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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.
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