upmc shop healthy card (2024)

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 reimbursem*nt

How the Shop Healthy Card works

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 reimbursem*nt 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

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 reimbursem*nt.

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:

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

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.

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

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 reimbursem*nt for the cost. See the reimbursem*nt process below.
• You cannot use your card to pay a landlord or request reimbursem*nt for payments made to a landlord.

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How to submit a claim for reimbursem*nt

• 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 reimbursem*nt form and proper documentation to 1-844-361-4700.
• By mail: Fax a completed reimbursem*nt 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 Reimbursem*nt.

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 reimbursem*nt.

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