Industry: Health care

Herein, what is UPMC for you health insurance?

UPMC for You is a Managed Care Organization (MCO) licensed by the Pennsylvania Department of Health and the Pennsylvania Insurance Department. Through contracts with the Department of Human Services (DHS), UPMC for You offers coverage to eligible Medical Assistance recipients throughout Pennsylvania.

One may also ask, is UPMC a Medicaid plan? UPMC 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.

In respect to this, 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.

What does UPMC for You cover for dental?

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.

Related Question Answers

Is UPMC good for insurance?

UPMC for You, affiliate of UPMC Health Plan, offers high-quality care to eligible Medical Assistance recipients in 40 counties in the Commonwealth of Pennsylvania. This care is achieved by combining the benefits of a managed care organization with all the services covered by Medical Assistance.

Does UPMC for Life have dental coverage?

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

Can I use UPMC for you out of state?

You can use this service when you experience a medical emergency while traveling more than 100 miles from home—including to another country—for less than 90 days. Assist America can connect you and your covered family members to doctors, hospitals, pharmacies, and more.

Which PA Medicaid plan is best?

“Being recognized by NCQA as the top rated Medicaid health plan in Pennsylvania, and one of the highest-rated health insurance plans in the nation, speaks to the quality of care and services we offer members,” said Marge Angello, market president for AmeriHealth Caritas Pennsylvania.

How do I apply for UPMC for You?

Contact PA Enrollment Services to enroll in UPMC for You: Call PA Enrollment Services at 1-800-440-3989. TTY users should call toll-free 1-800-618-4225. Visit the PA Enrollment Services website.

Does UPMC pay for gym memberships?

With the SilverSneakers® health and wellness program, UPMC for Life members get FREE unlimited gym memberships to local participating fitness facilities. Get physically fit and stay active with these membership benefits: Unlimited FREE access to participating fitness facilities.

Does Urgent Care Take UPMC for You?

With no appointment necessary, UPMC Urgent Care centers can be a great option when you‘re seeking convenient medical services or treatments. We offer express care for minor illnesses and injuries, such as: Cold and flu. Bronchitis, earaches.

Does UPMC cover glasses?

Vision Benefits. UPMC for Life Dual (HMO SNP) members can receive routine vision coverage and an allowance for contact lenses and eyewear, including lenses and frames. Make sure you see a provider who participates in the vision provider network.

How much does UPMC for Life cost?

UPMC for Life HMO Rx will also lower its plan premium cost to $81 per month for calendar year 2018 (a $2 monthly plan premium reduction from 2017) and UPMC for Life HMO Rx Enhanced plan will have a $263 monthly plan premium (an $8 monthly plan premium increase from 2017).

Is Medicaid and medical assistance the same thing?

Both can help you pay for health care and medical expenses, but Medicare is an age-based federal health insurance program that guarantees coverage for individuals ages 65 and over and some younger people with disabilities. By contrast, Medicaid is a public assistance program for needy Americans of all ages.

Does UPMC for You need a referral?

If a member needs to see a specialist, our doctors help take care of the details. There is no paperwork to worry about. Services that do not require a referral: Well-woman visit.

What do the initials UPMC stand for?

The University of Pittsburgh Medical Center (UPMC) is a $19 billion integrated global nonprofit health enterprise that has 85,000 employees, 40 hospitals with more than 8,000 licensed beds, 600 clinical locations including outpatient sites and doctors' offices, a 3.4 million-member health insurance division, as well as

Does medical assistance cover dermatology?

Comprehensive medical insurance plans generally cover medically necessary care, which may include severe acne, skin cancer, poison ivy and other topical ailments a dermatologist can help treat. A better way to find out what health plans cover dermatology is to consult a dermatologist.

What's the number for UPMC for You?

If you are a current user and you need assistance, please e-mail MyUPMC at [email protected], or call our support line at 1-866-884-8579.

Where is UPMC headquarters?

Pittsburgh, Pennsylvania, United States

Does MedExpress take UPMC for insurance?

Insurance Accepted by MedExpress

Insurance coverage may vary by center. Please view your local center page to view accepted insurance plans for your specific location. For additional information regarding your specific plan and coverage, please contact your insurance provider directly.

How do I get a new UPMC insurance card?

Print a Temporary UPMC Member Insurance Card

You will need your member ID number to log in. If you do not have your member ID number, call Member Services at 1-888-499-6885. From the homepage, click on order new ID card under Online Services.

Does UPMC 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.