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!

The Shop Healthy Card resources and benefits vary based on plan year. For information about the current year, continue reading this page. If you’d like to learn more about what’s changing for the year ahead, visit our 2025 Shop Healthy Card page.

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

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 suppliescannotbe 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.
• Youcannotbuy 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 at1-833-293-6484(TTY: 711). Have your UPMCfor Lifemember ID card ready.
• Log in to theUPMC Health Plan member site.
• Download and log in to theUPMC Health Plan app.

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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 theMerchant Locator Toolto find retail stores near you:

• Log in to theUPMC Health plan member site.
• UnderYour Insuranceon the homepage, clickUPMCfor LifeComplete Care Shop Healthy Card. Then clickUPMCfor LifeShop Healthy Card Portal.
• Once on the portal, use theMerchant 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 theUPMC Health Plan appto scan products while you shop to see if they’re covered. To get started, log in to theUPMC Health Plan app, then tapScan Itemson 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 theUPMC Health Plan member site. On the Spending Accounts card on the homepage, click View Account Summary. Then go to the Over-the-Counter (OTC) Resources quick link and 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 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

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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 reimbursement for the cost. See the reimbursement process below.
• Youcannotuse your card to pay a landlord or request reimbursement for payments made to a landlord.

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How to submit a claim for reimbursement

• Online:
  1. Log in to the UPMC Health Plan member site.
  2. UnderYour Insuranceon the homepage, clickUPMCfor LifeComplete Care Shop Healthy Card. Then clickUPMCfor LifeShop Healthy Card Portal.
  3. Once on the portal, clickReimburse Myself.
• By fax:Fax a completedreimbursement formand proper documentation to1-844-361-4700.
• By mail:Fax a completedreimbursement formand proper documentation toUPMC Health Plan, PO Box 2784, Fargo, ND 58108.
• Mobile:
  1. Log into theUPMC Health Plan app.
  2. TapUPMCfor LifeComplete Care Shop Healthy Cardon the insurance tab, then clickSubmit 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 canfollow these steps to set up direct depositthrough the UPMCfor LifeShop 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

Additional resources

Additional documents and forms

Medicare complaint form

Medication therapy management

Language assistance

UPMC for Life Complete Care Coverage Criteria