Teammate Handbook Cover
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
UnitedHealthcare Group Medicare Advantage Edge (PPO)
Kaiser Permanente Senior Advantage
Anthem Medicare Preferred (PPO)
Blue Shield Medicare (PPO)
Sharp Direct Advantage (HMO)
UnitedHealthcare Group Medicare Advantage (PPO)
BENEFITS
Diabetes Services Glucose monitors
10% (coinsurance)
No Charge
No Charge
No Charge
No Charge
No Charge
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
$2,000 allowance every 24 months
Hearing Aids
Vision Care
Vision Exam
$10
$10
$10
$10
$10
No Charge
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;
$15/visit (acupuncture/ chiropractic; combined 20 visits per calendar year)
$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)
Chiropractic
$15/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/ chiropractic;
$15/visit (acupuncture/ chiropractic; combined 20 visits per calendar year)
$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)
30 | 2022 Health Benefit Summary
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