PERS: Medicare eligible
PERS Health Insurance Program Members – Medicare Eligible
Plan benefits and cost
Benefits | UnitedHealthcare® Group Medicare Advantage (PPO) |
---|---|
Annual medical deductible |
$0 |
Annual out-of-pocket maximum |
$2,500 |
Office and clinic visits |
$15 copay for primary care $20 copay for specialist visit |
Hospital services (inpatient) |
$100 copay per day for days 1-3 $0 copay for days 4 and beyond |
Hospital services (outpatient) |
$125 copay |
Hearing aid | $2,400 hearing aid allowance per calender year* |
Calendar year pharmacy out-of-pocket maximum | $7,050 per individual |
Prescription drug coverage |
Retail up to a 31 day supply Tier 1 – Preferred Generic: $8 copay |
*Hearing aids ordered through providers other than UnitedHealthcare Hearing are not covered. |
How do I find a provider?
UnitedHealthcare® Group Medicare Advantage Retiree Plans are Preferred Provider Organization (PPO) plans. As a member of a PPO plan, you have lots of flexibility in choosing a provider. You can choose from a national network of contracted doctors and hospitals or you can use any doctor or hospital outside the network as long as they participate in Medicare and accept the plan. And remember, in-network or out-of-network, you pay the same!
Do I have prescription drug coverage?
See if your plan offers prescription drug coverage and learn about your options.
Frequently asked questions
Obtain answers to commonly asked questions related to Medicare, your plan, and UnitedHealthcare by clicking here.
Who do I contact with additional questions?
For general benefit questions prior to enrollment, call 1-844-884-1850, 6 a.m. – 8 p.m. PT, Monday - Friday. TTY users, call 711.