Teammate Handbook Cover
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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