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Benefits

CALPERS HEALTH PLAN INFORMATION

Health Program Guide                  2017 Health Benefit Summary Guide

2018 Health Benefit Summary Guide

Health Plan Chooser  is an online tool to compare plans side-by-side and rank plans based on personal preference.

Health Plan Search by Zip Code is an online tool to find CalPERS health plans available in your area.

Glossary of Health Coverage & Medical Terms provides standard definitions of terms commonly used in health insurance coverage.

 

Summary of Benefits and Coverage (SBC) & Evidence of Coverage (EOC)  

 HMO PLANS

2017 Anthem Blue Cross Select HMO Summary of Benefits & Coverage
2018 Anthem Blue Cross Select HMO Summary of Benefits & Coverage
Find a Anthem Select HMO doctor

 

2017 Anthem Blue Cross Traditional HMO Summary of Benefits & Coverage
2017 Anthem Blue Cross Traditional HMO EOC
2018 Anthem Blue Cross Traditional HMO Summary of Benefits & Coverage
Find a Anthem Traditional HMO doctor

 

2017 Blue Shield Access+ HMO Summary of Benefits & Coverage
2018 Blue Shield Access+ HMO Summary of Benefits & Coverage
Find a Blue Shield Access + doctor
 

2017 Kaiser HMO Summary of Benefits & Coverage

2017 Kaiser HMO EOC
2018 Kaiser HMO Summary of Benefits & Coverage
 

2017 United Health Care Alliance HMO Summary of Benefits & Coverage
2017 United Health Care Alliance HMO EOC
2018 United Health Care Alliance HMO Summary of Benefits & Coverage
Find a United Health Care doctor

PPO PLANS

Find a Anthem Blue Cross PPO doctor

2017 PERS Choice PPO Summary of Benefits & Coverage
2018 PERS Choice PPO Summary of Benefits & Coverage

2017 PERS Select PPO Summary of Benefits & Coverage

2017 PERS Care PPO Summary of Benefits & Coverage
2018 PERS Care PPO Summary of Benefits & Coverage
 

Dental Plans

Toothbrush.jpgDelta Dental of California 
Delta Dental Customer Service
P.O. Box 997330
Sacramento, CA 95899-7330
1-800-765-6003

PPO Plan Summaries:

SLEA (Teachers) Group 7046-0225 Plan Summary

Early Retiree Group 7046-0226 Plan Summary

SEIU/SUPV Group 7046-0254 Plan Summary

CSEA Group 7046-0255 Plan Summary

SLMA/CONFID Group 7046-0256 Plan Summary

There are no membership cards for Delta Dental.  Give your provider your SSN & DOB.

Spouses/Domestic Partners and IRS Dependent children up to age 25 are eligible to enroll in dental.

Vision Plans

                   

VISION SERVICE PLAN (VSP)

This vision plan is for CSEA, SEIU, SLMA, Supervisory & Confidential employee groups.

SLEA (Teachers) DO NOT HAVE A VISION EYE WEAR PLAN Effective January 1, 2011

Vision Service Plan
Member Services
1-800-877-7195
Eyewear.JPG

Vision Benefit Summary for CSEA, Confidential, SLMA and Supervisory employee groups

Vision Benefit Summary for SEIU employees

Reimbursement Form

There are no membership cards for VSP.  Give your provider your SSN & DOB.

Spouses/Domestic Partners and IRS Dependent children up to age 25 are eligible to enroll in VSP.

CalPERS Health Plans Contact Information

Contact CalPERS for health program information, eligibility, rates, zip code service area.

CalPERS Customer Contact Center

1-888-225-7377          www.calpers.ca.gov

 

Contact your individual health plan for the following items, questions or requests:

  • Evidence of Coverage (EOC) Books
  • Identification Cards
  • Benefits, Deductibles, Limitations & Exclusions
  • Service Area Boundaries
  • Individual Conversion Policy
  • Change primary care physicians or medical group
  • Certificate of Creditable Coverage

Health Plan Contacts:

HMO Plans

Anthem Blue Cross (Select or Traditional HMO Plans)

    1-855-839-4524           www.anthem.com/ca/calpers/hmo

Blue Shield of California (Access + or NetValue HMO Plans)

     1-800-334-5847           www.blueshieldca.com/calpers

Health Net

     1-888-926-4921           www.healthnet.com/calpers

Kaiser Permanente

     1-800-464-4000           www.kp.org/calpers

United Health Care (Alliance HMO Plan)

     1-877-359-3714           www.uhc.com/calpers

PPO Plans (Self-funded Anthem Blue Cross)

PERSChoice, PERSSelect or PERSCare

     1-877-737-7776          www.anthem.com/ca/calpers

 CalPERS PPO Pharmacy Benefits Administrator

CVS Caremark

     1-877-542-0284          www.caremark.com/calpers

Retirement Information

For certificated employees:
CalSTRS
1-800-228-5453
CalSTRS
For classified employees:
CalPERS
1-888-CalPERS or 1-888-225-7377
CalPERS

 

 

CalPERS 457 Plan #450676

Information on CalPERS 457 Plan #450676 can be found by clicking on the Accounting tab under the Business Services Department or by clicking on the link below:

CalPERS 457 Information

American Fidelity Assurance Flex Plans

To inquire about your Dependent Day Care or Medical Reimbursement accounts or claims contact:
American Fidelity Assurance Company
ATTN: AFES Flex Account Administration
P O Box 25510
Oklahoma City, Oklahoma 73106
Voice: 800-325-0654
Fax: 1-800-543-3539

To access reimbursement forms, click on the link below:

Flex Accounts Reimbursement Forms

Frequently Asked Flex Plan Questions

Information on other voluntary plans call 1-800-662-1113

Tax Sheltered Annunities (TSA)

Information on Tax Sheltered Annunities (TSA) can be found by clicking on the Accounting tab under the Business Services Department or by clicking on the link below:

TSA Information