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CalPERS Health Plans Benefit Comparison — Medicare Plans, Continued CalPERS Health Plan Benefit Comparison— Medicare Plans, Continued
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.
Medicare Plans
Anthem Medicare Preferred (PPO)
Blue Shield Medicare (PPO)
Sharp Direct Advantage (HMO)
UnitedHealthcare Group Medicare Advantage (PPO)
Kaiser Permanente Senior Advantage Summit (HMO)
Kaiser Permanente Senior Advantage (HMO)
BENEFITS
Hearing Services Routine Hearing Exam
$10 $10
No Charge No Charge
No Charge
No Charge
No Charge
No Charge
Physician Services
$10
$10
$10
$10
$1,000 max/ 36 months
$1,000 max/ 36 months
$1,000 max/ 36 months
$1,000 max/ 36 months
$1,000 max/ 36 months
$1,000 max/ 36 months
Hearing Aids
Vision Care
Vision Exam
$10
No Charge
$10
$10
$10
$10
Eyeglasses (following cataract surgery)
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
Contact Lenses (following cataract surgery)
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
Benefits Beyond Medicare (Services covered beyond Medicare coverage) Acupuncture $15/visit (acupuncture/ chiropractic; $15/visit (acupuncture/ chiropractic;
$10/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/chiropractic;
combined 20 visits per calendar year)
combined 20 visits per calendar year)
combined 20 visits per calendar year)
combined 20 visits per calendar year)
combined 20 visits per calendar year)
combined 20 visits per calendar year)
Chiropractic
$15/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/ chiropractic;
$10/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/chiropractic;
combined 20 visits per calendar year)
combined 20 visits per calendar year)
combined 20 visits per calendar year)
combined 20 visits per calendar year)
combined 20 visits per calendar year)
combined 20 visits per calendar year)
30 | 2023 Health Benefit Summary
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