Retired Members Info - PPO
Summary
- PPO offers both an in-network and an out-of-network benefit.
- In order to receive the highest level of benefits, you must choose one of the in-network physicians or facilities.
- You may self refer for medically necessary care. There is no need to have your care coordinated by a Primary Care Physician (PCP).
- $15 copayment for office visits during regular hours
- $25 copayment for specialist office visits (Retirees who retired on or after 7/1/04)
- $25 copayment for emergency room visit (waived if admitted to a hospital)/$50 copayment for emergency room visit (waived if admitted to a hospital) for those who retired on or after 7/1/04
Check with the PEBTF if you have any questions reqarding the PPO Option.
For more information, refer to your REHP Benefits Handbook or contact PEBTF.
