO | 4.5out of 5 stars, Above average | 17 | |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-005 · HMO | 4.5out of 5 stars, Above average | 5 | |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-006 · HMO | 4.5out of 5 stars, Above average | 1 | |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-007 · HMO | 4.5out of 5 stars, Above average | 1 | |
| UPMC for Life HMO Rx Enhanced (HMO) H3907-006-000 · HMO | 4.5out of 5 stars, Above average | 44 | PDF ↗ |
| UPMC for Life PPO Essential Care Rx (PPO) H5533-017-001 · PPO | 4.5out of 5 stars, Above average | 37 | |
| UPMC for Life PPO Essential Care Rx (PPO) H5533-017-002 · PPO | 4.5out of 5 stars, Above average | 5 | |
| UPMC for Life PPO High Deductible Rx (PPO) H5533-003-000 · PPO | 4.5out of 5 stars, Above average | 25 | PDF ↗ |
| UPMC for Life PPO Premier Rx (PPO) H5533-011-000 · PPO | 4.5out of 5 stars, Above average | 9 | PDF ↗ |
| UPMC for Life PPO Premier Rx (PPO) H5533-013-000 · PPO | 4.5out of 5 stars, Above average | 25 | PDF ↗ |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-001 · PPO | 4.5out of 5 stars, Above average | 1 | |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-002 · PPO | 4.5out of 5 stars, Above average | 8 | |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-003 · PPO | 4.5out of 5 stars, Above average | 9 | |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-004 · PPO | 4.5out of 5 stars, Above average | 11 | |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-006 · PPO | 4.5out of 5 stars, Above average | 1 | |
| UPMC for Life PPO Rx Enhanced (PPO) H5533-005-000 · PPO | 4.5out of 5 stars, Above average | 25 | PDF ↗ |
| UPMC for Life PPO Rx Enhanced (PPO) H5533-008-000 · PPO | 4.5out of 5 stars, Above average | 14 | PDF ↗ |
| UPMC for Life PPO Salute (PPO) H5533-016-001 · PPO | 4.5out of 5 stars, Above average | 56 | PDF ↗ |
| UPMC for Life PPO Salute (PPO) H5533-016-002 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
Need help with this plan?
Member services: HMO / PPO 1-877-539-3080 (TTY 711); Specialty Plan 1-800-606-8648
Grievances & appeals: Use Member Services
Other published numbers: Dental Advantage provider line 1-877-648-9609
Plan website: www.upmchealthplan.com/medicare/ ↗
Medicare: 1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048) · Free counseling (SHIP): 1-877-839-2675