Medicare Plan Benefits

 

Western Health Advantage MyCare Select (HMO)

2023 Medicare Advantage Plan Highlights
 
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.


Medicare Members: Create a MyWHA account

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:

  • Search for a doctor or facility
  • Find a mental health provider
  • Review your out-of-pocket expenses
  • Print a temporary member ID card
  • Access 24/7 nurse advice via phone or chat
  • View your plan's Summary of Benefits and Combined Evidence of Coverage (EOC)

 

Health Plan Benefits for CalPERS
Medicare-eligible Members

Open Enrollment Booklet

 

Need more information?

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. 

 

Have a Question?

 

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Information on the current 
2022 Medicare Advantage plan 
is still available online.