This plan has no geographical restrictions. Medicare HMO and PPO plans will see premiums decrease by 4.46% and 0.65%, respectively.

The rates don’t include Association plan premiums as they are independently negotiated by each Association Board. UnitedHealthcare Medicare Advantage will add post-hospital discharge meal delivery, post-discharge transportation, and non-skilled in-home care benefits.

Western Health Advantage +3.42%: Medicare Plans; Anthem Select-1.23%: Anthem Traditional-1.23%: Kaiser-4.40%: PERS Choice-0.40%: PERS Select-0.40%: PERSCare-0.92%: Sharp: N/A: United Healthcare -4.73% *Sharp Medicare Advantage is a new plan for 2021, therefore no comparison to the prior year is available. United Health Care. To find resources and events, visit UnitedHealthcare Health Care Tools page. “This year, we required more transparency and better identification of costs and projections by the health plans. Sharp HealthCare offers health classes, educational seminars, and support groups in the San Diego area.

Your cost is any amount above the employer contribution. Customer Service: (888) 942-7377. © View the 2021 health premium rates approved by the CalPERS Board of Administration: Below are the contribution rates. Anthem Blue Cross EPO is available only in Del Norte county. Open Enrollment is an annual process that occurs in the fall. Contact: Deb Reyman, Information Officer View How CalPERS Sets Health Rates to get details on the rates and plans process. Western Health Advantage: $772.16: $1,544.32: $2,007.62: 1 These premiums cover all Kaiser out-of-state areas. Members enrolled in Basic Preferred Provider Organization (PPO) plans will see an overall average increase of 8.54%.

© We serve those who serve California. No: OptumRx is the Pharmacy Benefit Manager (PBM) providing prescription benefits for this health plan. CalPERS Health Plan Benefit Comparison— Basic Plans.

The most important way to protect yourself against the flu is to receive a yearly flu vaccination. View Retiree Plans & Rates customized just for you. Lung Health; Nutrition; To learn more, visit Western Health Advantage's Health Education Programs page. The CCPOA plan is available only to dues-paying members of that organization and their families. During this time, you can enroll, change health plans, add eligible dependents, delete dependents, or cancel coverage. For more information, visit CalHR. The following chart represents the percentage premium change for each health plan, between 2020 and 2021.

This allows families with members in a Medicare and Basic plan the choice to remain in the Anthem network.

SACRAMENTO, Calif. – The CalPERS Board of Administration today approved health plan premiums for calendar year 2021, at an overall average premium increase of 4.32%.

Anthem Blue Cross Blue Shield Health Net Kaiser Permanente Sharp Performance Plus UnitedHealthcare SignatureValue Alliance CCPOA (Association Plan) Western Health Advantage HMO EPO Select HMO Traditional HMO Access+ HMO & Access+ EPO Trio HMO Salud y Más & SmartCare.
You can also log in to myCalPERS to use the Search Health Plans tool to research the health plan coverage and benefits most important to you and your family. Since health care costs vary throughout California, regional pricing adjusts premiums to reflect the actual cost of health care in your specific region. Blue Shield Trio HMO plan will expand into Santa Barbara, San Luis Obispo, and Ventura counties. Contact the health plan before enrolling to make sure they cover your ZIP Codes and that their provider network is accepting new patients in your area. The program offers a convenient and fun way to meet others and get fit. Contact your employer to find out how much they contribute toward your monthly premium rate. The UnitedHealthcare® Group Medicare Advantage (PPO) plans include Medicare Part D prescription drug coverage. Many of these events are free and open to the public. Check with your employer to determine your contribution amount. Since health care costs vary throughout California, regional pricing adjusts premiums to reflect the actual cost of health care in your specific region.

Four Basic plans – Blue Shield Trio, Sharp, UnitedHealthcare, and Western Health Advantage – reduced their administrative fees or made other concessions for the 2021 rates to help offset state worker pay cuts that took effect under the recently approved state budget. They have access to extensive health information, well-being tools, and more. Blue Shield of California administers their own prescriptions. For more information, visit CalHR. Communications & Stakeholder Relations To find health plans available in your area, refer to Health Plan Search by ZIP Code. For more information, visit www.calpers.ca.gov. Copyright 2020 California Public Employees' Retirement System (CalPERS) | State of California, CalPERS Announces Health Plan Premiums for 2021.

“We’re also optimistic that these investments may ultimately lower costs because they help prevent avoidable hospital admissions.”. UnitedHealth Care offers tools and events to make small changes by adding healthy habits to your everyday life, so you can move towards better health management to help you live a full and active life. Website: Western Health Advantage or Western Health Advantage Mobile. Active subscribers should contact their employer to inquire which formula applies to their bargaining unit. To learn more, visit Blue Shield Live Healthy page.

Take advantage of the following events and resources offered by our health plans to improve your health and well-being.

California Correctional Peace Officers Association (HMO). Updated: September 16, 2020 CalPERS 2021 State Health Premiums (Actives and Annuitants) Effective Date: January 1, 2021 Basic Monthly Premiums (B)

OptumRx CAHP pharmacy benefits are administered by Express Scripts. Public Agency & School Retirees. OptumRx is the Pharmacy Benefit Manager (PBM) providing prescription benefits for this health plan. View the 2020 health premiums approved by the CalPERS Board of Administration: Consolidated Benefits (CoBen) is the employer-provided benefit allowance to offset the cost of health, dental, and vision benefits. There’s no COVID-19 impact to the HMO Medicare Advantage plans and the PPO Medicare Supplemental plans since COVID-19-related costs are covered by Medicare. Another option is to call the dedicated WHA dedicated CalPERS Member Services team to request an ID card be mailed. Western Health Advantage HMO * The Medicare Part D Prescription Drug Plan (PDP), is sponsored by CalPERS, administered by OptumRx, and offered in conjunction with the Anthem Medicare Preferred medical plan.

Kaiser Senior Advantage will offer the supplemental benefits of post-hospital discharge meal delivery, post-discharge transportation, and routine transportation to medical care. For 2021, the board approved new plan and benefit changes to deliver members more choices and improve health outcomes: “We focused on bringing in high-quality plan expansions and benefit enhancements that will improve our members’ health,” said Don Moulds, chief health director. Blue Shield of California members have more than just basic health care. You may also use our online service, the Health Plan Search by ZIP Code, available at www.calpers.ca.gov. Anthem has lifestyle programs to help keep you healthy and motivated.

Check with each health plan for more details. *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, dental, and vision benefits.
Peace Officers Research Association of California (PPO). State Premiums for January 1, 2020 to December 31, 2020. This ensures that your CalPERS premiums are appropriate and competitive for where you live. This gave the plans very little wiggle room to increase costs that couldn’t be justified and gave us stronger negotiating power on behalf of our 1.5 million health program members.”. Kaiser offers free Walk to Thrive clubs in the Greater Sacramento area. All health plans have geographical restrictions except for PERS Choice and PERSCare. This expansion benefits members in Santa Barbara county in particular, where a lower cost HMO option doesn’t currently exist. Check out these programs for Anthem members, and take advantage of these resources by visiting Anthem Blue Cross to keep you at your best. Blue Shield EPO is available only in Colusa, Mendocino and Sierra counties. Calendar Year … The PORAC plan is available only to dues-paying members of that organization and their families.

Refer to COBRA for information on continuing health coverage for yourself and your dependents if you involuntarily lose your health benefits. Visit your health plan's website to learn how benefits, claims, and payment of claims are covered, as well as the service limitations and exclusions that may apply. This ensures that your CalPERS premiums are appropriate and competitive for where you live. We serve those who serve California. Factors included in projecting COVID-19’s impact included the savings due to delayed and deferred care this year, which CalPERS was able to use to reduce rate increases for next year. Topics include: To learn more, visit Sharp Healthcare's Classes and Events page. For additional resources for healthy living, check out Kaiser's Health & Wellness page and select your region for specific information in your area. You must belong to the specific employee association and pay applicable dues to enroll in the California Correctional Peace Officers Association (CCPOA). Western Health Advantage (WHA) Members can access and print ID cards online or from WHA’s MyWHA mobile app. EPO & HMO Basic Plans.

Open Enrollment materials, information on health plan options, and custom search tools will be available through members’ myCalPERS accounts beginning September 14, 2020. 1These premiums cover all Kaiser out-of-state areas. Contributions vary by employer. For 2021, the board approved new plan and benefit changes to deliver members more … BENEFITS. A new Sharp Medicare Advantage plan will be offered in San Diego County to allow members to remain in the Sharp network when they become eligible for Medicare. In addition, the federal government has compiled a glossary of common health insurance terms. CCPOA pharmacy benefits are administered by Blue Shield. CalPERS members can change health plans during the annual Open Enrollment period, September 21 to October 16, 2020. View the 2020 COBRA rates by region (PDF). Detailed information on 2021 rates for HMO, PPO, and association plans are available on the CalPERS website. Kaiser administers their own prescriptions. COBRA premiums are calculated at 102% of the Basic premiums, but some carriers may charge less than these maximum amounts. UnitedHealth Care offers tools and events to make small changes by adding healthy habits to your everyday life, so you can move towards better health management to help you live a full and active life. We serve those who serve California. Most classes are free.


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