upmc shop healthy card (2024)

upmc shop healthy card (1)

You have access to resources that can help you understand how your UPMC for Life Complete Care (HMO D-SNP) Shop Healthy Card works, where you can use your card, what types of products and services you can buy, and more!

Jump to a section:

  • How the Shop Healthy Card works
  • How to check your card balance
  • Buying OTC products and healthy foods at retail stores
  • How to get OTC products, pet care supplies, and pest control items by mail
  • How to use your card to pay for utilities
  • How to submit a claim for reimbursement

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How the Shop Healthy Card works

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Your Shop Healthy Card will be loaded with a $500 allowance at the start of each quarter (Jan. 1, April 1, July 1, and Oct. 1 depending on your plan effective date). Here are all the ways you can spend your card:

You can spend $400 per quarter on over-the-counter (OTC) products, healthy foods, pet care supplies, and pest control services and products.

OTC products and healthy foods

  • You can buy healthy foods only at participating retail stores.
  • You can buy OTC products at participating retail stores and through our mail-order catalog.

Pet care supplies

  • You can buy pet care supplies only through our mail-order catalog.
  • Pet care supplies cannot be purchased at retail stores.

Pest control services and products

  • You can buy pest control services from a professional vendor of your choice using your card. To do this, make sure the vendor accepts MasterCard.
  • You can also pay for services out-of-pocket and request reimbursement for the cost.
  • Some pest control products can also be bought through our mail-order catalog.
  • You cannot buy pest control products at retail stores.

You can spend $100 per quarter on covered utilities, including gas, water, electric, heating, sewage, and trash.

At the end of each quarter, any unused dollars will expire. This allowance will not roll over from quarter to quarter.

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How to check your card balance

  • Call our automated system 24/7 at 1-833-293-6484 (TTY: 711). Have your UPMC for Life member ID card ready.
  • Log in to MyHealth OnLine.
  • Download and log in to the UPMC Health Plan app.

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Buying OTC products and healthy foods at retail stores

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You can use your Shop Healthy Card to buy covered OTC products and healthy foods at participating retail stores. Some participating stores include Giant Eagle, Kroger, Rite Aid, Walgreens, and Walmart.

At checkout, swipe your Shop Healthy Card to pay for covered products. After swiping your card, if you still owe a remaining amount on your purchase, you can use another form of payment to complete your transaction. You can buy 50 products per transaction at participating retail stores. If you have to pay out-of-pocket for covered products, you can submit a claim for reimbursement.

You cannot use your Shop Healthy Card to buy pet care supplies or pest control products at retail stores.

How to find participating retail stores

Use the Merchant Locator Tool to find retail stores near you:

  • Log in to MyHealth OnLine.
  • Under Your Insurance on the homepage, click UPMC for Life Complete Care Shop Healthy Card. Then click UPMC for Life Shop Healthy Card Portal.
  • Once on the portal, use the Merchant Locator tool, under Tools and Support, to search our complete list of retailers.

What OTC products and healthy foods are covered at retail stores?

To make in-store shopping even easier, download the UPMC Health Plan app to scan products while you shop to see if they’re covered. To get started, log in to the UPMC Health Plan app, then tap Scan Items on the insurance tab.

Here are the types of OTC products you can buy at retail stores:

Cold and allergy

  • Allergy prevention, relief, antihistamines
  • Chest rubs
  • Cough and cold remedies
  • Decongestants
  • Humidifiers and vaporizers
  • Nasal strips and sprays
  • Throat remedies

Digestive health

  • Antacids, indigestion, and flatulence remedies
  • Diarrhea remedies
  • General gastrointestinal remedies
  • Laxatives
  • Nausea remedies
  • Motion sickness remedies

Ear and eye care

  • Ear preparations
  • Eye preparations
  • Contact lens care

First aid

  • Bandages, wraps, tapes, dressings, and kits
  • Antibiotics and antiseptics
  • Slings and supports
  • Skin remedies and protectants
  • Hand sanitizers
  • Protective gloves and face masks
  • Thermometers Insect bite relief

Foot and leg care

  • Antifungal products
  • Wart, corn, and callus treatments
  • Foot care and hygiene aids
  • Therapeutic compression hosiery

Oral care

  • Dental cleansing
  • Denture care
  • Oral care aids (nonpowered and powered)
  • Halitosis treatments
  • Ulcer treatments

Other health and wellness

  • Pain relievers
  • Sleep aids
  • Smoking deterrents
  • Diagnostic monitors

Personal care

  • Incontinence supplies
  • Disposable and nondisposable underwear
  • Pads

Sun protection

  • Sunscreen
  • After-sun care
  • Lip balm with SPF

Vitamins and dietary supplements

Here are the types of healthy foods you can buy at retail stores:

Beverages

  • Water (includes sparkling and enhanced water)
  • Juice
  • Coffee and tea
  • Isotonic sports drink

Breads and healthy grains

  • Bread
  • Rolls
  • Tortillas
  • Rice
  • Hot and cold cereals
  • Cereal and muesli bars

Dairy and dairy substitutes

  • Milk
  • Cheese
  • Eggs
  • Butter
  • Yogurt

Fruit and vegetables

  • Prepared fruits and vegetables
  • Fresh fruits and vegetables

Meat and seafood

  • Prepared meats and seafood
  • Fresh meats and seafood

Nuts and seeds

  • Prepared nuts and seeds
  • Fresh nuts and seeds
  • Trail mix

Other prepared preserved foods

  • Dairy and egg-based products
  • Dough-based products
  • Grain-based products
  • Vegetable-based products
  • Meat substitutes
  • Pasta and noodles
  • Prepared soups
  • Sandwiches, filled rolls, and wraps
  • Pickles, relishes, chutneys, and olives

Pantry staples

  • Flour
  • Spreads (peanut butter, jelly, honey)
  • Baking and cooking supplies
  • Seasonings, preservatives, and extracts
  • Herbs and spices
  • Sauces, spreads, and condiments
  • Vinegars and cooking wines

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How to get OTC products, pet care supplies, and pest control items by mail

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You can use your Shop Healthy Card to buy OTC products, pet care supplies, and pest control items through our mail-order catalog. Products ordered through mail order will be delivered by mail to your home. Here are your mail-order options:

  • Order online: There are two easy ways to access the UPMC for Life OTC website and order products:
    1. Log in to MyHealth OnLine. Under Your Insurance on the homepage, click UPMC for Life Complete Care Shop Healthy Card. Then click Visit the UPMC for Life OTC Website.
    2. Log into the UPMC Health Plan app. Tap UPMC for Life Complete Care Shop Healthy Card on the insurance tab, then click Over-the-Counter store.
  • Order by mail: See a copy of our catalog and complete an order form. Mail completed order forms to OTC Servicing Center, PO Box 526266, Miami, FL 33152-9819.
  • Order by phone: A team of experts is standing by at 1-800-688-2515 (TTY: 711) Monday through Friday from 8 a.m. to 11 p.m.

Here are some examples of the products and supplies you can buy through mail-order. See our mail-order catalog for a complete list.

OTC products

  • Allergy
  • Antacids and acid reducers
  • Digestive health
  • Cold and flu
  • Dental and denture care
  • Diabetes care
  • Eye and ear care
  • First aid
  • Nutritional supplements
  • Pain relievers and fever reducers
  • Vitamins and minerals

Pest control products

  • Crawling insect bait traps
  • Mouse traps
  • Spray for common households insects

Pet care supplies

  • Canned cat food
  • Canned dog food
  • Cat litter
  • Dry cat food
  • Dry dog food
  • Fish food
  • Grooming brush
  • Nail trimmer
  • Training pads
  • Topical flea and tick medicine

Pet care supplies and pest control products can be purchased only through mail order. You cannot buy pet care supplies or pest control products at retail stores.

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How to use your card to pay for utilities

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You can spend $100 per quarter on covered household utilities.

  • You can purchase utilities through the vendor of your choice. Use your card to pay your utility provider directly, either by mail, by phone, or online. To do this, make sure your utility provider accepts MasterCard.
  • You can also pay your utilities out-of-pocket and request reimbursement for the cost. See the reimbursement process below.
  • You cannot use your card to pay a landlord or request reimbursement for payments made to a landlord.

Covered utilities

  • Electric
  • Gas
  • Heating
  • Sewage
  • Trash
  • Water

Services not covered

  • Cell phone coverage
  • Internet service
  • Landlord payments
  • Rent
  • Subscription streaming services
  • TV cable

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How to submit a claim for reimbursement

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  • Online:
    1. Log in to MyHealth OnLine.
    2. Under Your Insurance on the homepage, click UPMC for Life Complete Care Shop Healthy Card. Then click UPMC for Life Shop Healthy Card Portal.
    3. Once on the portal, click Reimburse Myself.
  • By fax: Fax a completed reimbursement form and proper documentation to 1-844-361-4700.
  • By mail: Fax a completed reimbursement form and proper documentation to UPMC Health Plan, PO Box 2784, Fargo, ND 58108.
  • Mobile:
    1. Log into the UPMC Health Plan app.
    2. Tap UPMC for Life Complete Care Shop Healthy Card on the insurance tab, then click Submit Reimbursement.

Submitted claims can take up to 72 hours to process. We will reimburse you by mailing you a check. Please allow 10-14 business days to receive your mailed check. Or you can follow these steps to set up direct deposit through the UPMC for Life Shop Healthy Card Portal. After your claim is processed, please allow 24-48 hours to receive your direct deposit reimbursement.

Proper documentation for expenses includes a copy of a third-party receipt containing the following information:

  • Date service was received, or purchase made
  • Description of service or item purchased
  • Dollar amount

Unacceptable forms of documentation include the following:

  • Credit card receipts that only reflect a payment
  • Handwritten receipts
  • Copies of checks

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Additional resources

Additional documents and forms

Medicare complaint form

Medication therapy management

Language assistance

This information is not a complete description of benefits. Call 1-844-575-8241 (TTY: 711) for more information.

This information is available for free in other languages. Please call our customer service number at 1-800-606-8648 (TTY: 711).

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal. UPMC for Life is a product of and operated by UPMC Health Plan Inc., UPMC Health Network Inc., UPMC Health Benefits Inc., and UPMC Health Coverage Inc.

SilverSneakers is a registered trademark of Tivity Health Inc. SilverSneakers GO is a trademark of Tivity Health Inc. © 2023 Tivity Health Inc. All rights reserved.

UPMC for Life Complete Care (HMO D-SNP) members
Call us toll-free: 1-800-606-8648
TTY: 711

Oct. 1 – March 31:
Seven days a week from 8 a.m. to 8 p.m.

April 1 – Sept. 30:
Monday through Friday from 8 a.m. to 8 p.m., Saturday from 8 a.m. to 3 p.m.

UPMC for Life Complete Care prospective members
Call us toll-free: 1-844-575-8241
TTY: 711

Jan. 1 – Sept. 30:
Seven days a week from 8 a.m. to 8 p.m.

Oct. 1 – Dec. 31:
Seven days a week from 7 a.m. to 9 p.m.

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Last Updated: 3/6/2024

upmc shop healthy card (2024)
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