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Medicare Plan Benefits for 2024

 

Western Health Advantage MyCare Select (HMO)

2024 Medicare Advantage Plan Highlights
 

Medicare Advantage Plan Effective 01.01.24
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.

 

Open Enrollment Booklet

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. 

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