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CalPERS/Western Health Advantage Basic SBC

WEBCalPERS/Western Health Advantage Basic SBC. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and …

Actived: 9 days ago

URL: https://hr.fhda.edu/benefits/_2024/Western%20Health%20Advantage%202024%20PERS%20SBC%20with%20MOOP%20and%20Coverage%20Examples%20updates.pdf

Health Benefits Plan Enrollment for Retirees and Survivors …

WEB22.To enroll, carefully review the information in this section and check each box: I ELECT TO ENROLL in (or MAKE CHANGES TO) a health benefits plan as indicated above and …

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TUBERCULIN RISK ASSESSMENT/TB TEST INFORMATION

WEBThe purpose of this tool is to identify adults with infectious tuberculosis (TB) to prevent them from spreading TB. Use of this risk assessment is required in the California Education …

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Health Program Guide

WEBAbout This Publication The Health Program Guide describes CalPERS Basic health plan eligibility, enrollment, and choices. It provides an overview of CalPERS health plan …

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Anthem Blue Cross: PERSCare Basic PPO Plan for CalPERS

WEBwww.optumrx.com /calpers or call 855-505-8110. After second fill you will pay the appropriate mail service copay for maintenance medications. 90 day supplies (OptumRx …

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Summary of Benefits What this Plan Covers & What You Pay …

WEBFor participating providers $1,500 individual / $3,000 family. $7,950 individual / $15,900 family. (Prescription Drugs) The out-of-pocket limit is the most you could pay in a year …

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Summary of Benefits and Coverage: CA Signature Value …

WEBPlan Type: HMO. $6,400 individual. a. a. The Summary of Benefits and Coverage (SBC) document will h elp you choose a health plan. The SBC shows you how you and the …

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PERS Choice Basic PPO Plan for CalPERS

WEBServices and supplies for the following outpatient surgeries are limited: Colonoscopy limited to $1,500 per procedure, Cataract surgery limited to $2,000 per procedure; Arthroscopy …

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Summary of Benefits 2024

WEBSummary of Benefits 2024 UnitedHealthcare Group Medicare Advantage Edge (PPO) Group Name (Plan Sponsor): CalPERS H2001-817-000 Look inside to …

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CalPERS Health Open Enrollment: Your Guide to Choosing a …

WEBAugust 022 Your Guide to Choosing a Health Plan Only you can decide which health plan is best for you and your family. CalPERS o˜ers a variety of Health Maintenance

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CA Seniority Plus (Employer HMO) Plan

WEB2014 Evidence of Coverage for Health Net Seniority Plus (Employer HMO) Getting started as a member 3 -- and --you do not have End-Stage Renal Disease (ESRD), with limited …

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CalPERS Medicare Enrollment Guide

WEBEnroll in a CalPERS Medicare Health Plan At Retirement. Three months before you turn 65, apply for Medicare by contacting the SSA toll free at (800) 772-1213 or TTY (800) 325 …

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CalPERS 2020 Health Premiums

WEBYou will be billed directly for this amount. 2Dental benefit is an additional $15.05 per member per month premium. You will be billed directly for this amount. 3Dental and …

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Evidence of Coverage

WEB24/7 NurseLine . Your Plan includes a 24-hour nurse assessment service to help you make decisions about your medical care. You can reach a specially trained …

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2021 Freedom to Choose

WEBCalPERS 2021 health premiums — state only Basic premium rates Single Two-party Family PERS Choice $849.23 $1,698.46 $2,208.00 PERSCare $1,111.87 $2,223.74 …

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