Public employees insurance agency 2025

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2010 4.4 Satisfied (188 Votes)
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Best Medicaid Plans in Pennsylvania Aetna Better Health. Aetna Better Health is one of the Medicaid health plans available for you in Pennsylvania. UPMC for You. As a member of UPMC for You, you can access the best doctors and health facilities in Pennsylvania. UnitedHealthcare Community Plan. Gateway Health Plan.
7:00 a.m. - 7:00 p.m. UMR is PEIAs third-party administrator that handles medical claim processing, case management, utilization management, precertification, prior approval and customer service for the PEIA PPB Plans. Contact UMR for answers to questions about eligibility, benefits and networks.
PEIA was established under the Public Employees Insurance Act of 1971, to provide hospital, surgical, group major medical, prescription drug, group life, and accidental death and dismemberment insurance coverage to eligible employees; and to establish and promulgate rules for the administration of these plans.
NCQA Health Insurance Plan Ratings 2019-2020 - Summary Report (Medicaid) RatingPlan NameConsumer Satisfaction 3.5 Molina Healthcare of California Partner Plan Inc. 1.5 3.0 Blue Cross of California Partnership Plan 1.5 3.0 Blue Shield of California Promise Health Plan 2.0 3.0 California Health Wellness 2.517 more rows
Cons of PPO Plans Less Coordination: Without a primary care doctor managing your healthcare, theres less oversight, and it can be harder to keep track of your treatments and appointments. More Complex Management: Managing a PPO plan can be tricky.
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Plan A has the richest benefits with the highest premiums of all the PEIA PPB Plans. It is available to all active employees and non-Medicare retirees. Plan B offers lower premiums with higher deductibles, higher out-of-pocket maximums, increased coinsurance, and higher copayments for prescription drugs.
Please note: UMR and PEIA do not pay for Couples Counseling. But they will cover family sessions for children and parents.

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