UPMC for Life: Quality matters, Star Ratings matter

Count on UPMC for Life when it matters most.

UPMC for Life wants to again thank you for all your efforts and all the ways you’ve been there to help members and your clients. Choosing a Medicare Advantage plan is not easy. There are a multitude of options, and some come with bright, shiny objects that can appear attractive. But don’t be distracted by what looks to be the next great thing, sell the plan that you know you can trust. When it really matters, will that Medicare plan be there for you and your clients?  

Quality matters, and the Medicare Star Ratings indicate the highest level of quality. They are the ONLY plan in Pennsylvania that earned an Excellent 5 out of 5-star rating for both their HMO and PPO plans from Medicare for 2024. That’s no small feat. It means they are offering their members the highest quality access to care, coverage, and customer service.

But that’s not all. When members need to use their coverage, it just has to work. They are there for their members and they are here for you. The metrics speak for themselves – let them prove it to you.*

• Average claims payment time: 4 days
• Claims payment accuracy: 99%
• Claims payment adjustment rate: 2.7%
• Referrals are never required for in-network providers.
• No auto-denial of prior authorizations.
• Prior authorization approvals: 96.6%

‍

When you’re recommending plans, remember UPMC for Life as the plan that cares about quality and the plan that cares about you and your clients.

*The statistics listed are for Medicare Advantage/SNP medical claims. Claims Payment Accuracy is the total population of claims paid through the system automatically or through manual intervention. Claim Adjustment Rate represents the percentage of claims that required a change to the original status due to provider corrections, claim benefit changes, and human error.

‍