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. 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

Made with FlippingBook Annual report