Health

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

Plan Materials

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]