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Medicare Advantage Plan H3907-002-0 in Chester County, PA UPMC for Life HMO No Rx (HMO) • 2027

CMS Rating: ☆☆☆☆☆ (4.5 out of 5 stars*)

Plan-ID H3907-002-0 refers to UPMC for Life HMO No Rx (HMO), a Medicare Advantage Plan (Part C) offered by UPMC for Life for the 2027 plan year. This plan is a Health Maintenance Organization (HMO) model without Part D prescription drug coverage.

According to CMS enrollment data, an estimated 7,319 beneficiaries are enrolled in this plan, 0 enrollees reside in Chester County.

Last update:

UPMC for Life HMO No Rx Overview

2027 Medicare Advantage Plan Overview for H3907-002-0
Plan Overview for H3907-002-0
CMS Plan ID: H3907-002-0
Plan Type: HMO
Plan Year: 2027
Monthly Premium: $0.00
Plus your Medicare Part B premium.
Medical Deductible: $0.00
Maximum Out-of-Pocket: $6500.00 (In-Network)
Part B Give Back: −$140.00 reduction
Prescription Drug Coverage: Not Included
Additional Benefits: Dental, Vision, Hearing
Service Area: Chester County, PA
Enrollment (Nationwide): 7,319 beneficiaries
Enrollment (CMS – Local)0 beneficiaries in Chester County
Provided By: UPMC for Life
Frequently Asked Questions About UPMC for Life HMO No Rx (HMO)

Here are some of the most frequently asked questions people have about Plan ID H3907-002-0:

How much does UPMC for Life HMO No Rx cost per month?

UPMC for Life HMO No Rx has a $0.00 monthly premium for 2027. You must also continue to pay any Medicare Part B premium you owe.

What is the maximum out-of-pocket limit for UPMC for Life HMO No Rx?

The 2027 in-network maximum out-of-pocket (MOOP) limit is $6500.00. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.

How is Plan ID H3907-002-0 rated by CMS?

Contract H3907, which includes this plan, has a ★4.5 out of 5 CMS Star Rating for 2027.

What type of network does Plan ID H3907-002-0 have?

UPMC for Life HMO No Rx uses a Health Maintenance Organization (HMO) provider network.

How many people are enrolled in UPMC for Life HMO No Rx?

The most recent CMS enrollment data shows approximately 7,319 beneficiaries enrolled in Plan ID H3907-002-0.

Which insurance company offers Plan ID H3907-002-0?

UPMC for Life provides UPMC for Life HMO No Rx (HMO).

Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .

Covered Services & Costs

Office Visits

This plan lists in-network cost sharing for primary care and specialist visits, along with related office-based services.

Primary care and specialist visit costs for this plan.
Covered Service In-Network Cost
Primary: In-network: $0 copay
Specialist: In-network: $40 copay

Preventive and Wellness Services

Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.

Preventive and wellness service costs and benefits for this plan.
Covered Service In-Network Cost
Annual wellness exam: Not covered
Telehealth benefit: In-network: $0-$40 copay
Routine chiropractic: Not covered
Fitness benefits: Coming soon
Health education: Not covered
Counseling services: In-network: $0 copay
Over-the-counter drug benefits: In-network: $0 copay
Health transportation (non-emergency): Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic coverage includes in-network cost sharing for lab tests, x-rays, radiology, and other diagnostic procedures used to evaluate health conditions.

Diagnostic, laboratory, and imaging service costs for this plan.
Covered Service In-Network Cost
Diagnostic radiology services: In-network: $200 copay
Lab services: In-network: $0 copay
Outpatient x-rays: In-network: $0 copay
Diagnostic tests and procedures: In-network: $0 copay

Emergency and Urgent Care Services

Emergency and inpatient coverage includes cost sharing for urgent care, emergency room visits, ambulance transportation, hospital stays, and skilled nursing facility care.

Emergency, urgent care, hospital, ambulance, and skilled nursing costs for this plan.
Covered Service In-Network Cost
Emergency room care: $130 copay
Worldwide emergency care: Coming soon
Urgent care: $50 copay
Inpatient hospital care: Tier 1 | $495 per stay
Skilled Nursing Facility: Tier 1 | $0 per day for days 1-20 | $80 per day for days 21-100
Ground ambulance: In-network: $50-$290 copay

Mental Health Services

Mental health coverage includes in-network cost sharing for outpatient individual and group therapy, as well as inpatient psychiatric hospital care.

Mental health therapy and inpatient psychiatric care costs for this plan.
Covered Service In-Network Cost
Outpatient individual therapy: In-network: $40 copay
Outpatient group therapy: In-network: $40 copay
Inpatient psychiatric hospital care: Tier 1 | $495 per stay

Rehabilitation Services

Rehabilitation coverage includes in-network cost sharing for physical therapy, speech and language therapy, and occupational therapy services.

Physical, speech, and occupational therapy costs for this plan.
Covered Service In-Network Cost
Physical therapy and speech and language therapy: In-network: $40 copay
Occupational therapy: In-network: $40 copay

Medical Equipment and Supplies

Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.

Diabetes supplies, durable medical equipment, and prosthetic costs for this plan.
Covered Service In-Network Cost
Diabetes supplies: In-network: 0%-20% coinsurance
Durable medical equipment: In-network: 20% coinsurance
Prosthetics: In-network: 20% coinsurance

Medicare Part B Drugs

Medicare Part B drug coverage includes in-network cost sharing for chemotherapy and other medications covered under Medicare Part B.

Chemotherapy and other Medicare Part B-covered drug costs for this plan.
Covered Service In-Network Cost
Chemotherapy: In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered): In-network: 0%-20% coinsurance

Dental Services

Dental coverage includes in-network cost sharing for preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.

Preventive and comprehensive dental service costs for this plan.
Covered Service In-Network Cost
Oral exam: In-network: $0 copay
Dental x-rays: In-network: $0 copay
Cleaning: In-network: $0 copay
Periodontics: In-network: 50% coinsurance
Endodontics: In-network: 50% coinsurance
Restorative services: In-network: 50% coinsurance
Implant services: Not covered
Orthodontics: Not covered
Oral/Maxillofacial surgery: In-network: 50% coinsurance

Vision Services

Vision coverage includes in-network cost sharing for routine eye exams, contact lenses, eyeglass frames and lenses, and related eyewear services.

Routine eye exams, contact lenses, and eyewear costs for this plan.
Covered Service In-Network Cost
Routine eye exam: In-network: $0 copay
Contact lenses: In-network: $0 copay
Eyeglass frames only: Not covered
Eyeglass lenses only: Not covered
Eyeglasses (frames & lenses): In-network: $0 copay
Upgrades: In-network: $0 copay

Hearing Services

Hearing coverage includes in-network cost sharing for hearing exams, fittings and evaluations, prescription hearing aids, and over-the-counter hearing aids.

Hearing exams, fittings, and hearing aid costs for this plan.
Covered Service In-Network Cost
Hearing exam: In-network: $0 copay
Fitting/evaluation: In-network: $0 copay
Prescription hearing aids: In-network: $690-$1890 copay
OTC hearing aids: Not covered

Additional and Special Needs Services

Additional benefits may include in-network services for adult day health, palliative care, personal emergency response systems, weight management, alternative therapies, and home safety needs.

Additional and special needs service costs and benefits for this plan.
Covered Service In-Network Cost
Adult day health services: Not covered
Home-based palliative care: Not covered
Personal emergency response system: Coming soon
Weight management programs: Not covered
Wigs for chemotherapy-related hair loss: Coming soon
Alternative therapies: Not covered
Massage therapy: Not covered
Home/bathroom safety devices: In-network: $0 copay

UPMC for Life HMO No Rx covers 100% of certain preventive services as a required Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS Medicare Star Ratings

The Centers for Medicare & Medicaid Services (CMS) annually rates Medicare Advantage HMOs in nine key categories using a 5-star system. These ratings help you gauge the quality of care and service you might receive with this UPMC for Life plan.

2027 Medicare Star Ratings for Contract H3907
CMS Measure Star Rating
2027 Overall 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 ☆☆☆☆☆

Contact UPMC for Life

Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .

UPMC for Life Plan Contact Details for UPMC for Life HMO No Rx (HMO)
Contact Type Details
Website: UPMC for Life Plan Page
Opens the carrier website in a new window and enrollment information in this window.
New Members: 1-877-381-3765
Existing Members: 1-877-539-3080
Plan Address: 600 Grant Street | Pittsburgh, PA 15219

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Medicare Plan Decision Resources
Medicare Plan Data Sources and Methodology

Medicare.org independently compiles and interprets Medicare plan information using data published by the Centers for Medicare & Medicaid Services (CMS), official plan information, and other authoritative Medicare sources. The sources used for this plan are documented below.

Medicare.org is an independent Medicare information and enrollment resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program. Enrollment assistance is provided through HealthCompare, an Allstate company.

Primary CMS datasets used to compile information about Plan ID H3907-002-0
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09
Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
UPMC for Life (official source) https://www.upmchealthplan.com October 13, 2025
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
Medicare.gov Joining a plan 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025