Medicare AdvantageCoverageMedium impact
2025 Preventative Care Rewards Program
UPMC Health Plan·Provider Announcement
We identified it
Aug 7, 2026
Summary
UPMC for Life is launching a 2025 Preventative Care Rewards Program that incentivizes eligible patients to complete preventive services including annual wellness visits (in-person or telehealth), cancer screenings, and diabetic retinal exams. Billing teams should educate providers to encourage eligible UPMC for Life patients to participate and ensure proper documentation of completed preventive services for reward eligibility tracking.
Action Required
Immediately: Billing and clinical teams should review the 2025 Preventative Care Rewards Program eligibility requirements at upmchp.us/MCSNPIncentive. Ensure providers understand which UPMC for Life patients are eligible and encourage completion of: (1) annual wellness visits via in-person or telehealth, (2) breast cancer screening, (3) colorectal cancer screening, and (4) diabetic retinal eye exams (for diabetic members only). Update encounter documentation templates to capture completion of these preventive services to support reward claim submissions. Distribute telehealth guidelines from upmchp.us/telehealthguidelines to providers discussing preventive care options. Contact UPMC Provider Services at 1-866-918-1595 or your physician account executive if clarification on eligibility or program mechanics is needed. This is a patient engagement initiative; failure to promote participation may result in missed revenue opportunities for UPMC for Life members.