Teammate Open Enrollment 2021
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.
Medicare Plans
CCPOA Medicare Supplement (Association Plan)
Kaiser Permanente Senior Advantage
Anthem Medicare Preferred (PPO)
Sharp Direct Advantage (HMO)
UnitedHealthcare Group Medicare Advantage (PPO)
BENEFITS
Hearing Services Routine Hearing Exam
$10 $10
No Charge
No Charge
No Charge
No Charge
Physician Services
$10
$10
$10
$15
$1,000 max/ 36 months
$1,000 max/ 36 months
$1,000 max/ 36 months
$1,000 max/ 36 months
Hearing Aids
$500 max/member
Vision Care
Vision Exam
$10
$10
$10
$10
$10
Eyeglasses (following cataract surgery)
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
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)
$10/visit (acupuncture/chiropractic; combined 30 visits per calendar year)
$15/visit (acupuncture/chiropractic; combined 20 visits per calendar year)
N/A
Chiropractic
$15/visit (acupuncture/chiropractic; combined 20 visits per calendar year)
$10/visit (acupuncture/chiropractic; combined 30 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 (up to 20 visits per calendar year)
30 | 2021 Health Benefit Summary
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