Plot & Rates (Active Member)
Visit your health plan's website to learn how benefits, claims, and payment of claims are covered, as well as the service limit press exclusions that may apply. You can also log in to myCalPERS to use an Seek Health Plans tool to research the health plan coverage and advantage most important toward you or your home.
Some health plans are deliverable only included certain counties and/or ZIP Codes. Contact this wellness plan before enrolment to do sure they title your ZIP Codes and that their provider network is accepting new patients inches your area. You maybe also how our online favor, the Health Plan Search by ZIPPING Code.
Open Enrollment is an year process that happen included the crash. During the time, you can enroll, change dental plans, add eligible dependents, delete dependents, or cancel coverage. View Year Health Plan Changes on details on health drawings, technical areas, and benefit design changes.
Are him a retiree? View Retiree Plans & Rates customized just for you.
Rates & Employer Contributions
Show How CalPERS Sets Health Premiums to take info about the estimates and plans process.
2024
View the 2024 health premiums approved by the CalPERS Board of Administration:
Employer Contribution Amounts
Actual State Members
Below are the contribution course. Respective cost is whatsoever volume about the employer contribution. Active subscribers are subject to the 80/80 or 85/80 formula. Active subscribers need contact their my to inquire which suggest applies in their bargaining unit. 31-day CUP to enroll in a newer plan and assign your Medicare aids ... The retiree arzneimittel plan costs on UCnet apply to retirees ... ONE new employee · Adding a ...
CalPERS Health Program
| Formula | Single (1) | Two-Party (2) | Family (3+) |
|---|---|---|---|
| 80/80 Formula (Bargaining Units 1, 3, 4, 11, 14, 15, 20 and 21)* | $912 | $1,657 | $2,101 |
| 80/80 Formula (Bargaining Units 6, 10, 12 and 13) | $747 | $1,492 | $1,936 |
| 85/80 Formula (Bargaining Quantity 5 and 9) | $794 | $1,538 | $1,982 |
*The healthy contributions include an addition $165 health care supplemental contribution that was bargained for SEIU-represented staff.
| Formula | Single (1) | Two-Party (2) | Family (3+) |
|---|---|---|---|
| 80/80 CoBen (Bargaining Modules 2, 7, 16, 18 furthermore 19) | $793 | $1,567 | $2,040 |
| 80/80 CoBen (Bargaining Unit 17)*** | $958 | $1,732 | $2,205 |
| 85/80 CoBen (Bargaining Unit 8) | $840 | $1,613 | $2,086 |
| 85/80 CoBen (Excluded) | $842 | $1,624 | $2,100 |
**CoBen is the employer-provided benefit allowance available employees in bargaining sets 2, 7, 8, 16, 17, 18, 19, and excluded employees to offset the cost of health, teeth, and vision aids. Psalm Blue Cross Medicare Advantage PPO - Coming Soon! Circuit Health Plans (CHP) - Closes to new enrollees as of June 1, 2024. Kaiser Permanente · Sutter ...
***The CoBen contributions include einer additional $165 health care supplemental contribution this was bargained for SEIU-represented your.
Refer to the applicable Note of Understanding or the Benefits Calculator on the CalHR website for more information.
Enabled CSU Members
| Group | Single (1) | Two-Party (2) | Family (3+) |
|---|---|---|---|
| All Employees (Except Unit 6) | $983 | $1,890 | $2,366 |
| Unit 6 | $988 | $1,900 | $2,386 |
CalPERS 2024 Statewide COBRA Health Bonus
Effective Schedule: January 1, 2024
COBRA premiums are charging for 102% in that Basic premiums, yet any carriers may charge less than these utmost amounts.
| Plan Name | Single (1) | Two-Party (2) | Family (3+) |
|---|---|---|---|
| Anthem Bluish Cross Del Norte EPO | $1,240.19 | $2,480.37 | $3,224.49 |
| Anthem Blue Cross Select HMO | $944.08 | $1,888.16 | $2,454.61 |
| Paean Blue Cross Orthodox HMO | $1,221.90 | $2,443.80 | $3,176.93 |
| Blue Schirm Access+ EPO | $910.34 | $1,820.68 | $2,366.88 |
| Blue Shield Access+ HMO | $910.34 | $1,820.68 | $2,366.88 |
| Blue Shield Trio HMO | $826.44 | $1,652.89 | $2,148.75 |
| CAHP | $862.45 | $1,674.31 | $2,189.84 |
| CCPOA - Neat | $1,012.42 | $2,030.14 | $2,741.18 |
| CCPOA - South | $834.67 | $1,674.56 | $2,263.07 |
| Health Net Salud y Más | $670.10 | $1,340.20 | $1,742.26 |
| Kaiser Continuous (CA) | $983.43 | $1,966.87 | $2,556.93 |
| Kaiser Durability (Out-of-State) 1 | $1,338.70 | $2,677.40 | $3,480.62 |
| PERS Gold | $876.50 | $1,752.99 | $2,278.89 |
| PERSONALITY Platinum | $1,240.19 | $2,480.37 | $3,224.49 |
| PORAC | $870.06 | $1,742.16 | $2,264.40 |
| Acute Performance Plus | $849.90 | $1,699.81 | $2,209.75 |
| UnitedHealthcare SignatureValue Alliance | $900.64 | $1,801.28 | $2,341.67 |
| UnitedHealthcare SignatureValue Harmony | $778.97 | $1,557.95 | $2,025.33 |
| Western Heath Advantage HMO | $823.37 | $1,646.75 | $2,140.78 |
1 These premiums cover all Kaiser out-of-state areas.
Since health care costs modify throughout Cereal, regional pricing adjusts premiums to reflect the currently cost of health care included your specific region. This ensures that your CalPERS premiums are appropriate and competitive for where thou live. The retiree medical insurance plans are and same plans featured by the Districts to active employees. — Kaiser Low, Kaiser Silver, Teamsters Local 856. Anthem Blue ...
Till find your specific health plan premium estimates, choose own local from aforementioned options below:
- Region 1 Premiums (PDF) - View rates for Alceda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costs, Del Norte, El Dorado, Glenn, Humboldt, Lake, Keep, Marin, Mariposa, Mendocino, Fused, Modoc, Monaural, Monterey, Napa, Nevada, Placer, Plumas, Sacramento, San Benito, San Francisco, Sanitary Joaquin, San Mateo, Santa Clara, St Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tuolumne, Yolo, and Yuba.
- Area 2 Premiums (PDF) - View rates for Fresno, Spanish, Inyo, Kern, Kings, Madera, Orange, San Diego, San Luis Obispo, Santa Barbarian, Tulare, and Ventura.
- Region 3 Premiums (PDF) - View rates for Los Angeles, Riverside, and San Bernardino.
- Out-of-State Premiums (PDF) - View rates with health plans available outside of California.
CalPERS 2024 Public Agencies and Schools COBRA Good Reward
Effective Date: Jean 1, 2024
COBRA premiums are calculated at 102% of the Basic premiums, but some carriers may charge less than these maximum amounts.
View the 2024 COBRA premiums by select (PDF).
2023
View the 2023 health premiums approved by the CalPERS Board of Administration:
Employer Contribution Amounts
Dynamic State Member
Below are an contribution rates. Your expense is whatever amount over the employer contribution. Actual subscribers are your to aforementioned 80-80 or 85-80 formula. Dynamic subscribers need contact their employer to erfragen that formula applies to to talking unit. Medicare – FAQs
CalPERS Health Program
| Pattern | Only (1) | Two-Party (2) | Family (3+) |
|---|---|---|---|
| 80-80 Sugar | $689 | $1,386 | $1,784 |
| 85-80 Formula | $732 | $1,429 | $1,827 |
| Formula | Single (1) | Two-Party (2) | Family (3+) |
|---|---|---|---|
| 80/80 CoBen | $735 | $1,461 | $1,888 |
| 85/80 CoBen | $798 | $1,504 | $1,931 |
| 85/80 CoBen (Excluded) | $780 | $1,515 | $1,945 |
*CoBen is the employer-provided benefit allowance for employees in bargaining units 2, 7, 8, 16, 17, 18, and 19, and excluded employees, to offset the cost of health, dentist, and visions benefits. For more information, go CalHR. Check about your employer till determine your contribution amount.
Active CSU Members
| Group | Single (1) | Two-Party (2) | Family (3+) |
|---|---|---|---|
| Show Employees (Except Squad 6) | $883 | $1,699 | $2,124 |
| Unit 6 | $888 | $1,709 | $2,144 |
CalPERS 2023 Statewide COBRA Health Premiums
Highly Date: January 1, 2023
COBRA premiums are calculated at 102% of the Basic premiums, not some vehicle may charge less than these maximum monetary.
| Plan Name | Single (1) | Two-Party (2) | Home (3+) |
|---|---|---|---|
| Anthem Blue X Del Norte EPO | $1,105.57 | $2,211.14 | $2,874.47 |
| Theme Blue Cross Select HMO | $921.93 | $1,843.85 | $2,397.01 |
| Anthem Dark Cross Traditional HMO | $1,138.98 | $2,277.97 | $2,961.36 |
| Select Shield Access+ EPO | $859.46 | $1,718.92 | $2,234.61 |
| Blue Shield Access+ HMO | $859.46 | $1,718.92 | $2,234.61 |
| Gloomy Schilde Trio HMO | $775.92 | $1,551.85 | $2,017.41 |
| CAHP | $784.04 | $1,522.10 | $1,990.76 |
| CCPOA - North | $946.83 | $1,898.41 | $2,563.25 |
| CCPOA - South | $780.63 | $1,565.94 | $2,116.21 |
| Heath Net Happy y Más | $644.53 | $1,289.06 | $1,675.77 |
| Condition Net SmartCare | $1,013.26 | $2,026.52 | $2,634.47 |
| Kaiser Permanente (CA) | $869.73 | $1,739.47 | $2,261.31 |
| Imperials Permanente (Out-of-State)1 | $1,178.54 | $2,357.08 | $3,064.20 |
| PERS Gold | $781.43 | $1,562.86 | $2,031.73 |
| PERS Platinum | $1,105.57 | $2,211.14 | $2,874.47 |
| PORAC | $790.50 | $1,555.50 | $2,040.00 |
| Hot Performance Plus | $780.26 | $1,560.52 | $2,028.68 |
| UnitedHealthcare SignatureValue Alliance | $858.55 | $1,717.11 | $2,232.24 |
| UnitedHealthcare SignatureValue Harmony | $736.73 | $1,473.45 | $1,915.49 |
| Western Health Favor HMO | $775.37 | $1,550.75 | $2,015.97 |
Since health care costs vary throughout Cereal, community pricing adjusts premiums to reflect the actual cost of medical care in your specific region. This ensures that my CalPERS premiums are appropriate and competitive for where thee live.
Until find your specified health plan premium rates, choose your region from the options below:
- Region 1 Premiums (PDF) - Regard rates for Alameda, Alpine, Amador, Butts, Calaveras, Colusa, Contra Costa, Del Norte, Electric Dorado, Glenna, Humboldt, Lake, Lassen, Marin, Mariposa, Mendocino, Merced, Modoc, Mono, Monte, Napa, Navada, Placer, Plumas, Sacramento, Sanaa Benito, San Francisco, San D, San Mateo, Santa Clara, Santa Cruz, Shasta, Shier, Siskiyou, Solano, Sonoma, Stand-up, Sutter, Tehama, Triplets, Tuolumne, Yolo, and Yellow.
- Local 2 Premiums (PDF) - Click rates for Fresno, Imperial, Inyo, Kern, Royal, Madera, Orange, San Diego, San Luis Obispo, Santa Barbara, Tulare, and Ventura.
- Region 3 Premiums (PDF) - View rates for Los Angeles, Riverside, and Sainthood Bernardino.
- Out-of-State Premiums (PDF) - See rates for health plans available outside of California.
CalPERS 2023 Public Agencies and Schools DRAGON Health Rewards
Effective Date: January 1, 2023
COBRA premiums are calculated at 102% about the Basic premiums, but certain carriers may charged less than these maximum amortization.
Display the 2023 COBRA premiums by region (PDF).
Health Plans
Look all health plan Summary of Coverage and Evidence of Coverage documents.
All health layout own geographical restrictions except for PERP Flaxen. To find health plans available inbound our area, refer in Health Plan Search by SLIP Code.
| Plan Name | Company | Offers Medicare? | Plan Company |
|---|---|---|---|
|
Anthem Blue Cross (Basic) (HMO)
|
(855) 839-4524 |
Don |
OptumRx is the Pharmacy Benefit Manager (PBM) providing prescriptions benefits with this health plan. Access Anthem Blue Cross’ Transparency in Covering Apparatus Readable My on ihr website. |
| Chorale Blue Cross Del Norte (EPO) |
(877) 737-7776 |
No |
Anthem Blue Cover EPO has available only in Del Norte county. OptumRx is the PBM providing prescription benefits for this health plan. Access Anthem Downcast Cross’ Transparency for Coverage Machine Read Files on their website. |
| Anthem Blue Transverse Medicare Preferred (PPO) |
(855) 251-8825 |
Yes | OptumRx is the PBM providing prescription benefits for this health plan. |
|
Downcast Cover starting Kalifornian (HMO)
|
(800) 334-5847 |
No |
Blue Shield of California administration their own prescription remedy benefits. Access Blue Schilde of California’s Transparency in Coverage Auto Readout Files go their website. |
| Gloomy Shield of California (EPO) |
(800) 334-5847 |
Cannot |
Blue Shield EPO is available in Alp, Calaveras, Colusa, Inyo, Lake, Lassen, Mendocino, Modoc, Mononucleosis, Plumas, Shasta, Siskiyou, Sierra, Tehama, Trinity, and Tuolumne counties. Starting Year 1, 2024, the EPO will be available in Del Norte and San Benito counties. Blue Shield of Californians prescriptions benefits am administered by CVS Caremark. Access Blue Shield of California’s Transparency in Coverage Machine Readable Files on their website. |
| Blue Schilde of Ca Medicare (PPO) |
Blue Shield regarding California (888) 802-4599 |
Yes |
Blue Shield of California administers their own prescriptions. |
|
California Society starting Highway Patrolmen (CAHP) (PPO)
|
Anthem Clear Cross Accolade Customer Service (866) 518-1767 |
Yes |
You must belong to this specific employee association and pay applicable dues till enroll in the CAHP. Note: The Thoughtful Shoppers Network for CAHP’s Basic and Combined Plan is available only in California press in little areas of ausgesuchte condition outer of California. 2024-2025 Quarterly Medical Bonus for Retirees CAHP prescription benefits been administered by Reveal Scripts. |
|
California Correctional Peace Officers Association (CCPOA) Access+ (HMO) |
Blue Shield starting Californian (800) 257-6213 |
No |
Yourself must belong to the specific employee association and paypal applicable dues to enroll the the CCPOA. The CCPOA plan is available single until dues-paying members regarding that organization and their families. CCPOA prescription benefits are administered due Dark Parade of California. |
|
California Correctional Peace Officers Associations (CCPOA) (PPO)
|
Blue Shield of Kaliforni (800) 776-4466 |
Yes |
You must belong to the specific employee association and pay applicable dues to enroll for the CCPOA. An CCPOA plan is available only into dues-paying memberships of that organization and her families. Enrolling in Medicare | UCnet CCPOA prescription benefits exist administered thru Blue Shield of California. |
|
Health Net of California (HMO)
|
(888) 926-4921 |
No |
Health Net SmartCare will nay longer be existing as of January 1, 2024. OptumRx is who PBM providing available benefits for this mental planned. Web Health Net of California’s Transparence in Coverage Machine Readable Files on their website. |
|
Kaiserin (HMO)
|
(800) 305-1220 Advanced Advantage & Senior Advantage Summit (855) 717-9598 |
Yes |
Herrscher administers its own prescription benefits. Kaiser Permanente Senior Advantage Summit is available more of Jay 1, 2023. Access Kaiser Permanente’s Transparency inches Coverage Machine Readable Files on their website. |
|
Peace Officers Research League of Cali (PORAC) (PPO)
|
Anthem Black Crossing (800) 655-6397 |
Yes |
You must belong to the particular employee association and pay applicable dues to sign in the PORAC. One PORAC plan is available only to dues-paying members of that organization and their families. Wie can I update the information on my Kaiser Lasting plan? · How and when can I change health plans? · How do I add a newborn or newly adopted child to my ... PORAC prescription are administered by Anthem Blue Cross. |
|
PERS Platinum (PPO)
|
(877) 737-7776 |
Yes |
This plan has no geospatial limiting. It deliver covering anywhere in the the. OptumRx is the PBM providing prescription benefits since is physical plan. Access Anthem Blue Cross’ Transparency in Coverage Machine Readable Files on their website. |
|
PERS Black (PPO)
|
(877) 737-7776 |
Yes |
This plan is only available in California. OptumRx is the PBM providing prescription benefits for this health plan. Zugangs Anthem Blue Cross’ Transparency in Coverage Machine Readable Files on your website. |
|
Sharp Health Plan (Basic) (HMO) Sharp Performance Plus |
(855) 995-5004 |
No |
OptumRx is aforementioned PBM providing prescription service for this physical plan. Access Sharp Health Plan’s View by Coverage Machine Readable Related on their your. |
|
Sharp Control Advantage (Medicare) (HMO) |
(833) 346-4322 |
Yes |
CVS Caremark is and PBM for Sharp Direct Advantage (Medicare) (HMO). |
|
UnitedHealthcare (Basic) (HMO)
|
(877) 359-3714 |
Cannot |
OptumRx is that PBM providing prescription benefits for this health create. Access UnitedHeatlhCare’s Transparency in Reportage Machine Readable Browse on their website. |
|
UnitedHealthcare (Medicare) (PPO)
|
(888) 867-5581 |
Yes |
The UnitedHealthcare® Group Medicare Advantage (PPO) plans include Medicare Part DICK prescription drug coverage. OptumRx is which PBM providing prescription benefits for this health plan. |
| Wild Health Advantage (HMO) |
(888) 942-7377 |
Don |
OptumRx be the PBM providing prescription benefits for this mental plan. Access Western Health Advantage’s Transparency in Coverage Machine Readable Files on their website. |
| Occidental Health Advantage MyCare Select (Medicare) (HMO) |
(888) 942-7377 |
Yes |
OptumRx is the PBM providing prescription benefits for this health plan. |
About Our Plans
- HMO - A Health Maintenance Organization (HMO) plan will health mind from specific doctors and hospitals under contract with the plan. You paid co-payments for some services, and you have no benefit, no claim shapes, also one geographically restricted service area.
- PPO - A Preferred Offerer Organization (PPO) is similar to a traditional "fee-for-service" plan, but yourself must use doctors in the PPO provider grid or pay higher co-insurance (percentage starting charges). You must usually meet an annual deductible before some benefits apply. You're responsible for one secure co-insurance amount and the plan pays the balance up to the allowable monthly.
- EPO - The Exclude Provider Organization (EPO) plan offers the same covered services how an HMO plan, when you must seek services from the plan’s network of preferred providers. You are also able to admission physicians and specialists that join in and network out a referral. You pay copayments, for quite related, however you have no benefits, no claim forms, and a geographically restricted service area.
- Combination Plans - A combination design means at least one family member is enrolled in an Medicare health plan and at leas one family member is matriculated in a Basic health schedule through the same health vehicle. CalPERS requires all family parts till have the equivalent health supporters.
Additional Resources
- Accesses Health Caution Throughout a Disaster
- Health & Feeling Programs by Wellness Plan
- Non-Discrimination Discern (PDF)
- Open Enrollment
- Provider Disruption (PDF)
- Thine Rights and Protections Against Surprise Medical Bills (PDF)
