Retired Members Info - Medicare PPO & HMO
Summary
- Hospital Expenses — no charge
- Physician Expenses — $15 per visit (some plans may offer a $10 copay)
- Emergency Care Expense:
- At physician's office — $15 per visit
- At hospital — $50 per visit (no charge if admitted)
- Ambulance Services (no charge if medically necessary)
- Prescription Drug — maximum $6 copay for 30-day supply of prescriptions obtained at a participating retail pharmacy (some Medicare PPOs and Medicare HMOs may offer 100-day supplies at a slightly higher copay)
Additional Benefits
Medicare PPOs and Medicare HMOs provide additional benefits such as vision, dental, hearing and wellness benefits. Wellness benefits include programs such as smoking cessation, weight loss counseling, and fitness club membership discounts. Wellness benefits vary according to your Medicare PPO or Medicare HMO provider.
For more information, refer to your REHP Benefits Handbook or contact PEBTF.
