MedicarePartD.guide

A non-government resource built from CMS public data

UPMC for Life PPO Rx Choice (PPO)

Available to residents of Lancaster County, PA for 2026. Contract H5533, plan 015, segment 4.

Plan details

Monthly premium$30.00
Drug deductible$400.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH5533-015-4
Offered byUPMC for Life
Parent organizationUPMC Health System
Formulary drugs3,772

CMS star ratings

Overall
4.5 out of 5 stars for Overall
Health plan (Part C)
4.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
4.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$0.00
Tier 325%
Tier 437%
Tier 528%

Also available in 10 other PA counties