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Retired Members Info: Medicare HMO

Summary

  • MHMO offers an in-network benefit
  • Treatment for medical services must be coordinated by a Primary Care Physician (PCP); most plans require referral to specialists
  • $20 copayment for PCP office visit (In Network)
  • $30 copayment for specialist office visit (In Network)
  • $100 copayment for emergency room visit (waived if the visit leads to an inpatient admission to the hospital)

PDFMedicare HMO and PPO Comparison Chart

For more information, refer to the REHP Handbook or contact PEBTF.

Aetna MedicareSM Plan (HMO) www.aetnamedicare.com
• Provider Directory: www.aetnamedicare.com
 
Capital Blue Cross BlueJourney Plan (HMO) www.capbluecross.com
• Provider Directory: www.capbluecross.com
 
Geisinger Gold Classic (HMO) – Offered in Central and Northeastern PA www.thehealthplan.com/gold
• Provider Directory: http://www.thehealthplan.com/providersearch/
 
UPMC for Life Medicare HMO – Offered in Western PA www.upmchealthplan.com/medicare
• Provider Directory: www.upmchealthplan.com/medicare/