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Medicare Plans

CCPOA Medicare Supplement (Association Plan)

Western Health Advantage MyCare Select (HMO)

PERS Gold

PERS Platinum CAHP Medicare Supplement (Association Plan)

PORAC (Association Plan)

PPO Non-PPO PPO Non-PPO

BENEFITS

Calendar Year Deductible

Individual

N/A N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

Family

Maximum Calendar Year Copay or Coinsurance (excluding pharmacy)

$3,000 1 (co- insurance)

$1,500 (copay/coinsurance)

$1,500 (copay)

Individual

N/A

N/A

N/A

N/A

$4,500 (3 or more)

Family

N/A

N/A

N/A

N/A

N/A

Hospital (including Mental Health and Substance Abuse)

Inpatient

No Charge

$100/admission

No Charge

No Charge

No Charge

No Charge

Outpatient Facility/ Surgery Services

No Charge

No Charge

No Charge

No Charge

No Charge

No Charge

Skilled Nursing Facility (up to 100 days/benefit period)

No Charge

No Charge

No Charge

No Charge

No Charge

No Charge

Home Health Services

$15/visit (up to 100 visits per calendar year)

No Charge

No Charge

No Charge

No Charge

No Charge

Hospice

No Charge

No Charge

No Charge

No Charge

No Charge

No Charge

1 See EOC for additional details.

2022 Health Benefit Summary | 25

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