Medical Insurance Plans

• Monthly plan premium costs shared by the CSU and the employee.
• Employee contribution rates vary depending on the plan selected and the number of dependents enrolled.
• Before enrolling, review the 2007 and 2008 Health Plan Rates (.xls) and the information provided below on each plan.
• To find health plans available in your area go to the CalPERS Health Plan Search by Zip Code
• Use Provider Phone/Website List to contact providers for more information.
• Need help choosing a medical plan? Try the CalPERS Health Plan Chooser or CalPERS Health Plan Quality Report.
• When you have made your choice, fill out Benefits Worksheet, (.xls) or (.pdf) and Declaration of Health Coverage (.pdf), and return both forms to the Benefits Office in HR Services.

Blue Shield Access+

• Individual practice plan where the employee must use contracted doctors/hospitals designated on plan lists for all services. Find a provider > select “Find a Doctor” > for “Plan” select “CalPERS HMO” > select the "Doctor Type and Specialty" > continue making your selections
• Generally, no deductibles and no claim forms are required.
• For more information refer to the Evidence of Coverage.

Blue Shield NetValue

• Same level of benefits as Blue Shield Access+ at a lower monthly premium cost and with a smaller network of medical groups.
• Find a provider > select “Find a Doctor” > for “Plan” select “CalPERS NetValue” > select the “Doctor Type and Specialty” > continue making your selections
• For more information refer to the Evidence of Coverage.

Kaiser: Evidence of Coverage (.pdf)

• Evidence of Coverage

• List of doctors/hospitals in the PPO network. Find an in-network provider > select “Find a Doctor” > select “Visitor Search” > for “Plan Type” select “Large Group” > for “Select a Plan” choose “Plan is Blue Cross PPO (Prudent Buyer)” > make your selection for “Select A Provider Type”
• Non-network providers may be used, but co-payments will be higher.
• Members may select primary care provider and specialists without referral.
• Annual deductibles must be met before some benefits apply.
• See Benefits Office for chart comparing PersChoice and PersCare.

PERS Select (administered by Blue Cross of California)

• Same level of benefits as PERS Choice at a lower monthly premium cost.
• Available in 54 of the 58 California counties (not available in Alameda, Marin, Placer, or Solano counties, or out-of-state).
• List of providers is 50 percent of the PERS Choice physician network. Find an in-network provider > select “Find a Doctor” > select “Visitor Search” “Large Group” > for “Plan Type” select “Large Group” > for “Select a Plan” choose “Plan is Power Select PPO” > make your selection for “Select A Provider Type”

• Register for online member services (Member number/subscriber ID is the number on your PERS Choice, Care or Select ID card without the three alpha characters)