If you are a watch lover who wants to have a high-quality replica watch but don't want to spend too much money, www.watchesreplica.to will be your best choice.
2023 UPMC for Life PPO Salute (PPO)
UPMC for Life PPO Salute (PPO) H5533-012 is a 2023 Medicare Advantage Plan or Part-C by UPMC for Life available to residents in Pennsylvania. This plan does not provide extra prescription drug (Part-D) coverage. UPMC for Life UPMC for Life PPO Salute (PPO) has a monthly premium of $0 and has an in-network maximum out-of-pocket limit of $5,500 (MOOP). This means that if you get sick or need a high-cost procedure the co-pays are capped once you pay
$5,500 out-of-pocket. This can be an extremely nice safety net.
UPMC for Life works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for UPMC for Life PPO Salute (PPO) you still retain Original Medicare. But you will get extra Part A (Hospital Insurance)
and Part B (Medical Insurance) coverage from UPMC for Life and not Original Medicare. With 2023 Medicare Advantage Plan you are always covered for urgently needed and emergency care. Plus, you receive all
the benefits of Original Medicare from UPMC for Life except hospice care. Original Medicare still provides you with hospice care if you sign up for
Medicare Advantage in Pennsylvania.
What type of plan is UPMC for Life PPO Salute (PPO)
UPMC for Life PPO Salute (PPO) is a Local PPO *. A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network, but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.
How much does UPMC for Life PPO Salute (PPO) cost?
Part-C Premium
A monthly premium is the fee you pay to the plan in exchange for coverage. UPMC for Life charges a $0 premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.
MOOP
The maximum out-of-pocket (MOOP) is a yearly limit on your out-of-pocket costs. UPMC for Life PPO Salute (PPO) by UPMC for Life MOOP is $5,500. Once you spend $5,500 you will pay nothing for Part A or Part B covered services. Copayments and coinsurance for Medicare approved services apply toward your out-of-pocket limit. Remember Original Medicare (Parts A and B) doesn’t have a MOOP.
2023 Summary of Benefits
The benefit information provided is a summary of what UPMC for Life PPO Salute (PPO) covers and what you pay (such as copayments and coinsurance amounts) for certain common medical events. The Summary of Benefits from UPMC for Life helps
get an idea of how much financial protection the plan is generally expected to provide for common health conditions. This section also contains information on coverage for in-network and out-of-network providers.
In 2023 the amounts for each benefit period are: $0 copay for days 1 through 20 $200 copay per day for days 21 through 100
In-Network Skilled Nursing Facility
In 2023 the amounts for each benefit period are: $0 copay for days 1 through 20 $200 copay per day for days 21 through 100
Occupational therapy visit
In-Network Rehabilitation services
20% coinsurance
Out-of-Network Rehabilitation services
20% coinsurance
Physical therapy and speech and language therapy visit
Out-of-Network Rehabilitation services
20% coinsurance
In-Network Rehabilitation services
20% coinsurance
Cleaning
Out-of-Network Preventive dental
50% coinsurance
In-Network Preventive dental
$0 copay
Dental x-ray(s)
Out-of-Network Preventive dental
50% coinsurance
In-Network Preventive dental
$0 copay
Fluoride treatment
Preventive dental
Not covered
Oral exam
Out-of-Network Preventive dental
50% coinsurance
In-Network Preventive dental
$0 copay
In-Network Preventive care
$0 copay
Out-of-Network Preventive care
$0 copay
In-Network Outpatient hospital coverage
20% coinsurance per visit
Out-of-Network Outpatient hospital coverage
20% coinsurance per visit
In-Network Other health plan deductibles?
No
Optional supplemental benefits
No
Inpatient hospital - psychiatric
In-Network Mental health services
In 2023 the amounts for each benefit period are: $1,600 deductible for days 1 through 60 $400 copay per day for days 61 through 90
Out-of-Network Mental health services
In 2023 the amounts for each benefit period are: $1,600 deductible for days 1 through 60 $400 copay per day for days 61 through 90
Outpatient group therapy visit
Out-of-Network Mental health services
20% coinsurance
In-Network Mental health services
20% coinsurance
Outpatient group therapy visit with a psychiatrist
In-Network Mental health services
20% coinsurance
Out-of-Network Mental health services
20% coinsurance
Outpatient individual therapy visit
In-Network Mental health services
20% coinsurance
Out-of-Network Mental health services
20% coinsurance
Outpatient individual therapy visit with a psychiatrist
Out-of-Network Mental health services
20% coinsurance
In-Network Mental health services
20% coinsurance
Chemotherapy
In-Network Medicare Part B drugs
20% coinsurance
Out-of-Network Medicare Part B drugs
20% coinsurance
Other Part B drugs
In-Network Medicare Part B drugs
20% coinsurance
Out-of-Network Medicare Part B drugs
20% coinsurance
Diabetes supplies
In-Network Medical equipment/supplies
0-20% coinsurance per item
Out-of-Network Medical equipment/supplies
20% coinsurance per item
Durable medical equipment (e.g., wheelchairs, oxygen)
In-Network Medical equipment/supplies
20% coinsurance per item
Out-of-Network Medical equipment/supplies
20% coinsurance per item
Prosthetics (e.g., braces, artificial limbs)
In-Network Medical equipment/supplies
20% coinsurance per item
Out-of-Network Medical equipment/supplies
20% coinsurance per item
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
$8,950 In and Out-of-network $5,500 In-network
In-Network Inpatient hospital coverage
In 2023 the amounts for each benefit period are: $1,600 deductible for days 1 through 60 $400 copay per day for days 61 through 90
Out-of-Network Inpatient hospital coverage
In 2023 the amounts for each benefit period are: $1,600 deductible for days 1 through 60 $400 copay per day for days 61 through 90
Fitting/evaluation
Out-of-Network Hearing
50% coinsurance
In-Network Hearing
$0 copay
Hearing aids
In-Network Hearing
$690-1,890 copay
Out-of-Network Hearing
$690-1,890 copay
Hearing exam
In-Network Hearing
$0 copay
Out-of-Network Hearing
20% coinsurance
Health plan deductible
$1,600 per year for inpatient hospital services and $226 for outpatient services with a total plan deductible of $1,826 per year from in-network and out-of-network providers.
Prosthodontics, other oral/maxillofacial surgery, other services
Out-of-Network Comprehensive dental
$0 copay
In-Network Comprehensive dental
$0 copay
Restorative services
In-Network Comprehensive dental
$0 copay
Out-of-Network Comprehensive dental
$0 copay
In-Network Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?
Yes, contact plan for further details
UPMC for Life PPO Salute (PPO) Reviews
Is UPMC for Life PPO Salute (PPO) a good plan? UPMC for Life PPO Salute (PPO) received a 5 overall star rating from the CMS. The CMS uses a Star Rating System to measure how well Medicare Advantage and Part D plans perform. Plans are rated on a one-to-five scale, with one star representing poor performance and five stars representing excellent performance.
Medicare Advantage with prescription drug (Part D) coverage (MA-PD) contracts are rated on up to 38 unique quality and performance measures. You can use the CMS star rating to compare UPMC For Life PPO Salute Reviews among several different plans.
2022 Overall Rating
Part C Summary Rating
Part-D Summary Rating
Staying Healthy: Screenings, Tests, Vaccines
Managing Chronic (Long Term) Conditions
Member Experience with Health Plan
Complaints and Changes in Plans Performance
Health Plan Customer Service
Drug Plan Customer Service
Complaints and Changes in the Drug Plan
Member Experience with the Drug Plan
Drug Safety and Accuracy of Drug Pricing
Staying Healthy, Screening, Testing, & Vaccines
Total Preventative Rating
Breast Cancer Screening
Colorectal Cancer Screening
Annual Flu Vaccine
Monitoring Physical Activity
Managing Chronic And Long Term Care for Older Adults
Total Rating
SNP Care Management
Medication Review
Pain Assessment
Osteoporosis Management
Diabetes Care - Eye Exam
Diabetes Care - Kidney Disease
Diabetes Care - Blood Sugar
Controlling Blood Pressure
Reducing Risk of Falling
Improving Bladder Control
Medication Reconciliation
Statin Therapy
Member Experience with H5533-012 Health Plan
Total Experience Rating
Getting Needed Care
Getting Appointments
Customer Service
Health Care Quality
Rating of Health Plan
Care Coordination
Member Complaints and Changes in Plans Performance
Total Rating
Complaints about Health Plan
Members Leaving the Plan
Health Plan Quality Improvement
Health Plan Customer Service Rating for UPMC for Life
Total Customer Service Rating
Timely Decisions About Appeals
Reviewing Appeals Decisions
Call Center, TTY, Foreign Language
Drug Plan Customer Service Ratings
Total Rating
Call Center, TTY, Foreign Language
Ratings For Member Complaints and Changes in the Drug Plans Performance
Total Rating
Complaints about the Drug Plan
Members Choosing to Leave the Plan
Drug Plan Quality Improvement
Member Experience with the Drug Plan
Total Rating
Rating of Drug Plan
Getting Needed Prescription Drugs
Drug Safety and Accuracy of Drug Pricing
Total Rating
MPF Price Accuracy
Drug Adherence for Diabetes Medications
Drug Adherence for Hypertension (RAS antagonists)
Drug Adherence for Cholesterol (Statins)
MTM Program Completion Rate for CMR
Statin with Diabetes
Coverage Area
(Click county or state to compare all available Advantage plans)
The availability of Medicare Advantage Plans will vary according to your region. This is why the Coverage Area matters in terms of Medicare eligibility. You will always be eligible for Original Medicare, but eligibility for UPMC for Life PPO Salute (PPO) requires you to live in that plan’s service area. The service area is listed below:
How much does UPMC for Life PPO Salute (PPO) cost?
UPMC for Life charges a $0 monthly premium. A monthly premium is the fee you pay to the plan in exchange for coverage. The premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.
How much is UPMC for Life PPO Salute (PPO) MOOP?
The maximum out-of-pocket (MOOP) is a yearly limit on your out-of-pocket costs. UPMC for Life PPO Salute (PPO) by UPMC for Life MOOP is $5,500. Once you spend $5,500 you will pay nothing for Part A or Part B covered services.
What type of plan is UPMC for Life PPO Salute (PPO)?
UPMC for Life PPO Salute (PPO) is a Local PPO *. A (PPO) is a Medicare plan that has contracts with a network of preferred providers. You do not need to select a primary care physician and you do not need referrals to see other providers in the network.
Is UPMC for Life PPO Salute (PPO) a good plan?
UPMC for Life PPO Salute (PPO) received a 5 overall star rating from the CMS. The CMS uses a Star Rating System to measure how well plans perform. Plans are rated on a one-to-five scale, with one star representing poor performance and five stars representing excellent performance.
Notes: Data are subject to change as contracts are finalized. For 2023, enhanced alternative may offer extra cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.
Includes 2023 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.
Site Search:
MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.
Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.
Every year, Medicare evaluates plans based on a 5-star rating system.
