Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
UPMC Health Network, Inc. (H5533)
H5533Contract
A company of UPMC Health System, sold as UPMC for Life
8 plans in 2027 (8 in 2026) · 57,753 members in September 2026
UPMC Health Network, Inc. is the UPMC Health System company that holds Medicare contract H5533, sold as UPMC for Life. In 2027 it offers 8 plans (8 in 2026); 1 of its 2026 plans is not offered in 2027. 57,753 people were in its plans in September 2026.
What plans does H5533 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| UPMC for Life PPO High Deductible RxH5533-003 | PPO | $33 | $7,550 | 17 counties | renews in fewer counties |
| UPMC for Life PPO Rx EnhancedH5533-005 | PPO | $155 | $7,550 | 17 counties | renews in fewer counties |
| UPMC for Life PPO Rx EnhancedH5533-008 | PPO | $60 | $7,550 | 18 counties | renews in more counties |
| UPMC for Life PPO Premier RxH5533-013 | PPO | $0 | $7,150 | 13 counties | renews in fewer counties |
| UPMC for Life PPO SaluteH5533-016 | PPO | $0 | $9,850 | 63 counties | renews in more counties |
| UPMC for Life Essential RxH5533-017 | PPO | $0 | $8,000 | 38 counties | renews in fewer counties |
| UPMC for Life PPO Rx ChoiceH5533-019 | PPO | $33 | $5,500 | 1 county | renews in fewer counties |
| UPMC for Life PPO Rx ChoiceH5533-020 | PPO | $43 | $7,000 | 6 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 of its plans end?
| 2026 plan | Members, Sept. 2026 | Counties in 2026 |
|---|---|---|
| UPMC for Life PPO Premier RxH5533-011 | 8,649 | 9 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which employer and union group plans does it hold?
H5533 also holds 3 group plans offered through former employers and unions, with 671 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 |
|---|---|---|---|
| H5533-801 | UPMC Employer Group | fewer than 11 | renews |
| H5533-802 | UPMC Employer Group Rx | 671 | renews |
| H5533-803 | UPMC Employer Group Rx | fewer than 11 | 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 4.5 of 5). Of its 41 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Diabetes Care – Eye Exam | 1 |
| Special Needs Plan (SNP) Care Management | 2 |
| Improving Bladder Control | 2 |
| Statin Use in Persons with Diabetes (SUPD) | 2 |
| Highest-rated measures | Stars |
|---|---|
| Medication Adherence for Cholesterol (Statins) | 5 |
| Medication Adherence for Diabetes Medications | 5 |
| MPF Price Accuracy | 5 |
| Drug Plan Quality Improvement | 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