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Medicare Plan Benefits for 2024
Please note: WHA MyCare Select will not be available effective January 1, 2025. Please contact CalPERS for a new Medicare plan option.
| 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.
2024 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.
