Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
UPMC for Life Complete Care is not offered under this ID in 2027
H4279Contract001Plan
HMO D-SNP · served 48 counties in Pennsylvania in 2026
Run by UPMC for You, Inc (contract H4279), sold as UPMC for Life Complete Care, owned by UPMC Health System
CMS crosswalk: members move into H4279-007
UPMC for Life Complete Care (H4279-001) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into UPMC for Life Complete Care (H4279-007), which is sold in every county it served. 36,301 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in UPMC for Life Complete Care?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $26.50 | $0 | ▼down $26.50 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Comprehensive dental, yearly limit (best in its area) | $8,250 a year | $4,500 a year | ▼down $3,750 |
| Eyewear, yearly limit (best in its area) | $575 a year | $550 a year | ▼down $25 |
| Counties served | 48 | 62 | ▲up 14 |
| Drug tier 4, non-preferred drug | 50% of the cost | 25% of the cost | ▼down 25 points |
| 14 lines do not change | |||
| Part B premium reduction, monthly (best in its area) | none | none | no change |
| Primary care visit (best in its area) | 20% of the cost | 20% of the cost | no change |
| Specialist visit (best in its area) | 20% of the cost | 20% of the cost | no change |
| Emergency room (best in its area) | 20% of the cost | 20% of the cost | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Hospital stay, in network (best in its area) | not filed | not filed | no change |
| Skilled nursing facility, in network (best in its area) | not filed | not filed | no change |
| Ground ambulance, in network (best in its area) | 20% of the cost | 20% of the cost | no change |
| Hearing aids, yearly limit for both ears (best in its area) | not offered | not offered | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $0 | $0 | no change |
| Drug tier 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
- If you do nothing
- You are moved into UPMC for Life Complete Care on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
- If you have Medicaid or Extra Help
- You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Allegheny, PA | 9,279 | moves into H4279-007 |
| Westmoreland, PA | 2,834 | moves into H4279-007 |
| Fayette, PA | 2,080 | moves into H4279-007 |
| Erie, PA | 1,779 | moves into H4279-007 |
| Washington, PA | 1,692 | moves into H4279-007 |
| Cambria, PA | 1,612 | moves into H4279-007 |
| Blair, PA | 1,200 | moves into H4279-007 |
| Beaver, PA | 1,053 | moves into H4279-007 |
| Butler, PA | 1,006 | moves into H4279-007 |
| Clearfield, PA | 907 | moves into H4279-007 |
| Indiana, PA | 895 | moves into H4279-007 |
| Mercer, PA | 878 | moves into H4279-007 |
| Lawrence, PA | 824 | moves into H4279-007 |
| Armstrong, PA | 780 | moves into H4279-007 |
| Crawford, PA | 717 | moves into H4279-007 |
| Somerset, PA | 673 | moves into H4279-007 |
| Dauphin, PA | 651 | moves into H4279-007 |
| Jefferson, PA | 620 | moves into H4279-007 |
| Venango, PA | 615 | moves into H4279-007 |
| York, PA | 585 | moves into H4279-007 |
Show the other 28 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Bedford, PA | 525 | moves into H4279-007 |
| Lancaster, PA | 519 | moves into H4279-007 |
| McKean, PA | 488 | moves into H4279-007 |
| Clarion, PA | 457 | moves into H4279-007 |
| Lycoming, PA | 438 | moves into H4279-007 |
| Cumberland, PA | 403 | moves into H4279-007 |
| Greene, PA | 393 | moves into H4279-007 |
| Elk, PA | 316 | moves into H4279-007 |
| Warren, PA | 309 | moves into H4279-007 |
| Lebanon, PA | 191 | moves into H4279-007 |
| Huntingdon, PA | 166 | moves into H4279-007 |
| Franklin, PA | 149 | moves into H4279-007 |
| Potter, PA | 148 | moves into H4279-007 |
| Adams, PA | 146 | moves into H4279-007 |
| Tioga, PA | 127 | moves into H4279-007 |
| Centre, PA | 119 | moves into H4279-007 |
| Clinton, PA | 100 | moves into H4279-007 |
| Perry, PA | 95 | moves into H4279-007 |
| Cameron, PA | 94 | moves into H4279-007 |
| Bradford, PA | 81 | moves into H4279-007 |
| Forest, PA | 69 | moves into H4279-007 |
| Mifflin, PA | 62 | moves into H4279-007 |
| Union, PA | 46 | moves into H4279-007 |
| Snyder, PA | 45 | moves into H4279-007 |
| Fulton, PA | 27 | moves into H4279-007 |
| Juniata, PA | 22 | moves into H4279-007 |
| Montour, PA | fewer than 11 | moves into H4279-007 |
| Sullivan, PA | fewer than 11 | moves into H4279-007 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Allegheny, PAThe plans you can join instead
- UPMC for Life Complete Care plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans