UPMC for Life HMO No Rx (HMO) CY2027
Offered by UPMC Health System (company name as listed by CMS) · Plan ID H3907-002-000 · Medicare Advantage only
Available in 2027 in: 2 counties in Ohio; 63 counties in Pennsylvania. See full service area
2027 Part C Star Rating: 4.5 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- Not listed
- Most you pay in-network in a year (MOOP)
- $6,500
- Drug deductible
- No drug coverage
- Part B giveback
- $140 a month
- Over-the-counter or benefit card
- Benefit card: $400 per year (covers Additional Days for Inpatient Hospital-Acute, Worldwide Emergency Coverage, Worldwide Urgent Coverage, Worldwide Emergency Transportation, Podiatry Services - Routine Foot Care, OTC items, Fitness Benefit, Home and Bathroom Safety Devices and Modifications)
- Extra benefits listed
- Dental, Vision, Benefit card
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Comprehensive dental, most the plan pays
- $3,000 per year
- Eyewear, most the plan pays
- $200 per year
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with UPMC for Life HMO No Rx (HMO) (H3907-002-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | Not applicable | Not applicable |
| Most you pay in-network (MOOP) | $6,000 | $6,500 |
| Drug deductible | Not applicable | Not applicable |
| Overall star rating | 4.5 out of 5 | 4.5 out of 5 |
Service area
Ohio (2)
Harrison County, Jefferson County
Pennsylvania (63)
Adams County, Allegheny County, Armstrong County, Beaver County, Bedford County, Berks County, Blair County, Bradford County, Bucks County, Butler County, Cambria County, Cameron County, Carbon County, Centre County, Chester County, Clarion County, Clearfield County, Clinton County, Columbia County, Crawford County, Cumberland County, Dauphin County, Delaware County, Elk County, Erie County, Fayette County, Forest County, Fulton County, Greene County, Huntingdon County, Indiana County, Jefferson County, Juniata County, Lancaster County, Lawrence County, Lebanon County, Lehigh County, Luzerne County, Lycoming County, McKean County, Mercer County, Mifflin County, Monroe County, Montgomery County, Montour County, Northampton County, Northumberland County, Perry County, Philadelphia County, Potter County, Snyder County, Somerset County, Sullivan County, Susquehanna County, Tioga County, Union County, Venango County, Warren County, Washington County, Wayne County, Westmoreland County, Wyoming County, York County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages