2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Chapter 4: Medical Benefits Chart (what is covered and what you pay) 88 Services that are covered for you What you must pay when you get these services in-network and out-of-network Over-the-counter (OTC) card $0 copayment Healthy Benefits Plus With this benefit you will get one pre-paid card at the start of your plan year. You will get a $40 credit loaded to the card each quarter to purchase approved OTC items from network retail locations, the OTC catalog, website or mobile app. Credits are added on the first day of each quarter (in January, April, July and October) and expire at the end of the year. To access your benefit call 1-833-216-6709, TTY 711, visit HealthyBenefitsPlus.com/UHCRetiree, or download the Healthy Benefits Plus app. Renew Active is available at no Fitness program Renew Active® by UnitedHealthcare additional cost to you. Renew Active® by UnitedHealthcare is the gold standard in Call or go online to learn more Medicare fitness programs for body and mind. It's available and to get your confirmation to you at no additional cost and includes: code. Log in to your plan · A free gym membership at a fitness location you select website, go to Health & from our large nationwide network. Wellness and select Renew Active or call the number on · Thousands of on-demand workout videos and live your UnitedHealthcare member streaming fitness classes. ID card to obtain your code. · Social activities at local health and wellness classes and events. · An online Fitbit® Community. No Fitbit device is needed. · An online program offering content about brain health with exclusive content for Renew Active members through AARP® Staying Sharp.