Medicare AdvantageAdministrativeMedium impact
What providers need to know about charging UPMC <em>for Life</em> Complete Care members cost sharing
UPMC Health Plan·Provider Announcement
We identified it
Jun 20, 2026
Summary
UPMC for Life Complete Care (HMO D-SNP) has changed grace period rules affecting when providers can charge cost sharing to members. This impacts billing procedures for dual-eligible special needs plan members, with specific exceptions and restrictions on cost sharing collection.
Action Required
Immediately: Billing team must review UPMC for Life Complete Care member eligibility before charging cost sharing. Access the full Provider Partner Update article to understand new grace period rules, identify which members are exempt from cost sharing charges, and update billing workflows accordingly. Train front desk staff on new cost sharing collection restrictions to avoid improper billing.