Teammate Handbook Cover
Continued on next page
Medicare Plans
CCPOA Medical Plan Medicare (PPO)
Western Health Advantage MyCare Select (HMO)
UnitedHealthcare Group Medicare Advantage Edge (PPO)
PERS Gold
PERS Platinum
CAHP Medicare Supplement (Association Plan)
PORAC (Association Plan)
PPO Non PPO
PPO Non PPO
BENEFITS
Surgery/Anesthesia
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
Physician Services (including Mental Health and Substance Abuse)
Office Visits
No Charge No Charge No Charge No Charge No Charge
No Charge No Charge No Charge No Charge No Charge
$10
No Charge No Charge No Charge No Charge No Charge
No Charge No Charge No Charge No Charge No Charge
$10
No Charge No Charge No Charge No Charge No Charge
Inpatient Visits Outpatient Visits Urgent Care Visits Preventive Services
No Charge No Charge No Charge No Charge
No Charge
$10
No Charge No Charge
Diagnostic X-Ray/Lab
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
Durable Medical Equipment
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
2023 Health Benefit Summary | 27
Made with FlippingBook flipbook maker