Optum—-Why are your printed plan documents not available until after open enrollment is over?

All of them. EOC formulary pharmacy list.

Will Delta Dental and VSP be confined for retirees transitioning to Medicare?

Sorry …continued, not confined

So, if I don't want to make any changes for 2022, should I just exit from this meeting?

EOC should be available in printed form if it is available online.

@Jo Nell you're welcome to stay, but if you're not making changes you don't need to take action.

@Marti - The District provides Delta Dental and MES vision to eligible retirees. The plans remain the same when you transition to Medicare

I just confirmed that you are able to request a copy of the EOC from our customer care team. You would receive it in @2 weeks.

Please let us know if there are questions.

kp.org/getcare

For KP telehealth visits there is currently no-copayment for Phone Appointments and Video Visits.

Anthem—-For Benefits Beyond Medicare don’t we have to use Anthem providers? Don’t Medicare providers that aren’t also Anthem cost more?

kp.org/cancercare

kp.org/cardiaccare

Class Pass: kp.org/exercise

My Strength and CALM: kp.org/selfcareapps

Wellness coaching by phone: 866-862-4295

American Specialty Health for Chiropractic/Acupuncture Care:

website: www.ashlink.com/ash/kp

phone support: 800-678-9133

Question: Anthem—-For Benefits Beyond Medicare don’t we have to use Anthem providers? Don’t Medicare providers that aren’t also Anthem cost more? Answer: No. You do not need to see an Anthem provider as long as they are a Medicare provider. Anthem pays 100% after Medicare regardless of Anthem contractual status.

what is the cross walk from the PERS Care Supplemental Plan or Combo Care Plan? Does it automatically transfer to the Platinum Plan?

The PERS Care plans will automatically transfer to the PERS Platinum plans as of 1/1/2022.

KP prescription info?

Yes,

Wendy, for Benefits Beyond Medicare, Medicare does not pay first. The EOC has an example where it costs a lot more to use a Medicare Provider who is not Anthem. Is that changing for Platinum?

Do you have 90 days refill arrangement

https://www.calpers.ca.gov/page/active-members/health-benefits/plans-and-rates/zip-search

Yes thanks

What are the main dIfferences between Delta and Delta Premier? I’m still not clear

For people who were not able to see this presentation, how do they access the information

We will be posting this presentation to the Benefits website soon.

What happens if you change dental plans? Do you go back to 70 percent

For Beyond benefits, are they paid directly by Anthem or does the insured have to pay and then request reimbursement?

Question: Wendy, for Benefits Beyond Medicare, Medicare does not pay first. The EOC has an example where it costs a lot more to use a Medicare Provider who is not Anthem. Is that changing for Platinum? Answer: When receiving services where Medicare is primary and we are paying supplemental, the Anthem network is not a factor. We will pay after Medicare at 100% of the Medicare deductible and coinsurance. If you are utilizing the Benefits Beyond Medicare and Anthem is the primary payer, it would be more financially beneficial to see an Anthem in network provider, yes.

For Beyond benefits, are they paid directly by Anthem or does the insured have to pay and then request reimbursement? It depends on the provider of service and what they may ask of you.

Question: If a member used the hearing aid benefit in 2020 and now with upgraded platinum, can that person purchase another hearing aid for up to $2000 benefit? Answer: Yes, that would be correct. If it is less than 24 months, you would get the additional $1,000 as of January 1. If it has been greater than 24 months, you would have the full $2,000 benefit for another 24 month period available to you.

Where can we get printed info on the Delta plans

United healthcare Medicare advantage plan Edge . What is the specialty prescription coverage?

Thank you

Thank you for all this information.

Thank you everyone!

Thank you for a very clear and informative presentation.

Thank you!