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
H4279Contract004Plan
HMO D-SNP · served 12 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 (H4279-004) 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. 1,215 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 | $8.10 | $0 | ▼down $8.10 |
| 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) | $5,000 a year | $4,500 a year | ▼down $500 |
| Eyewear, yearly limit (best in its area) | $575 a year | $550 a year | ▼down $25 |
| Counties served | 12 | 62 | ▲up 50 |
| 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 |
|---|---|---|
| Berks, PA | 293 | moves into H4279-007 |
| Luzerne, PA | 191 | moves into H4279-007 |
| Lehigh, PA | 190 | moves into H4279-007 |
| Lackawanna, PA | 145 | moves into H4279-007 |
| Northampton, PA | 104 | moves into H4279-007 |
| Schuylkill, PA | 79 | moves into H4279-007 |
| Monroe, PA | 66 | moves into H4279-007 |
| Wayne, PA | 43 | moves into H4279-007 |
| Carbon, PA | 31 | moves into H4279-007 |
| Susquehanna, PA | 26 | moves into H4279-007 |
| Pike, PA | 25 | moves into H4279-007 |
| Wyoming, PA | 14 | 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 Berks, 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