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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

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 learn more about …

Category:  Health Go Health

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

WEBSummary of Benefits | Page 1 of 7 and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2024 – 12/31/2024 CA SignatureValue …

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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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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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Access+ HMO Basic Plan

WEBBSC Access + HMO Health Plan 2019 3

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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 and Coverage: CA Signature Value …

WEBCA SignatureValue Alliance HMO P5D Coverage for: Individual + Family | Plan Type: HMO. The Summary of Benefits and Coverage (SBC) document will help you choose a health …

Category:  Health Go Health

A50230-CALPERS 8-17 CalPERSOEBrochure

WEBAccess+ HMO plan Overview 5 Prescriptions2 Prescriptions for non-maintenance drugs and for the first three fills of maintenance drugs from a retail pharmacy (up to a 30-day supply)

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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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Prior Authorization Request Form

WEBThis document and others if attached contain information that is privileged, confidential and/or may contain protected health information (PHI).

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Evidence of Coverage

WEB2024 PERS Gold Plan - 1 . BENEFIT AND ADMINISTRATIVE CHANGES. The following is a brief summary of benefit and administrative changes that will take effect January 1, 2024.

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2021 Freedom to Choose

WEBChoose Searchto see doctors in your plan. If you need help finding a doctor, call Anthem Customer Service at 1-877-PERSPPO (1-877-737-7776). CalPERS 2021 health …

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CalPERS 2021 Regional Health Premiums (Region 1)

WEB1Dental and Vision coverage is an additional $38.00 per member per month premium. You will be billed directly for this amount. 2Dental benefit is an additional $15.05 per member …

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Salud HMO Y Mas Basic Plan

WEBEvidence of Coverage and Plan Document Effective January 1, 2020 Salud HMO Y Mas Basic Plan Health Maintenance Organization (HMO) Legislative and Administrative …

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CalPERS 2020 Health Premiums

WEB6/26/2019 CalPERS 2020 Monthly Premiums for Contracting Agencies Region 1 Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Glenn

Category:  Health Go Health

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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