UPMC for Life PPO Rx: Medicare Advantage Local PPO Plan for Erie, PA Beneficiaries

UPMC for Life PPO Rx
Summary Rating:This Medicare drug plan has an average rating of 4.0
Part C Premium:
Part D Deductible:$0.00
Mail Order:No
Gap Coverage:No Gap Coverage
Formulary Drugs:3270
Plan ID:H5533-004
Plan Year:2013
Residents of:PA Residents
Plan Type:Local PPO
Regional Members:0

Plan Summary & Benefits

Healthy UPMC for Life PPO Rx, PA Senior, Medicare Advantage (Part C) Plans UPMC for Life PPO Rx (H5533-004), Medicare Advantage Preferred Provider Organization Plan, Erie County, PA

UPMC for Life PPO Rx is a Preferred Provider Organization (PPO) health insurance plan for seniors in Erie County, PA with Medicare benefits. A Medicare Advantage PPO plan gives you freedom to choose which doctors, specialists, and hospitals you visit. You can lower your costs when you use network providers. Plus, predictable copayments and coinsurance make it easier for you to budget healthcare costs.

The plan information presented on this page is a summary, but not a complete description of available benefits. Comprehensive information about the plan benefits is available from your agent.

UPMC for Life PPO Rx Monthly Premium, Erie County

The monthly premium for this healthcare plan is $88.50 plus your monthly Medicare Part B premium. Most Medicare Beneficiaries pay the standard monthly Part B premium in addition to their MA or MAPD plan premium. However, some beneficiaries are required to pay slightly higher Part B and Part D premiums because of their income (over $85,000 per year for singles or $170,000 for married couples), or due to late enrollment penalties.

UPMC for Life PPO Rx, Erie County Summary of Benefits

NOTE: As of this publication date the Summary of Benefits information for this 2013 plan was not available from CMS. Please ask your agent for the Summary of Benefits documentation.

The Part D deductible for this plan is $0.00. That means you have first dollar coverage.

UPMC for Life PPO Rx Maximum Out of Pocket (MOOP) Benefit

The new ObamaCare (Patient Protection and Affordable Care Act) law placed a mandatory maximum limit of $6,700 on all out of pocket medical costs for Medicare Advantage plans, which is referred to as the Maximum Out of Pocket or MOOP. The MOOP does not include prescriptions and monthly premiums. The Mandatory MOOP is $6,700 but the Affordable Care Act allows for a “Voluntary MOOP” of up to $3,400. This plan's MOOP is $3,400

More Information

About The Insurer UPMC Health Plan

The summary (overall) rating for this plan is 4.0 out of 5 based on reviews from 0 user ratings from the previous year. For more information about the review process, visit http://cms.gov.


MedicareBenefits.us is not associated with the federal government. All plan information provided on this site is collected from public sources (e.g., cms.gov, carrier's website, plan brochures, etc.). Rates shown are for comparison purpose only. Contact your Medicare agent or Medicare.gov for a binding quote.