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Retired Members Information: Medicare Open Access PPO

Summary

  • The Medicare Open Access PPO allows you to see any doctor as long as they are eligible to receive Medicare payment and accept the plan.
  • You may self refer for medically necessary care. There is no need to have your care coordinated by a Primary Care Physician (PCP)

In-Network Services:

  • Annual in-network deductible is equal to the annual Medicare Part B deductible
  • $20 copayment for PCP office visit
  • $30 copayment for specialist office visit
  • $100 copayment for emergency room visit (waived if the visit leads to an inpatient admission to the hospital)

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

Aetna Medicare Open Access PPO: pebtf.aetnamedicare.com
Provider Directory: pebtf.aetnamedicare.com