UPMC for Life HMO Deductible Rx (HMO)
Available to residents of Lehigh County, PA for 2026. Contract H3907, plan 037, segment 0.
Plan details
| Monthly drug premium | $18.10 |
|---|---|
| Drug deductible | $175.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H3907-037-0 |
| Offered by | UPMC for Life |
| Parent organization | UPMC Health System |
| Formulary drugs | 3,772 |
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)
- 5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H3907 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | 25% |
| Tier 4 | 49% |
| Tier 5 | 31% |
Also available in 40 other PA counties
Plan facts come from the CMS quarterly prescription drug plan public use files.