Health
Placer County provides group health insurance through Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). If health insurance is not needed, you may select In Lieu of Health (ILH). HMOs generally pay 100% of the cost of care, after a co-payment. You are required to use in-network providers. Your care is coordinated through a designated Primary Care Physician.
Health Plan Comparison Tool & Resources
Choosing your health plan is an important decision. Log into your myCalPERS account to explore your health plan options. Verify that your healthcare provider will accept the CalPERS plan you are electing. If you do not have an account, it takes only minutes to create one. This will allow you to access customized health information. MyCalPERS has tools and resources to help you with your health insurance provider decisions.
CalPERS Health Forms & Guides
- Anthem HMOs & PPOs
- Blue Shield HMOs
- Kaiser Permanente HMO
- United Healthcare HMO
- Western Health Advantage HMO
- Eligible Opt-Out of Health
The following videos provide information about Anthem HMOs and PPOs
Important Note: Placer County does not offer the Del Norte EPO plan listed on Blue Cross' website.
Resources
- Anthem Select HMO Summary of Benefits (PDF)
- Anthem Select HMO Benefit Guide (PDF)
- Anthem Traditional HMO Summary of Benefits (PDF)
- Anthem Traditional HMO Benefit Guide (PDF)
- CalPERS - PERS Gold PPO Summary of Benefits (PDF)
- CalPERS - PERS Gold PPO Benefit Guide (PDF)
- CalPERS - PERS Platinum PPO Summary of Benefits (PDF)
- CalPERS - PERS Platinum PPO Benefit Guide (PDF)
- PORAC PPO
Still Have Questions?
https://www.anthem.com/ca/calpers/
CalPERS PPO Members
Call (877) 737-7776
TDD (818) 234-5141
7:30 a.m. - 8 p.m. Pacific Time | Monday through Friday
CalPERS HMO Members
Call (855) 839-4524
TDD (818) 234-3547
7:30 a.m. - 8 p.m. Pacific Time | Monday through Friday
While not a health plan option, OPTUMRx is the pharmacy care services manager for Anthem Blue Cross.
- OptumRx
- Pharmacy Benefits at a Glance (PDF)
- Frequently Asked Questions (PDF)
- Preferred90 Program – Savings with 90-day Supplies (PDF)
The following video presentation summarizes the key points you should know about our Trio HMO and Access+ HMO plans. Whether you are looking for affordable high-quality care or a broad network with flexibility, Blue Shield has you covered. Watch this to learn more about your options with Blue Shield as a CalPERS member.
ACCESS+ HMO
Access+ HMO Flyer (PDF)
Access+ HMO Brochure (PDF)
Access+ Network Listing (PDF)
Trio HMO
Trio Employee Brochure (PDF)
Trio HMO Brochure (PDF)
Trio HMO Flyer (PDF)
Trio HMO Network List (PDF)
Still Have Questions?
www.blueshieldca.com/calpers
Call (800) 334-5847
7 a.m. - 8 p.m. Pacific Time | 7 days a week
The following video provides information about Kaiser Permanente and coverage.
Virtual Open Enrollment Hub
Resources
Live Open Enrollment Webinars - Weekly on Tuesdays 9 - 9:30 AM or Thursdays 1 - 1:30 PM PST
One on One Consultation Request Form
Still Have Questions?
I'm Considering joining Kaiser Permanente
Call (800) 305-1220 or 711 (TTY) or Chat
7 a.m. - 8 p.m. Pacific Time | 7 days a week
Existing members
Call (800) 464-4000
The following video presentation summarizes the key points you should know about UHC. Watch this to learn more about your options with UHC as a CalPERS member.
Resources
Still Have Questions?
https://whyuhc.com/CalPERS
Member General Materials
Basic members
Call (877) 359-3714
7 a.m. - 8 p.m. Pacific Time | 7 days a week
While not a health plan option, OPTUMRx is the pharmacy care services manager for Anthem Blue Cross.
- OptumRx
- Pharmacy Benefits at a Glance (PDF)
- Frequently Asked Questions (PDF)
- Preferred90 Program – Savings with 90-day Supplies (PDF)
The following video presentation summarizes the key points you should know about WHA. Watch this to learn more about your options with WHA as a CalPERS member.
Virtual Open Enrollment Hub
Resources
Basic Plans and Benefits
Basic Plan Evidence of Coverage
Basic Plan Summary of Benefits Coverage
Still Have Questions?
https://www.westernhealth.com/calpers
888.942.7377
888.877.5378 TDD/TTY
7 a.m. - 8 p.m. Pacific Time | 7 days a week
Email member services or use the Secure Message Center
While not a health plan option, OPTUMRx is the pharmacy care services manager for Anthem Blue Cross.
- OptumRx
- Pharmacy Benefits at a Glance (PDF)
- Frequently Asked Questions (PDF)
- Preferred90 Program – Savings with 90-day Supplies (PDF)
The County provides permanent employees the choice to opt-out of the CalPERS offered health program for a cash-in-lieu of heath benefit. The employee must possess other creditable group health plan coverage for themselves and their tax dependents. This benefit can be cashed out or used to offset other pre-tax benefit premiums. It can also be contributed towards the County’s pre-tax or Roth 401(k) and/or 457 deferred compensation plans. Proof of other credible coverage and waiving the County’s offered health plan is required. Employees who possess other group health coverage may be eligible to opt out of the county offered health coverage. If opting out, you may receive an In-Lieu of Health cash payment. This cannot be earned at the same time the County is responsible for your health premium.
How to Participate
Employees can waive their current health plan coverage during the open enrollment period through Workday. Employees waiving their coverage will be contacted by the Human Resource Department following the close of open enrollment. During the plan year, permanent employees that obtain other creditable coverage for themselves and their tax dependents may opt-out the County’s offered coverage. If opting out, you must contact the Human Resources Department to ensure eligibility.
Human Resources Contact Information
530-889-4089
[email protected]