Plans for UPMC for Life

161,302 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
UPMC for Life UPMC for Life HMO Rx Choice (HMO)
H3907-049-0
HMO $160 Yes $500 No No No No No 54,000
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0
HMO $200 No 39,200
UPMC for Life UPMC for Life HMO Deductible Rx (HMO)
H3907-037-0
HMO $100 Yes $100 No No No No No 28,190
UPMC for Life UPMC for Life HMO No Rx (HMO)
H3907-002-0
HMO $200 Yes $500 No No No No No 10,532
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-046-0
HMO $100 Yes $500 No No No No No 8,567
UPMC for Life UPMC Employer Group Rx (HMO)
H3907-802-0
HMO $0 No 4,518
UPMC for Life UPMC for Life PPO High Deductible Rx (PPO)
H5533-003-0
Local PPO $0 No 3,162
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-005-0
Local PPO $0 Yes $1,500 No No No No No 2,736
UPMC for Life UPMC for Life HMO Rx Enhanced (HMO)
H3907-006-0
HMO $0 Yes $1,500 No No No No No 2,007
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-051-0
HMO $100 Yes $500 No No No No No 1,902
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-050-0
HMO $200 Yes $500 No No No No No 1,363
UPMC for Life UPMC for Life HMO Access Rx (HMO)
H3907-056-0
HMO $160 Yes $500 No No No No No 726
UPMC for Life UPMC for Life HMO Access Rx (HMO)
H3907-055-0
HMO $160 Yes $500 No No No No No 719
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-045-0
HMO $0 Yes $1,500 No No No No No 536
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-052-0
HMO $0 Yes $1,500 No No No No No 535
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-008-0
Local PPO $100 Yes $1,500 No No No No No 504
UPMC for Life UPMC Employer Group Rx (PPO)
H5533-802-0
Local PPO $0 No 501
UPMC for Life UPMC for Life HMO Salute (HMO)
H3907-053-0
HMO $200 Yes $1,000 No No No No No 465
UPMC for Life UPMC for Life PPO Flex Rx (PPO)
H5533-011-0
Local PPO $200 Yes $500 No No No No No 316
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-007-0
Local PPO $60 Yes $1,500 No No No No No 213
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-054-0
HMO $200 Yes $500 No No No No No 211
UPMC for Life UPMC for Life PPO Rx Choice (PPO)
H5533-009-0
Local PPO $160 Yes $500 No No No No No 200
UPMC for Life UPMC for Life PPO Flex Rx (PPO)
H5533-010-0
Local PPO $200 Yes $500 No No No No No 122
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-047-0
HMO $0 No 77
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