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| Medicare Advantage Plan | Effective 01.01.23 |
| Monthly Plan Premium | $331.11 per member per month1 You must continue to pay your Medicare Part B premium |
| Deductible | $0 – There is no yearly deductible for medical services |
| Out-of-Pocket Responsibility | Your yearly limit(s) for this plan – $1,500 |
| Covered Benefits | What You Pay |
| Inpatient Hospital Coverage2,3 | $0 copay |
| Doctor’s office visits: Primary care physician and Specialist2,3 | $0 copay |
| Preventive care | $0 copay |
| Urgently needed services | $0 copay |
| Lab services and X-ray | $0 copay |
| Value-Added Services | What You Pay |
| Routine chiropractic and acupuncture | $15 copay; up to 20 combined visits annually |
| Over-the-counter credits | $100 per quarter |
| Fitness program | $0 copay |
| Eyewear allowance | up to $200 every two years |
| 1Individual subscriber premium only 2Services may require prior authorization 3Services may require a referral from your doctor |
Hard copies of WHA MyCare Select (HM0) plan documents are available by calling WHA Member Services at 888.WHA.PERS or by filling out the online request form.
Through WHA’s secure, member-only website, you will find a wealth of resources to help you make the most of your health plan’s benefits and services. Signing up is easy! To get started, follow the prompts at mywha.org/MyCareLogin. All it takes is some basic information along with a valid email address.
Once registered, you’ll be able access the details of your personal benefit information online, 24 hours a day, 7 days a week. Take advantage of these online tools:
Health Plan Benefits for CalPERS
Medicare-eligible Members
If you need help finding a doctor or have questions about covered services, fill out the form below or call Western Health Advantage Member Services at 888.WHA.PERS (888.942.7377 toll-free); 711 TTY, available seven days a week, 7 a.m. to 8 p.m. Translation services and assistance are available.
