Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
UPMC Health Plan, Inc. (H3907)
H3907Contract
A company of UPMC Health System, sold as UPMC for Life
10 plans in 2027 (6 in 2026) · 124,025 members in September 2026
UPMC Health Plan, Inc. is the UPMC Health System company that holds Medicare contract H3907, sold as UPMC for Life. In 2027 it offers 10 plans (6 in 2026); every one of its 2026 plans continues in 2027. 124,025 people were in its plans in September 2026.
What plans does H3907 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| UPMC for Life HMO No RxH3907-002 | HMO | $0 | $6,500 | 65 counties | renews in more counties |
| UPMC for Life HMO Rx EnhancedH3907-006 | HMO | $295 | $7,550 | 41 counties | renews in fewer counties |
| UPMC for Life HMO Deductible RxH3907-037 | HMO | $25 | $6,000 | 19 counties | renews in fewer counties |
| UPMC for Life HMO Rx ChoiceH3907-057 | HMO | $25 to $48 | $6,000 | 37 counties | renews in fewer counties |
| UPMC for Life HMO RxH3907-058 | HMO | $90 to $100 | $4,500 | 39 counties | renews in fewer counties |
| UPMC for Life HMO Premier RxH3907-059 | HMO | $0 | $6,500 | 31 counties | renews in fewer counties |
| UPMC for Life HMO Premier RxH3907-061 | HMO | $0 | $7,150 | 4 counties | new plan |
| UPMC for Life HMO Rx ChoiceH3907-062 | HMO | $49 | $6,500 | 1 county | new plan |
| UPMC for Life HMO RxH3907-063 | HMO | $105 | $6,000 | 1 county | new plan |
| UPMC for Life Preferred RxH3907-064 | HMO | $14 | $6,000 | 3 counties | new plan |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
Which employer and union group plans does it hold?
H3907 also holds 4 group plans offered through former employers and unions, with 5,123 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H3907-801 | UPMC Employer Group | fewer than 11 | renews |
| H3907-802 | UPMC Employer Group Rx | 4,707 | renews |
| H3907-803 | UPMC Employer Group Rx | fewer than 11 | renews |
| H3907-804 | UPMC PSHB Employer Group Rx | 416 | renews |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 4.5 of 5 (health plan 4.5 of 5, drug plan 5 of 5). Of its 41 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Monitoring Physical Activity | 2 |
| Special Needs Plan (SNP) Care Management | 2 |
| Diabetes Care – Eye Exam | 2 |
| Improving Bladder Control | 2 |
| Highest-rated measures | Stars |
|---|---|
| MTM Program Completion Rate for CMR | 5 |
| Medication Adherence for Cholesterol (Statins) | 5 |
| Medication Adherence for Diabetes Medications | 5 |
| MPF Price Accuracy | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All UPMC for Life plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter