Teammate Handbook Cover

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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

Hearing Services

Routine Hearing Exam

No Charge No Charge

No Charge No Charge

No Charge

No Charge No Charge

No Charge No Charge

No Charge No Charge 10% ($1,000 max/ 36 months)

20% 20%

Physician Services

$10

$2,000 allowance every 24 months

20% ($1,000 max/36 months)

20% ($2,000 max/24 months)

20% ($900 max/ 36 months)

$1,000 max/ 36 months

$500 max/ 12 months

Hearing Aids

Vision Care

Vision Exam

One exam per calendar year

One exam per calendar year

N/A

20%

No Charge

No Charge

$10

Eyeglasses

One set of frames during a 24-month period; $30 maximum allowance

One set of frames during a 24-month period; $30 maximum allowance

20% ($40 maximum allowance)

No Charge

No Charge

No Charge

N/A

Contact Lenses

20% ($40 maximum allowance)

$100 maximum allowance

$100 maximum allowance

No Charge

No Charge

No Charge

No Charge

Benefits Beyond Medicare (Services covered beyond Medicare coverage)

Acupuncture

$15/visit (acupuncture/ chiropractic; combined 20 visits per calendar year) $15/visit (acupuncture/ chiropractic; combined 20 visits per calendar year)

$15/visit (acupuncture/ chiropractic; combined 20 visits per calendar year) $15/visit (acupuncture/ chiropractic; combined 20 visits per calendar year)

$15/visit (acupuncture/ chiropractic;

$15/visit (acupuncture/ chiropractic;

$15/visit (acupuncture/ chiropractic;

20%

20%

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;

$15/visit (acupuncture/ chiropractic;

20%

20%

combined 20 visits per calendar year)

combined 20 visits per calendar year)

combined 20 visits per calendar year)

2023 Health Benefit Summary | 31

Made with FlippingBook Annual report