Provides a 90/10 benefit design and maintains the Persare/Pers Choice network Maintains the same 90/10 design and performance network as Persare/Pers ChoiceĬonversion to PERS Platinum. The two PPO plans offer a stronger distinction in terms of performance design, networking, and premium pricing. The change is the result of a one-year analysis to stabilize the baseline portfolio, including working with members, employers, and stakeholders. Read More: Difference between PPO and HMO Health Insurance Plans Preferred Provider Organization (PPO)ĬalPERS’s three PPO plans, PersCare, PERS Choice, and PERS Select, are switching to two plans, PERS Platinum and PERS Gold. New plan available in Los Angeles, Orange, Riverside, San Bernardino, and San Diego counties ![]() Reenter eight districts of the Bay Area: Alameda, Contra Costa, Marín, San Francisco, San Mateo, Santa Clara, Sonoma and SolanoĮxpand into Santa Cruz, Stanislaus, and Orange counties The insurance companies provide a fee for me to help with coverage options, enrollment and service.Health Plan Changes for 2022 Health Plan Changes for 2022 : Basic Plans Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) baselines plan Name No Cost Help … there is no charge for my services. You will need to have both Medicare Part A and Part B in place and active in order to enroll in any Medicare Supplement, Medicare Advantage or Medicare Part D plan.Īnthem Dental PPO: Brochure & Application You can call Social Security, or enroll in Part B online (). Medicare Part A starts automatically when you turn 65, although Medicare Part B (outpatient coverage) many time does not start when you turn 65 unless you notify Medicare. In both cases you will need to check with Social Security to make sure your Medicare Part B coverage is starting when you want it to start. When approaching age 65 or if you are already 65 but are on a group health insurance plan (in which care you do not need to start Medicare). If they accept Medicare, by law they must accept the secondary insurance, which in this case is the Medicare Supplement or Medigap plan. You can see doctors and hospitals in other cities, counties and States if you wish, there are no networks to check. Medicare Supplement Policies, you are able to see any doctor hospital or provider as long as they accept Medicare. The available PPO Advantage plans are only in a few Southern California Counties. Santa Clara County currently only offer HMO Advantage plans. If not you will need to find a new Primary Care Doctor when you enroll in the Medicare Advantage plan. It’s very important to make sure your doctor is contracted with the plan you choose. Anthem, Blue Shield and Aetna all have several HMO’s to choose from. If you want to also take a look at the available Medicare Advantage HMO plans in the Sunnyvale area, you can do that here. Here is a little info regarding the Medicare Part D. If you need help with comparing Part D plans, give me a call, I’ll be happy to help. The best way to review and compare plans is to enter your medications into the Medicare website, it sorts the results showing the best plans for your medication list through the worst plan for your meds. There are currently 26 Part D plans available for Sunnyvale (Santa Clara County) residents. You will need to choose and enroll in a Medicare Part D Rx plan to help with your prescription costs. Don’t forget your Medicare Part D Rx plan If both enroll in the same company and plan, you premiums will be discounted. Most of the above companies also have a “spouse discount” with saving between 5% – 12%. If you are new to Medicare and are enrolling into a Medicare Supplement, both Anthem, Blue Shield and Health Net offer a $20 – $30 per month discount for the first year you are on Medicare. $750 allowance toward a hearing device(s) every year.Įl Camino, O’Connor, Santa Clara Valley Med Center, Palo Alto Medical Foundation, Stanford, Good Samaritan, Regional Medical Center of San Jose, San Mateo Medical Center, Mills Hospital.Fitting evaluation for a hearing aid(s). ![]() ![]()
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