Upmc dental advantage card edu. Hearing Health Benefit. • Health care FSA participants receive a UPMC FlexAdvantage card. The plan is designed to encourage regular preventive care and UPMC Dental Advantage focuses on preventive care and encourages you and your dentist to actively work together on your treatment plan. Visit one of our participating UPMC for Life Dental Advantage providers for the following preventive benefits:. Use your dental benefit allowance first to make the most of your plan benefits. Accepting New Patients. The Member is responsible for the difference between those charges and the provider’s fee. The cards are available for UPMC employees starting January 2009 and are to be made available to UPMC Health Plan members in July 2009. You can use this card at any provider that accepts MASTERCARD. Decrease your health care costs. UPMC Western Maryland Patient Portal Services Terms and Conditions. ” You can reach out to your plan directly, using the number on your card. We work with many insurance providers and in most cases we will submit your dental insurance claims to your insurance company. Be sure to mark the outside of the envelope "confidential" or "personal. , Wednesday 8 a. UPMC for Life Plan Name CMS Plan Identifier Yearly allowance amount Extra benefits include dental, vision, hearing, free gym memberships, and the UPMC for Life Flex Spend Card, which gives you additional dollars to spend however you like on over-the-counter health care products and dental, vision, and hearing services. This is a yearly allowance and it does not roll over from year to year. Steel Tower, 14th Floor 600 Grant Street Pittsburgh, PA 15219. Plus, you UPMC for Life Complete Care Shop Healthy Card. UPMC Vision Care UPMC Dental Advantage . Reduce your payroll taxes. Medicare's annual open enrollment UPMC for Life Medicare Advantage plans are available in only two states but get above-average star ratings from CMS. Learn about UPMC's Medicare Advantage plan options, benefits, and costs. Individual Employee only Standard Dental is provided at no cost. Plus, some plans offer the UPMC for Life Flex Spend Card with additional dollars to spend however you like on dental, vision, and hearing services. 500 Grant St #232, Pittsburgh, PA 15219 Located in the Dental Advantage Newsletter Volume 9. the UPMC for Life Flex Spend Card. Learn About UPMC UPMC offer health insurance coverage, including Medicare Advantage plans, to residents of Pennsylvania and Ohio. and Wednesday from 8 a. Dental services. Discount benefit through the NVA EYE ESSENTIAL™ Plan: This includes discounts on an cosmetic services. • UPMC FlexAdvantage card users have 24/7 online account access. Get more out of your health care with UPMC for Life Complete Care (HMO D-SNP) Learn about UPMC for Life Complete Care. Provider resources for the UPMC Health Plan/Skygen initiative, including documents and forms, and tips on updating your information or submitting claims. Discover the advantages of joining, and learn about resources available to you as a network UPMC for Life’s PPO plans give members the flexibility to use their dental allowance when visiting an out-of-network dental provider. Sign Up Now. If your insurance is provided through your employer, you may also want to direct this UPMC: Committed to Life Changing Medicine. Mobile Menu. The UPMC for Life Flex Spend Card gives members additional dollars to help them stay healthy and independent. TTY: 711. Benefits Resources. Members who choose the PPO Rx Choice and PPO Premier plans have out-of-network dental Dental coverage is offered through UPMC Dental Advantage. UPMC Consumer Advantage UPMC Consumer Advantage® offers many plan options and spending account choices, including qualified high-deductible health plans (QHDHPs) . You can achieve healthy teeth and gums for minimal out-of-pocket expenses by visiting your UPMC Dental Advantage dentist in Pittsburgh. UPMC . Improve employee health and productivity. HMO No Rx. 2Orthodontic coverage is subject to the medical deductible that can be found in the Medical Schedule of Benefits. TTY users should call 711. UPMC for Life PPO Salute (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by UPMC See the UPMC for Life Flex Spend Card for more details. Pharmacy Commercial Preferred Value Network . Compare UPMC for Life plans in your area. UPMC Dental Advantage does not require prior authorization for major services. Please visit UPMC Health Plan’s Provider Directory to search for a dentist. Provider Directory. MyUPMC. Contact Us Current Members. O. Dentists in our network enjoy top-notch support that makes it easier to run a successful practice. UPMC Health Plan/UPMC Dental Advantage reserves the right to determine whether a health care service meets these criteria. Policy Holder Information 3. • If enrolled in a UPMC Health Plan medical and/or dental plan, UPMC FlexAdvantage enables a high percentage of transactions to be approved without the need to submit receipts. 1Out-of-network reimbursement is based on Maximum Allowable Charges as determined by UPMC Dental Advantage. With your login, you can access the UPMC Health Plan member site and app for plan information, the RxWell® app to meet with a health coach for The UPMC Consumer Advantage Card lets you electronically access the pretax contribution you set aside in your health care flexible spending account. for Life. Specialties. Copyright ©2025. MyUPMC puts your health information right where you need it most — in your hands. Discount does not apply out-of-network or outside of Pennsylvania. They just need to provide the dentist’s office with some Dental Care Manager Supervisor Doree R. to 8 p. Dental Advantage Newsletter Volume 4. No member ID cards are required. Search by name, specialty, location, or practice name. Learn what each option offers and how they differ from each other. Members can call UPMC for You Dental Member Services at 1-888-257-0474 (TTY: 711) Monday, Tuesday, Thursday, and Friday 8 a. 40% Coinsurance after deductible . If you are enrolled in the UPMC Advantage Silver HSA $4,000/$0, UPMC Advantage Gold HSA $2,500/10%, or UPMC Advantage Catastrophic $9,200/$0 plan, UPMC AnywhereCare virtual visits will be covered at 100 percent after you meet your deductible. Members can call UPMC for You Dental Member Services at 1-888-257-0474 (TTY: 711) UPMC for Life plans include dental, vision, and hearing benefits. Claim Information 4. Outstanding customer service from our Health Care Concierge team: Our team members are dedicated to answering questions about your vision benefits as well as your medical, UPMC Dental Advantage, and UPMC Consumer Advantage benefits (if applicable). Steel Tower, 14th Floor UPMC Patient Portals Find a Doctor Create Account Log In. " You may remain anonymous. Benefits Enrollment. UPMC Dental Advantage Coverage Availability & Fees Your UPMC Dental Advantage Plan offers employees like you two options: standard and premium. ST DASOB21 UPMC Dental Advantage Find care with UPMC Health Plan's Provider Directory. Funds are placed on a UPMC Consumer Advantage debit card to pay for eligible medical and pharmacy expenses. All other options require a contribution. Use this card to help pay for out-of-pocket dental costs, like the cost for teeth whitening, dental implants, dentures, tooth extractions, root canals, bridges, crowns, or periodontal work. Additional coverage is available for bridges, crowns, and tooth removal. Two oral exams and cleanings per year With UPMC Consumer Advantage, you can choose from three distinct employee health care spending accounts. Original Medicare does not cover most prescription drugs, dental care, vision care, hearing aids, or gym memberships. You get this UPMC plans include dental coverage for exams, cleanings, and X-rays. MyHealth Matters. Novak, DMD. Contact the plan for more information. Receive the care your smile needs from caring Oakmont, PA dentists at Oakmont Advanced Dentistry. Using your UPMC for Life Flex Spend Card for dental, costs. Please refer to your UPMC Advantage medicalplan documents for benefit and eligibility details. Designing their PPO plans to encourage patients to pursue preventive care, you’ll be pleased to learn that there are unique advantages to seeing an in-network dentist, as there are no waiting periods, and no pre-authorizations are Dental Options Dental coverage is offered through UPMC Dental Advantage. Dental Advantage Newsletter Volume 2. UPMC Health Plan; En español; Find Care; Sign in/Register. You can also use your card for medical service costs, including doctor office copays. The UPMC Presbyterian Dental Center at UPMC Montefiore offers preventive and follow-up dental care. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! dental care - Find a primary care physician or specialist at UPMC. They can be used to pay for qualified medical, prescription, dental, and vison care expenses, as well as qualifying over-the-counter (OTC) health care purchases, as defined in IRS Code 213(d). Read our latest and past issues to stay up-to-date. Why you should get your free flu shot this year. Members will UPMC Dental Advantage Network Development • Be alert to possible violations of the law, regulations, U. Dental Advantage Newsletter Volume 7. our mail order catalog on our website at: upmchp. These products can: Enhance your employee benefits package. • You can buy up to 50 covered products per transaction At checkout, Choosing between a Medicare Advantage plan and a Supplement plan (Medigap) Original Medicare Parts A and B provide important health care coverage but don’t cover everything. Current Members ; More Contact Options ; Enroll. . UPMC Health Plan (choose PO Box from list below) Pittsburgh, PA 15230 Commercial, CHIP: PO Box 2999 Medicaid: PO Box 2995 Medicare: PO Box 2997 UPMC Dental Advantage: PO Box 1600 UPMC Vision Advantage: PO Box 1600 card. [ Send Feedback] If you are searching for a benefits form that is not listed below, contact your Human Resources department or call UPMC DirectLink at 1-800-994-2752 and select option 3. *UPMC for You members who are in Pennsylvania at the time of a virtual visit When using UPMC Community HealthChoices benefits, dental providers must be in the UPMC Community HealthChoices network. Qualified transportation accounts. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! UPMC for Life offers Medicare Advantage plans in areas of Pennsylvania and Ohio. 800-533-8762 Careers; Newsroom; or physician is “in-network. So can you. Q. 1, 2022) – UPMC Health Plan today announced its 2023 UPMC for Life Medicare Advantage (MA) offerings and highlighted several new resources to meet seniors’ needs while keeping health care affordable—like flexible spending cards for over-the-counter (OTC) necessities and dental, vision and hearing services. I am a: Sign In. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! UPMC Western Maryland has three patient portals for UPMC patients in western Md. Members do not need an ID card to receive treatment. Schedule an online video visit with your regular provider. to get a dentist's name or to see what dental benefits they have. Dental Advantage Newsletter Volume 5. We also treat serious dental issues to help you keep smiling. connect to your care. Plan highlights. First-time users can create an account by contacting their office Provider OnLine Account Administrator or by calling 1-800-937-0438. UPMC for Life is a product of and operated by UPMC Health Plan Inc. • Tell the dentist’s office about their UPMC Dental Advantage Discount Plan membership. UPMC for Life Announces New Benefits for Medicare Plans for 2024 with No Premium Increases Plans expand uses for the UPMC for Life Flex Spend Card for medical services, offer $2,000 more in dental allowances on most plans, and offer $0 copays for Tier 1 and Tier 2 prescriptions at preferred Find care with UPMC Health Plan's Provider Directory. You can search and compare available UPMC for Life Complete Care plans with Reward dollars are funds that are loaded on to a UPMC Consumer Advantage debit card. Please select the correct plan in the dropdown in order to verify whether your dentist participates in the network. Copay and dental allowance amounts vary by plan. Basic Dental Care (Child) 20% Coinsurance after deductible . Your current balance and Dental services. us/2024renew. 4290 William Flynn Highway, Suite 102, Allison Park, PA 15101: Daniel T. edu UPMC for Life Prospective Members Call us toll-free: 1-866-400-5077 (TTY: 711) Email: upmcmedicare@upmc. UPMC Business Advantage . Members get a monthly allowance to UPMC Health Plan’s Dental Advantage Newsletter informs dental providers quarterly updates, announcements, and news. If you require an alternative format or would like printed copies instead, please call a Health Care Concierge team at The discount is applied to the dentist’s usual and customary charges. COVERED SERVICES PREMIUM DENTAL PPO STANDARD DENTAL PPO In-Network Out-of- Network In-Network Out-of- Network Annual deductible $0 $50 Individual $150 Family $50 UPMC Health Plan - UPMC Advantage Gold $1,000/$10 - Select Network. UPMC Dental Advantage offers Basic, Standard, and Premium plan models, plus access to a vast network of dentists. UPMC for Life HMO-SNP plans also include coverage, on a rolling 6-month basis, for preventive oral examinations, cleaning, and As a participating provider, you can access valuable information online by entering your user ID and password in the login box on this page. The plan is designed to encourage regular preventive care and foster open communication between patients and dentists regarding recommended treatment plans For eligible members enrolled in a UPMC Advantage medical plan, your pediatric dental coverage will be Pediatric Dental PPO. Discount does not apply to orthodontic or cosmetic services. Pittsburgh (Oct. UPMC Consumer Advantage offers FSA, HRA, HSA, and QTA funding options. New to UPMC Health Plan? Setup your digital login to access key information 24/7. Dental Advantage Newsletter Volume 3. You can use this card at providers that accepts MasterCard, but make sure to use an in-network provider to take advantage of your plan benefits. Download Plan Brochure. Cards can be requested via your UPMC Consumer Advantage portal for noncovered spouses or children over the age of 18. Behavioral Health. $250 allowance per year to buy over-the-counter products and pay for medical service costs and dental, vision, and hearing services. Here’s an example of how it works. Search for participating providers. Experience these advantages: Personal help from an organization with award-winning customer service; Competitive fee schedule; 1Out-of-network reimbursement is based on Maximum Allowable Charges as determined by UPMC Dental Advantage. Value-added dental services cannot be combined with other insurance, including any other UPMC Dental Advantage Through UPMC Business Advantage, UPMC Health Plan is advancing the accessibility, affordability, and quality of health care in our communities . 1, 2024) – UPMC Health Plan has announced its UPMC for Life Medicare Advantage plan offerings for 2025 including a new plan with a $0 premium plan that will give members money back each month in their Social Security check. Patient Information Patient First Name Middle Last Relationship to Subscriber Self Child Spouse Other Sex Male Female Married Yes All UPMC for Life Advantage plans include preventive dental coverage. Phone: 1-800-286-4242. Representatives are available Monday, Tuesday, Thursday, and Friday from 8 a. How to use your UPMC for Life Flex Spend Card The Flex Spend Card lets you choose how to spend your health care dollars! You can spend your dollars however you like on medical service costs, OTC products, and dental, vision, and hearing services. , UPMC for You Inc. Sign in ; Register . In-Network (IN) Out-of-Network (OUT) UPMC fore Fx endd. dental, and vision expenses, plus prescription drugs that are not covered by their insurance plan. With UPMC for Life Complete Care, you’re covered for prescriptions, vision, dental, hearing, transportation, and more. Loading Please wait. 1-833-776-4532 UPMCforYouDental@upmc. Why should I choose UPMC See one of our participating dental providers to take advantage of the benefits below: $0 copay for two cleanings and two oral exams every year $0 copay for one x-ray every six months UPMC Dental Advantage offers competitive rates, convenient tools, and rapid reimbursement. What is the UPMC for Life Flex Spend Card and how does it work?. Welcome to UPMC for You! Dental ; Vision . Member Login. Request Request an Appointment Call Call Us Map View Map. • Medical service costs. Benefits We cover exams, cleanings, and fillings for all UPMC for You members. Patient Information 2. Use your card anytime you are The new plan has a $0 premium and gives members $100 back each month in their Social Security check. UPMC Consumer Advantage offers a variety of spending and reimbursement account options. Western Pa. S. For more information on dental benefits, view the UPMC for You Member Handbook. Stay happy, healthy, and covered in 2024. All UPMC for Life plans include preventive dental coverage for oral exams, cleanings, and x-rays. $300 allowance per year to buy over-the-counter products and pay for medical service costs and dental, vision, and hearing services. Policies & Procedures Manual. UPMC for Life Flex Spend Card gives members the flexibility to spend health care dollars on health needs. We Find information and frequently asked questions for UPMC patients with out-of-network products. Podiatry You also have additional dollars you can use to help pay for dental services like teeth whitening and dental implants. COVERED SERVICES PREMIUM DENTAL PPO STANDARD DENTAL PPO In-Network Out-of- Network In-Network Out-of- Network Annual deductible $0 $50 Individual $150 Family $50 Manage appointments, communicate with your doctor, pay bills, renew prescriptions, and view your medical records and lab results with MyUPMC. m. Call 412-206-6825 to make an appointment. to 6 p. Then click UPMC for Life Flex Spend Card Portal. The patient portals are: Hospital Services. Use your dental benefit allowance of $2,000 with 50% coinsurance first and then use this card second to help you pay for any additional out-of-pocket costs. , and UPMC Health Coverage Inc. UPMC Dental Advantage offers employees three options — Basic, Standard, and Premium — with a network of fully credentialed dentists. Here are some examples of dental, vision, Dental Options Dental coverage is offered through UPMC Dental Advantage. Headquartered in Pittsburgh, UPMC is a world-renowned health care provider and insurer. Participants who need help finding a dental provider, or have questions about their dental benefit, can call the UPMC Community HealthChoices HealthCare Concierge team at 1 When using UPMC Community HealthChoices benefits, dental providers must be in the UPMC Community HealthChoices network. UPMC operates 40 hospitals and more than 700 doctors’ offices and outpatient centers. 2022 Newsletters. Get a Quote Back to Plans UPMC Dental Advantage Special Investigations Unit PO Box 2968 Pittsburgh, PA 15230 . us/flex-spend-card. Learn more about the options here. For help with tradition continues with UPMC Dental Advantage. , UPMC Health Network Inc. Contact us with any questions. Find care with UPMC Health Plan's Provider Directory. UPMC Children's Pediatric Dental - Hampton. Vision services. Get care without leaving home. UPMC Health Plan Connect Centers Call 1-855-306-8834 (TTY: 711) to find the location nearest you. Forgot Learn about what makes UPMC for You unique, what’s covered with a UPMC for You plan, and extra member benefits and services. UPMC Dental Advantage 2011 Brochure (PDF) United Concordia Dental Program Brochure 2011 (PDF) Eligible Dependent Documentation UPMC Health Plan today announced its 2023 UPMC for Life Medicare Advantage (MA) offerings and highlighted several new resources to meet seniors’ needs while keeping health care affordable—like flexible UPMC Dental Advantage does not issue identification You are only permitted to balance-bill a member for cards to EHB eligible members. , UPMC Health Benefits Inc. Learn more about pharmacy, dental, vision, and medical coverage and benefits. If you are searching for a benefits form that is not listed below, contact your Human Resources department or call UPMC DirectLink at 1-800-994-2752 and select option 3. Skip to Content. UPMC Consumer • UPMC Health Benefits members should send this completed claim form and itemized bills to: UPMC Dental Advantage Claims Department P. You can also get reimbursed from your UPMC Consumer Advantage account(s) by submitting a hard copy form or online form through the UPMC Consumer Advantage portal or mobile UPMC for Life Complete Care (HMO D-SNP) plans include dental, vision, and hearing benefits. UPMC for Life The HMO D-SNP plans have a contract with the PA State Medical Assistance program. Eligible QTA expenses are for the subscriber only. provider to take advantage of your dental, vision, and hearing benefits You can search for in-network section, click UPMC for Life Flex Spend Card. ST DASOB21 UPMC Dental Advantage UPMC Dental Advantage plan highlights. UPMC for Life Flex Spend Card. Participants who need help finding a dental provider, or have questions about their dental benefit, can call the UPMC Community HealthChoices HealthCare Concierge team at 1 • UPMC Health Plan/UPMC Health Benefits members should send this completed claim form, receipts/proof of payment, and itemized bills to: UPMC Health Plan/UPMC Health Benefits Claims Department PO Box 2999 Pittsburgh, PA 15230 or fax to 412-454-8519 1. Summary of Benefits and Coverage. Find participating UPMC Community HealthChoices dental providers . In most cases, there are no claim forms to complete and file. IJPMC Health Plan Self-Funding Options Spending Accounts and Other Services Features Included With All . Claims submission and member ID cards are not required. Dental Advantage Newsletter Archive. Using your UPMC for Life Flex Spend Card for dental, but make sure to use an in-network provider to take advantage of your plan benefits. Release 5. Steel Tower, 9th Floor 600 Grant Street Pittsburgh, PA 15219 The HMO D-SNP plans have a contract with the PA State Medical Assistance program. Drug List. This information is not a complete description of benefits. View the Dental Advantage Newsletter Archive On this page you can find electronic copies of many UPMC for You resources, including documents, forms, and more. UPMC for Life Members Call us toll-free: 1-877-539-3080 (TTY: 711) Email: upmcforlifems@upmc. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! Forbes Advisor experts review UPMC for Life Medicare Advantage plans to help you determine whether it's the best provider for you. See the UPMC for Life Flex Spend Card under Extra Pitt Dental Medicine offers a number of convenient options to pay for your new dental treatment. Enrollment in UPMC for Life depends on contract renewal. Dental Advantage Newsletter Volume 6. The UPMC Health Plan Marketplace is a shopping site only for UPMC Health Plan products and is not Pennie®. That’s the advantage of UPMC Consumer Advantage. PPO Rx Choice. Use your card anytime you are Among the eligible expenses which can be paid using the MyFlex Advantage card are dental and vision expenses, braces, counseling services, psychiatric care, prescription drugs, and over-the-counter medications. Take advantage of health walks, community health fairs, flu UPMC . UPMC Health Plan, Inc. Join our UPMC Dental Advantage Provider Network. If you would like more information on UPMC AnywhereCare, please contact the UPMC for You Health Care Concierge team at 1-800-286-4242. edu UPMC Health Plan Attn: UPMC for Life U. I-JPMC MyCare Advantage UPMC Total Advantage UPMC Inside Advantage UPMC First Care. UPMC Health Plan and SKYGEN Dental Provider Quick Reference Guide (PDF) UPMC Health Plan/SKYGEN Provider Manual (PDF) We offer personalized dental care at UPMC Montefiore in Pittsburgh and UPMC Cole in Coudersport and Port Allegany, Pa. Plus, these plans offer the UPMC for Life Complete Care Shop Healthy Card with a monthly allowance to pay for over-the-counter (OTC) products, healthy foods, and household utilities. To access UPMC Health Plan’s website, please visit upmchp. UPMC Dental Advantage 2011 Brochure (PDF) United Concordia Dental Program Brochure 2011 (PDF) Eligible Dependent Documentation UPMC Dental Advantage U. We are an international health care leader — pioneering groundbreaking research, treatments, and clinical care. Dental Advantage Newsletter Volume 8. In order to participate in one of these options, your employer must offer it. Dentistry; Age Groups Seen. Skip to main content. Members can use their Flex Spend Card when they need to for things like, doctor’s office copays, fitness, over-the-counter products, and dental, vision, and hearing services. 2023 Newsletters. Box 1600 Pittsburgh, PA 15230-1600 To be completed by subscriber 1. Dental Check Up (Child) No Charge . Summary. edu Contact: Denise Hughes UPMC Health Plan 412-983-3836 Hughesdr2@upmc. Approval for coverage based upon Medical Necessity shall be made by UPMC Health Plan/UPMC Dental Advantage, at its discretion, with input from the treating provider. UPMC for You Dental Member Services 1-888-257-0474 (TTY: 711) Representatives are available Monday, Tuesday, Thursday, and Friday 8 a. Claims Submission . Using the UPMC Dental Advantage Discount Plan To receive discounted services from a UPMC Dental Advantage dentist, your employees should: • Schedule an appointment with the dentist. Here's what you need to know. qaqix wuiba fgavq pvihpz oqdpg uucnr bijfh alehtmf tfwyg snq czg zbdp skdny gniwy vyzpi
Upmc dental advantage card edu. Hearing Health Benefit. • Health care FSA participants receive a UPMC FlexAdvantage card. The plan is designed to encourage regular preventive care and UPMC Dental Advantage focuses on preventive care and encourages you and your dentist to actively work together on your treatment plan. Visit one of our participating UPMC for Life Dental Advantage providers for the following preventive benefits:. Use your dental benefit allowance first to make the most of your plan benefits. Accepting New Patients. The Member is responsible for the difference between those charges and the provider’s fee. The cards are available for UPMC employees starting January 2009 and are to be made available to UPMC Health Plan members in July 2009. You can use this card at any provider that accepts MASTERCARD. Decrease your health care costs. UPMC Western Maryland Patient Portal Services Terms and Conditions. ” You can reach out to your plan directly, using the number on your card. We work with many insurance providers and in most cases we will submit your dental insurance claims to your insurance company. Be sure to mark the outside of the envelope "confidential" or "personal. , Wednesday 8 a. UPMC for Life Plan Name CMS Plan Identifier Yearly allowance amount Extra benefits include dental, vision, hearing, free gym memberships, and the UPMC for Life Flex Spend Card, which gives you additional dollars to spend however you like on over-the-counter health care products and dental, vision, and hearing services. This is a yearly allowance and it does not roll over from year to year. Steel Tower, 14th Floor 600 Grant Street Pittsburgh, PA 15219. Plus, you UPMC for Life Complete Care Shop Healthy Card. UPMC Vision Care UPMC Dental Advantage . Reduce your payroll taxes. Medicare's annual open enrollment UPMC for Life Medicare Advantage plans are available in only two states but get above-average star ratings from CMS. Learn about UPMC's Medicare Advantage plan options, benefits, and costs. Individual Employee only Standard Dental is provided at no cost. Plus, some plans offer the UPMC for Life Flex Spend Card with additional dollars to spend however you like on dental, vision, and hearing services. 500 Grant St #232, Pittsburgh, PA 15219 Located in the Dental Advantage Newsletter Volume 9. the UPMC for Life Flex Spend Card. Learn About UPMC UPMC offer health insurance coverage, including Medicare Advantage plans, to residents of Pennsylvania and Ohio. and Wednesday from 8 a. Dental services. Discount benefit through the NVA EYE ESSENTIAL™ Plan: This includes discounts on an cosmetic services. • UPMC FlexAdvantage card users have 24/7 online account access. Get more out of your health care with UPMC for Life Complete Care (HMO D-SNP) Learn about UPMC for Life Complete Care. Provider resources for the UPMC Health Plan/Skygen initiative, including documents and forms, and tips on updating your information or submitting claims. Discover the advantages of joining, and learn about resources available to you as a network UPMC for Life’s PPO plans give members the flexibility to use their dental allowance when visiting an out-of-network dental provider. Sign Up Now. If your insurance is provided through your employer, you may also want to direct this UPMC: Committed to Life Changing Medicine. Mobile Menu. The UPMC for Life Flex Spend Card gives members additional dollars to help them stay healthy and independent. TTY: 711. Benefits Resources. Members who choose the PPO Rx Choice and PPO Premier plans have out-of-network dental Dental coverage is offered through UPMC Dental Advantage. UPMC Consumer Advantage UPMC Consumer Advantage® offers many plan options and spending account choices, including qualified high-deductible health plans (QHDHPs) . You can achieve healthy teeth and gums for minimal out-of-pocket expenses by visiting your UPMC Dental Advantage dentist in Pittsburgh. UPMC . Improve employee health and productivity. HMO No Rx. 2Orthodontic coverage is subject to the medical deductible that can be found in the Medical Schedule of Benefits. TTY users should call 711. UPMC for Life PPO Salute (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by UPMC See the UPMC for Life Flex Spend Card for more details. Pharmacy Commercial Preferred Value Network . Compare UPMC for Life plans in your area. UPMC Dental Advantage does not require prior authorization for major services. Please visit UPMC Health Plan’s Provider Directory to search for a dentist. Provider Directory. MyUPMC. Contact Us Current Members. O. Dentists in our network enjoy top-notch support that makes it easier to run a successful practice. UPMC Health Plan/UPMC Dental Advantage reserves the right to determine whether a health care service meets these criteria. Policy Holder Information 3. • If enrolled in a UPMC Health Plan medical and/or dental plan, UPMC FlexAdvantage enables a high percentage of transactions to be approved without the need to submit receipts. 1Out-of-network reimbursement is based on Maximum Allowable Charges as determined by UPMC Dental Advantage. With your login, you can access the UPMC Health Plan member site and app for plan information, the RxWell® app to meet with a health coach for The UPMC Consumer Advantage Card lets you electronically access the pretax contribution you set aside in your health care flexible spending account. for Life. Specialties. Copyright ©2025. MyUPMC puts your health information right where you need it most — in your hands. Discount does not apply out-of-network or outside of Pennsylvania. They just need to provide the dentist’s office with some Dental Care Manager Supervisor Doree R. to 8 p. Dental Advantage Newsletter Volume 4. No member ID cards are required. Search by name, specialty, location, or practice name. Learn what each option offers and how they differ from each other. Members can call UPMC for You Dental Member Services at 1-888-257-0474 (TTY: 711) Monday, Tuesday, Thursday, and Friday 8 a. 40% Coinsurance after deductible . If you are enrolled in the UPMC Advantage Silver HSA $4,000/$0, UPMC Advantage Gold HSA $2,500/10%, or UPMC Advantage Catastrophic $9,200/$0 plan, UPMC AnywhereCare virtual visits will be covered at 100 percent after you meet your deductible. Members can call UPMC for You Dental Member Services at 1-888-257-0474 (TTY: 711) UPMC for Life plans include dental, vision, and hearing benefits. Claim Information 4. Outstanding customer service from our Health Care Concierge team: Our team members are dedicated to answering questions about your vision benefits as well as your medical, UPMC Dental Advantage, and UPMC Consumer Advantage benefits (if applicable). Steel Tower, 14th Floor UPMC Patient Portals Find a Doctor Create Account Log In. " You may remain anonymous. Benefits Enrollment. UPMC Dental Advantage Coverage Availability & Fees Your UPMC Dental Advantage Plan offers employees like you two options: standard and premium. ST DASOB21 UPMC Dental Advantage Find care with UPMC Health Plan's Provider Directory. Funds are placed on a UPMC Consumer Advantage debit card to pay for eligible medical and pharmacy expenses. All other options require a contribution. Use this card to help pay for out-of-pocket dental costs, like the cost for teeth whitening, dental implants, dentures, tooth extractions, root canals, bridges, crowns, or periodontal work. Additional coverage is available for bridges, crowns, and tooth removal. Two oral exams and cleanings per year With UPMC Consumer Advantage, you can choose from three distinct employee health care spending accounts. Original Medicare does not cover most prescription drugs, dental care, vision care, hearing aids, or gym memberships. You get this UPMC plans include dental coverage for exams, cleanings, and X-rays. MyHealth Matters. Novak, DMD. Contact the plan for more information. Receive the care your smile needs from caring Oakmont, PA dentists at Oakmont Advanced Dentistry. Using your UPMC for Life Flex Spend Card for dental, costs. Please refer to your UPMC Advantage medicalplan documents for benefit and eligibility details. Designing their PPO plans to encourage patients to pursue preventive care, you’ll be pleased to learn that there are unique advantages to seeing an in-network dentist, as there are no waiting periods, and no pre-authorizations are Dental Options Dental coverage is offered through UPMC Dental Advantage. Dental Advantage Newsletter Volume 2. UPMC Health Plan; En español; Find Care; Sign in/Register. You can also use your card for medical service costs, including doctor office copays. The UPMC Presbyterian Dental Center at UPMC Montefiore offers preventive and follow-up dental care. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! dental care - Find a primary care physician or specialist at UPMC. They can be used to pay for qualified medical, prescription, dental, and vison care expenses, as well as qualifying over-the-counter (OTC) health care purchases, as defined in IRS Code 213(d). Read our latest and past issues to stay up-to-date. Why you should get your free flu shot this year. Members will UPMC Dental Advantage Network Development • Be alert to possible violations of the law, regulations, U. Dental Advantage Newsletter Volume 7. our mail order catalog on our website at: upmchp. These products can: Enhance your employee benefits package. • You can buy up to 50 covered products per transaction At checkout, Choosing between a Medicare Advantage plan and a Supplement plan (Medigap) Original Medicare Parts A and B provide important health care coverage but don’t cover everything. Current Members ; More Contact Options ; Enroll. . UPMC Health Plan (choose PO Box from list below) Pittsburgh, PA 15230 Commercial, CHIP: PO Box 2999 Medicaid: PO Box 2995 Medicare: PO Box 2997 UPMC Dental Advantage: PO Box 1600 UPMC Vision Advantage: PO Box 1600 card. [ Send Feedback] If you are searching for a benefits form that is not listed below, contact your Human Resources department or call UPMC DirectLink at 1-800-994-2752 and select option 3. *UPMC for You members who are in Pennsylvania at the time of a virtual visit When using UPMC Community HealthChoices benefits, dental providers must be in the UPMC Community HealthChoices network. Qualified transportation accounts. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! UPMC for Life offers Medicare Advantage plans in areas of Pennsylvania and Ohio. 800-533-8762 Careers; Newsroom; or physician is “in-network. So can you. Q. 1, 2022) – UPMC Health Plan today announced its 2023 UPMC for Life Medicare Advantage (MA) offerings and highlighted several new resources to meet seniors’ needs while keeping health care affordable—like flexible spending cards for over-the-counter (OTC) necessities and dental, vision and hearing services. I am a: Sign In. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! UPMC Western Maryland has three patient portals for UPMC patients in western Md. Members do not need an ID card to receive treatment. Schedule an online video visit with your regular provider. to get a dentist's name or to see what dental benefits they have. Dental Advantage Newsletter Volume 5. We also treat serious dental issues to help you keep smiling. connect to your care. Plan highlights. First-time users can create an account by contacting their office Provider OnLine Account Administrator or by calling 1-800-937-0438. UPMC for Life is a product of and operated by UPMC Health Plan Inc. • Tell the dentist’s office about their UPMC Dental Advantage Discount Plan membership. UPMC for Life Announces New Benefits for Medicare Plans for 2024 with No Premium Increases Plans expand uses for the UPMC for Life Flex Spend Card for medical services, offer $2,000 more in dental allowances on most plans, and offer $0 copays for Tier 1 and Tier 2 prescriptions at preferred Find care with UPMC Health Plan's Provider Directory. You can search and compare available UPMC for Life Complete Care plans with Reward dollars are funds that are loaded on to a UPMC Consumer Advantage debit card. Please select the correct plan in the dropdown in order to verify whether your dentist participates in the network. Copay and dental allowance amounts vary by plan. Basic Dental Care (Child) 20% Coinsurance after deductible . Your current balance and Dental services. us/2024renew. 4290 William Flynn Highway, Suite 102, Allison Park, PA 15101: Daniel T. edu UPMC for Life Prospective Members Call us toll-free: 1-866-400-5077 (TTY: 711) Email: upmcmedicare@upmc. UPMC Business Advantage . Members get a monthly allowance to UPMC Health Plan’s Dental Advantage Newsletter informs dental providers quarterly updates, announcements, and news. If you require an alternative format or would like printed copies instead, please call a Health Care Concierge team at The discount is applied to the dentist’s usual and customary charges. COVERED SERVICES PREMIUM DENTAL PPO STANDARD DENTAL PPO In-Network Out-of- Network In-Network Out-of- Network Annual deductible $0 $50 Individual $150 Family $50 UPMC Health Plan - UPMC Advantage Gold $1,000/$10 - Select Network. UPMC Dental Advantage offers Basic, Standard, and Premium plan models, plus access to a vast network of dentists. UPMC for Life HMO-SNP plans also include coverage, on a rolling 6-month basis, for preventive oral examinations, cleaning, and As a participating provider, you can access valuable information online by entering your user ID and password in the login box on this page. The plan is designed to encourage regular preventive care and foster open communication between patients and dentists regarding recommended treatment plans For eligible members enrolled in a UPMC Advantage medical plan, your pediatric dental coverage will be Pediatric Dental PPO. Discount does not apply to orthodontic or cosmetic services. Pittsburgh (Oct. UPMC Consumer Advantage offers FSA, HRA, HSA, and QTA funding options. New to UPMC Health Plan? Setup your digital login to access key information 24/7. Dental Advantage Newsletter Volume 3. You can use this card at providers that accepts MasterCard, but make sure to use an in-network provider to take advantage of your plan benefits. Download Plan Brochure. Cards can be requested via your UPMC Consumer Advantage portal for noncovered spouses or children over the age of 18. Behavioral Health. $250 allowance per year to buy over-the-counter products and pay for medical service costs and dental, vision, and hearing services. Here’s an example of how it works. Search for participating providers. Experience these advantages: Personal help from an organization with award-winning customer service; Competitive fee schedule; 1Out-of-network reimbursement is based on Maximum Allowable Charges as determined by UPMC Dental Advantage. Value-added dental services cannot be combined with other insurance, including any other UPMC Dental Advantage Through UPMC Business Advantage, UPMC Health Plan is advancing the accessibility, affordability, and quality of health care in our communities . 1, 2024) – UPMC Health Plan has announced its UPMC for Life Medicare Advantage plan offerings for 2025 including a new plan with a $0 premium plan that will give members money back each month in their Social Security check. Patient Information Patient First Name Middle Last Relationship to Subscriber Self Child Spouse Other Sex Male Female Married Yes All UPMC for Life Advantage plans include preventive dental coverage. Phone: 1-800-286-4242. Representatives are available Monday, Tuesday, Thursday, and Friday from 8 a. How to use your UPMC for Life Flex Spend Card The Flex Spend Card lets you choose how to spend your health care dollars! You can spend your dollars however you like on medical service costs, OTC products, and dental, vision, and hearing services. , UPMC for You Inc. Sign in ; Register . In-Network (IN) Out-of-Network (OUT) UPMC fore Fx endd. dental, and vision expenses, plus prescription drugs that are not covered by their insurance plan. With UPMC for Life Complete Care, you’re covered for prescriptions, vision, dental, hearing, transportation, and more. Loading Please wait. 1-833-776-4532 UPMCforYouDental@upmc. Why should I choose UPMC See one of our participating dental providers to take advantage of the benefits below: $0 copay for two cleanings and two oral exams every year $0 copay for one x-ray every six months UPMC Dental Advantage offers competitive rates, convenient tools, and rapid reimbursement. What is the UPMC for Life Flex Spend Card and how does it work?. Welcome to UPMC for You! Dental ; Vision . Member Login. Request Request an Appointment Call Call Us Map View Map. • Medical service costs. Benefits We cover exams, cleanings, and fillings for all UPMC for You members. Patient Information 2. Use your card anytime you are The new plan has a $0 premium and gives members $100 back each month in their Social Security check. UPMC Consumer Advantage offers a variety of spending and reimbursement account options. Western Pa. S. For more information on dental benefits, view the UPMC for You Member Handbook. Stay happy, healthy, and covered in 2024. All UPMC for Life plans include preventive dental coverage for oral exams, cleanings, and x-rays. $300 allowance per year to buy over-the-counter products and pay for medical service costs and dental, vision, and hearing services. Policies & Procedures Manual. UPMC for Life Flex Spend Card gives members the flexibility to spend health care dollars on health needs. We Find information and frequently asked questions for UPMC patients with out-of-network products. Podiatry You also have additional dollars you can use to help pay for dental services like teeth whitening and dental implants. COVERED SERVICES PREMIUM DENTAL PPO STANDARD DENTAL PPO In-Network Out-of- Network In-Network Out-of- Network Annual deductible $0 $50 Individual $150 Family $50 Manage appointments, communicate with your doctor, pay bills, renew prescriptions, and view your medical records and lab results with MyUPMC. m. Call 412-206-6825 to make an appointment. to 6 p. Then click UPMC for Life Flex Spend Card Portal. The patient portals are: Hospital Services. Use your dental benefit allowance of $2,000 with 50% coinsurance first and then use this card second to help you pay for any additional out-of-pocket costs. , and UPMC Health Coverage Inc. UPMC Dental Advantage offers employees three options — Basic, Standard, and Premium — with a network of fully credentialed dentists. Here are some examples of dental, vision, Dental Options Dental coverage is offered through UPMC Dental Advantage. Headquartered in Pittsburgh, UPMC is a world-renowned health care provider and insurer. Participants who need help finding a dental provider, or have questions about their dental benefit, can call the UPMC Community HealthChoices HealthCare Concierge team at 1 When using UPMC Community HealthChoices benefits, dental providers must be in the UPMC Community HealthChoices network. UPMC operates 40 hospitals and more than 700 doctors’ offices and outpatient centers. 2022 Newsletters. Get a Quote Back to Plans UPMC Dental Advantage Special Investigations Unit PO Box 2968 Pittsburgh, PA 15230 . us/flex-spend-card. Learn more about the options here. For help with tradition continues with UPMC Dental Advantage. , UPMC Health Network Inc. Contact us with any questions. Find care with UPMC Health Plan's Provider Directory. UPMC Children's Pediatric Dental - Hampton. Vision services. Get care without leaving home. UPMC Health Plan Connect Centers Call 1-855-306-8834 (TTY: 711) to find the location nearest you. Forgot Learn about what makes UPMC for You unique, what’s covered with a UPMC for You plan, and extra member benefits and services. UPMC Dental Advantage 2011 Brochure (PDF) United Concordia Dental Program Brochure 2011 (PDF) Eligible Dependent Documentation UPMC Health Plan today announced its 2023 UPMC for Life Medicare Advantage (MA) offerings and highlighted several new resources to meet seniors’ needs while keeping health care affordable—like flexible UPMC Dental Advantage does not issue identification You are only permitted to balance-bill a member for cards to EHB eligible members. , UPMC Health Benefits Inc. Learn more about pharmacy, dental, vision, and medical coverage and benefits. If you are searching for a benefits form that is not listed below, contact your Human Resources department or call UPMC DirectLink at 1-800-994-2752 and select option 3. Skip to Content. UPMC Consumer • UPMC Health Benefits members should send this completed claim form and itemized bills to: UPMC Dental Advantage Claims Department P. You can also get reimbursed from your UPMC Consumer Advantage account(s) by submitting a hard copy form or online form through the UPMC Consumer Advantage portal or mobile UPMC for Life Complete Care (HMO D-SNP) plans include dental, vision, and hearing benefits. UPMC for Life The HMO D-SNP plans have a contract with the PA State Medical Assistance program. Eligible QTA expenses are for the subscriber only. provider to take advantage of your dental, vision, and hearing benefits You can search for in-network section, click UPMC for Life Flex Spend Card. ST DASOB21 UPMC Dental Advantage UPMC Dental Advantage plan highlights. UPMC for Life Flex Spend Card. Participants who need help finding a dental provider, or have questions about their dental benefit, can call the UPMC Community HealthChoices HealthCare Concierge team at 1 • UPMC Health Plan/UPMC Health Benefits members should send this completed claim form, receipts/proof of payment, and itemized bills to: UPMC Health Plan/UPMC Health Benefits Claims Department PO Box 2999 Pittsburgh, PA 15230 or fax to 412-454-8519 1. Summary of Benefits and Coverage. Find participating UPMC Community HealthChoices dental providers . In most cases, there are no claim forms to complete and file. IJPMC Health Plan Self-Funding Options Spending Accounts and Other Services Features Included With All . Claims submission and member ID cards are not required. Dental Advantage Newsletter Archive. Using your UPMC for Life Flex Spend Card for dental, but make sure to use an in-network provider to take advantage of your plan benefits. Release 5. Steel Tower, 9th Floor 600 Grant Street Pittsburgh, PA 15219 The HMO D-SNP plans have a contract with the PA State Medical Assistance program. Drug List. This information is not a complete description of benefits. View the Dental Advantage Newsletter Archive On this page you can find electronic copies of many UPMC for You resources, including documents, forms, and more. UPMC for Life Members Call us toll-free: 1-877-539-3080 (TTY: 711) Email: upmcforlifems@upmc. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! Forbes Advisor experts review UPMC for Life Medicare Advantage plans to help you determine whether it's the best provider for you. See the UPMC for Life Flex Spend Card under Extra Pitt Dental Medicine offers a number of convenient options to pay for your new dental treatment. Enrollment in UPMC for Life depends on contract renewal. Dental Advantage Newsletter Volume 6. The UPMC Health Plan Marketplace is a shopping site only for UPMC Health Plan products and is not Pennie®. That’s the advantage of UPMC Consumer Advantage. PPO Rx Choice. Use your card anytime you are Among the eligible expenses which can be paid using the MyFlex Advantage card are dental and vision expenses, braces, counseling services, psychiatric care, prescription drugs, and over-the-counter medications. Take advantage of health walks, community health fairs, flu UPMC . UPMC Health Plan, Inc. Join our UPMC Dental Advantage Provider Network. If you would like more information on UPMC AnywhereCare, please contact the UPMC for You Health Care Concierge team at 1-800-286-4242. edu UPMC Health Plan Attn: UPMC for Life U. I-JPMC MyCare Advantage UPMC Total Advantage UPMC Inside Advantage UPMC First Care. UPMC Health Plan and SKYGEN Dental Provider Quick Reference Guide (PDF) UPMC Health Plan/SKYGEN Provider Manual (PDF) We offer personalized dental care at UPMC Montefiore in Pittsburgh and UPMC Cole in Coudersport and Port Allegany, Pa. Plus, these plans offer the UPMC for Life Complete Care Shop Healthy Card with a monthly allowance to pay for over-the-counter (OTC) products, healthy foods, and household utilities. To access UPMC Health Plan’s website, please visit upmchp. UPMC Dental Advantage 2011 Brochure (PDF) United Concordia Dental Program Brochure 2011 (PDF) Eligible Dependent Documentation UPMC Dental Advantage U. We are an international health care leader — pioneering groundbreaking research, treatments, and clinical care. Dental Advantage Newsletter Volume 8. In order to participate in one of these options, your employer must offer it. Dentistry; Age Groups Seen. Skip to main content. Members can use their Flex Spend Card when they need to for things like, doctor’s office copays, fitness, over-the-counter products, and dental, vision, and hearing services. 2023 Newsletters. Box 1600 Pittsburgh, PA 15230-1600 To be completed by subscriber 1. Dental Check Up (Child) No Charge . Summary. edu Contact: Denise Hughes UPMC Health Plan 412-983-3836 Hughesdr2@upmc. Approval for coverage based upon Medical Necessity shall be made by UPMC Health Plan/UPMC Dental Advantage, at its discretion, with input from the treating provider. UPMC for You Dental Member Services 1-888-257-0474 (TTY: 711) Representatives are available Monday, Tuesday, Thursday, and Friday 8 a. Claims Submission . Using the UPMC Dental Advantage Discount Plan To receive discounted services from a UPMC Dental Advantage dentist, your employees should: • Schedule an appointment with the dentist. Here's what you need to know. qaqix wuiba fgavq pvihpz oqdpg uucnr bijfh alehtmf tfwyg snq czg zbdp skdny gniwy vyzpi