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Return to Medical plans and benefits: Retirees | PEBB Continuation Coverage
Full benefits
The following documents—called an Evidence of Coverage (EOC)—provide in-depth descriptions of the health care benefits for each plan.
2026
Prescription drugs
See list of covered drugs.
Costs
2027
2026
Find providers
Visit UnitedHealthcare’s provider directories or call UnitedHealthcare Customer Service at 1-855-873-3268.
Plan options
2027
- UnitedHealthcare PEBB Balance (2027)
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The PEBB Program has partnered with UnitedHealthcare to offer a Group Medicare Advantage (PPO) plan called PEBB Balance available to Medicare-eligible subscribers.
Annual costs
There is no medical deductible and the annual maximum out-of-pocket for medical services is $2,000.
Key features
- No referrals to see a specialist.
- See doctors outside of the network for the same cost share if the provider participates in Medicare and accepts the plan.
- Coverage for visiting doctors, clinics, hospitals, and prescription drugs is included in one plan.
- Coverage includes vision, hearing, massage therapy, naturopathic medicine, chiropractic care, and acupuncture.
- Additional benefits and programs such as a fitness program and quarterly allowance to purchase over-the-counter drugs.
Availability
This is a national plan with coverage throughout the United States and the five U.S. Territories. See plans available by county.
If you move out of your plan's service area and your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new permanent residence address and any request to change plans to the PEBB Program no later than 60 days after your move.
- UnitedHealthcare PEBB Complete (2027)
-
The PEBB Program has partnered with UnitedHealthcare to offer a Group Medicare Advantage (PPO) plan called PEBB Balance available to Medicare-eligible subscribers.
Annual costs
There is no medical deductible and the annual maximum out-of-pocket for medical services is $500.
Key features
- No referrals to see a specialist.
- See doctors outside of the network for the same cost share if the provider participates in Medicare and accepts the plan.
- Coverage for visiting doctors, clinics, hospitals, and prescription drugs is included in one plan.
- Coverage includes vision, hearing, massage therapy, naturopathic medicine, chiropractic care, and acupuncture.
- Additional benefits and programs such as a fitness program and quarterly allowance to purchase over-the-counter drugs.
Availability
This is a national plan with coverage throughout the United States and the five U.S. Territories. See plans available by county.
If you move out of your plan's service area and your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new permanent residence address and any request to change plans to the PEBB Program no later than 60 days after your move.
2026
- UnitedHealthcare PEBB Balance (2026)
-
The PEBB Program has partnered with UnitedHealthcare to offer a Group Medicare Advantage (PPO) plan called PEBB Balance available to Medicare-eligible subscribers. View the 2026 Plan guide.
Annual costs
There are no deductibles and the annual maximum out-of-pocket for medical services is $2,000. See the 2026 Summary of Benefits.
Key features
- No referrals to see a specialist.
- See doctors outside of the network for the same cost share if the provider participates in Medicare and accepts the plan.
- Coverage for visiting doctors, clinics, hospitals, and prescription drugs is included in one plan.
- Coverage includes vision, hearing, massage therapy, naturopathic medicine, chiropractic care, and acupuncture.
- Additional benefits and programs such as a fitness program and quarterly allowance to purchase over-the-counter drugs.
Availability
This is a national plan with coverage throughout the United States and the five U.S. Territories. See plans available by county.
If you move out of your plan's service area and your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new address and any request to change plans to the PEBB Program no later than 60 days after your move.
- UnitedHealthcare PEBB Complete (2026)
-
The PEBB Program has partnered with UnitedHealthcare to offer a Group Medicare Advantage (PPO) plan called PEBB Balance available to Medicare-eligible subscribers. View the 2026 Plan guide.
Annual costs
There are no deductibles and the annual maximum out-of-pocket for medical services is $500. See the 2026 Summary of benefits.
Key features
- No referrals to see a specialist.
- See doctors outside of the network for the same cost share if the provider participates in Medicare and accepts the plan.
- Coverage for visiting doctors, clinics, hospitals, and prescription drugs is included in one plan.
- Coverage includes vision, hearing, massage therapy, naturopathic medicine, chiropractic care, and acupuncture.
- Additional benefits and programs such as a fitness program and quarterly allowance to purchase over-the-counter drugs.
Availability
This is a national plan with coverage throughout the United States and the five U.S. Territories. See plans available by county.
If you move out of your plan's service area and your plan is no longer available, you must change plans. If you do not, the PEBB Program will enroll you in one. You must report your new address and any request to change plans to the PEBB Program no later than 60 days after your move.
About UnitedHealthcare
UnitedHealthcare is dedicated to helping people live healthier lives and helping make the health system work better for everyone. UnitedHealthcare Medicare and Retirement serves nearly 13.8 million Medicare beneficiaries and retirees through a comprehensive portfolio of Medicare Advantage, Medicare Supplement, Medicare Part D, and group retiree health benefit solutions. Our affordable, easy-to-use plans are supported by personalized service, innovative programs, and industry-leading customer support, making UnitedHealthcare a trusted partner to the members and organizations we serve.