UPMC Community HealthChoices
Remove UPMC Community HealthChoices from comparison1-844-833-0523
(TTY: 711)
www.upmchealthplan.com/chc
To see a list of services covered by all plans, go to Physical and behavioral health benefits and Long-term services and supports.
Ambulance
Per trip - $0
Dental care - $0
Inpatient hospital
Per day - $0
Maximum with limits - $0
Medical centers
Ambulatory surgical center - $0
Federal Qualified Health Center or Regional Health Center - $0
Independent medical/surgical center - $0
Short procedure unit - $0
Medical equipment
Purchase - $0
Rental - $0
Medical visits
Certified nurse practitioner - $0
Chiropractor - $0
Doctor - $0
Optometrist - $0
Podiatrist - $0
Outpatient hospital
Per visit – outpatient surgical, except maternity - $0
Per visit – non-surgical or diagnostic - $0
Prescriptions
Generic - $0
Brand name - $3
X-rays
Per service - $0
- Beyond Medicaid covered dental services, $500 yearly allowance for certain dental services
- Beyond Medicaid covered vision services, $100 yearly allowance for glasses or contacts and one fitting every 12 months
No extra services.
- Free health coaching services
- Health & Wellness Kit mailed in Fall
- Dental Kit mailed in Spring
- Palliative care for participants without Medicare who receive LTSS in the community; requires medical necessity review
- 24/7 UPMC provider live video access for minor health issues
- Personal support services for participants who live in the community and are waiting for an LTSS eligibility decision
- Caregiver support with daily advice, coaching and a stipend instead of personal assistance services
- Help with Medical Assistance renewal process
- Up to $5000 allowance to move from a long-term nursing facility to the community & enhanced post-transition follow up
*There are no co-pays for persons living in a nursing, personal care or domiciliary home. Pregnant women, new mothers and terminally ill participants getting hospice care
have no co-pays. Some services, items and drugs have no co-pays. For co-pay updates, go to ow.ly/WGQM30hern9.