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CalPERS Health Plan Benefit Comparison Medicare Advantage Plans

For more details about the benefits provided by a specific plan, refer to that plan’s Evidence of Coverage (EOC) booklet. All benefits subject to regulatory approval.

Kaiser Permanente Senior Advantage (HMO)

Kaiser Permanente Senior Advantage Summit (HMO)

UnitedHealthcare Group Medicare Advantage (PPO)

Anthem Medicare Preferred (PPO)

Blue Shield Medicare (PPO)

Sharp Direct Advantage (HMO)

Benefits

Calendar Year Deductible

N/A

N/A

N/A

N/A

N/A

N/A

Individual

N/A

N/A

N/A

N/A

N/A

N/A

Family

Maximum Calendar Year Copay or Coinsurance (excluding pharmacy)

$1,500 (copay)

$1,500 (copay)

$1,500 (copay/coinsurance)

$1,500 (copay)

$1,500 (copay/coinsurance)

$1,500 (copay)

Individual

N/A

N/A

N/A

N/A

N/A

N/A

Family

Hospital (including Mental Health and Substance Abuse)

No Charge

No Charge

No Charge

No Charge

No Charge

No Charge

Inpatient

Outpatient Facility/ Surgery Services

$10

No Charge

No Charge

No Charge

No Charge

No Charge

Skilled Nursing Facility

No Charge

No Charge

No Charge

No Charge

No Charge

No Charge

(up to 100 days/ benefit period)

Home Health Services

No Charge

No Charge

No Charge

No Charge

No Charge

No Charge

Hospice

No Charge

No Charge

No Charge

No Charge

No Charge

No Charge

24 | 2025 Health Benefit Summary

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