Michigan Association of Health Plans

UPHP Advantage Adds Point of Service Benefit

Upper Peninsula Health Plan (UPHP) is excited to announce the addition of a new point-of-service (POS) feature to its UPHP Advantage (HMO-POS) Medicare Advantage plan. UPHP Advantage covers hospital insurance (Part A) and medical insurance (Part B) as well as prescription drug coverage (Part D). Dental, hearing, vision services and fitness center memberships are also included. New in 2021, UPHP Advantage will include a POS benefit that will allow coverage by out-of-network providers.

In January 2021, the POS benefit will be available at no additional cost to members enrolled in UPHP Advantage. HMO-POS works a lot like other HMO plans by requiring use of network doctors, hospitals, pharmacies, and other providers, except in urgent or emergent situations. What sets UPHP Advantage apart is that beneficiaries may now see out-of-network providers when traveling outside of Michigan’s Upper Peninsula under the POS benefit. Prior authorization is required for some services.

To learn more about Medicare and understand your options, visit http://www.uphp.com/medicare to download our FREE Medicare guide. As a reminder to those who are Medicare eligible, the Medicare Annual Election Period is Oct. 15 through Dec. 7.

Individuals who have questions can call UPHP Customer Service at 1-877-349-9324 (TTY 711), Monday through Friday from 8 a.m. to 9 p.m. Eastern Time, with weekend hours from Oct. 1 through March 31. The call is free.

Upper Peninsula Health Plan (UPHP) Advantage is an HMO-POS plan with a Medicare contract. Enrollment in UPHP depends on contract renewal. Learn more at www.uphp.com/medicare.