Medicare AdvantageAdministrativeMedium impact
COVID-19 vaccines; No cost share for members
UPMC Health Plan·Reimbursement
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
UPMC Health Plan continues to cover COVID-19 vaccines at no cost to members across all their plan types. Effective January 1, 2022, vaccination claims for UPMC for Life (Medicare Advantage) members must be submitted to UPMC Health Plan instead of Medicare Fee-For-Service.
Action Required
Immediately: Update billing workflow to submit all COVID-19 vaccination claims for UPMC for Life (Medicare Advantage) members directly to UPMC Health Plan, not Medicare Fee-For-Service. Billing team should verify member plan type before claim submission and update billing system routing rules accordingly.