upmc for you eligibility


What are the UPMC forms 2019-2020?

UPMC Forms 2019-2020 Parent-Guardian Release Form – Family Health Center Free Inhaler Program Consent for Treatment, Payment and Health Care Operations Personal Representative Designation Medical Consent Evaluation Authorization for Release of Protected Health Information MyUPMC Pediatric Proxy Request English Chinese Nepali Russian Spanish

Who is eligible for UPMC community healthchoices?

Individuals are eligible for UPMC Community HealthChoices if they are 21 years old or older, live in Pennsylvania and: Dual eligible for Medicare and Medical Assistance (with or without LTSS); OR Eligible for Medical Assistance and qualify for LTSS because they need the level of care provided by a nursing facility.

What happens if a member enrolls in UPMC for You?

If a member, upon enrolling in UPMC for You, is receiving services authorized by another Physical Health Managed Care Organization (PH-MCO) or by the Medical Assistance fee-for-service program, those services will continue for the length of time, quantity of services, and scope of services specified by the approved prior authorization.

Does UPMC for you cover all my health care expenses?

Read the current Caring for Younewsletter (PDF) This managed care plan may not cover all your health care expenses. If you have questions about your benefits, call the UPMC for You Health Care Concierge team at 1-800-286-4242 (TTY 711).

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