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 2012-13 Health Plan Rates (.pdf) 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 the Benefits Worksheet, (.xls) or (.pdf) and Declaration of Health Coverage (.pdf). Return all forms to the Benefits Office in HR Services.

Blue Shield Access+ HMO

• Individual practice plan where the employee must use contracted doctors/hospitals designated on plan lists for all services.
• To Find a Doctor click on “find a provider now,” then click on “Find a Doctor.” Under “Choose a Plan” select "CalPERS" from the drop down menu. Under "specify which CalPERS plan" select "CalPERS Access+ HMO." Here you can find a doctor by specialty, name or location.
• 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.
• To find a doctor click here and choose “find a provider now.” Click on “Find a Doctor” and under “Choose a Plan” select "CalPERS" from the drop down menu. Under "specify which CalPERS plan" select "CalPERS NetValue HMO." Here you can find a doctor by specialty, name or location.
• For more information refer to the Evidence of Coverage.

Kaiser

• A clinic/hospital-based plan where one specific clinic or hospital provides the services.
• Find a doctor or facility.
• For more information refer to the Evidence of Coverage.

• Search for a doctor by going to http://www.anthem.com/ca/. Select “Find a Doctor” and click “Go” > “All Doctors & Facilities” > “Next” under “New Member & Visitor Search.” In the “Select a Plan Type” drop down menu choose “Large Group.” In the “Select A Plan” drop down menu choose Blue Cross PPO (Prudent Buyer). Under “Select Provider Type” choose “Physicians.” Now you can choose a specialty or indicate “No Preference” and “Next.” In the last section you can type in your address and/or zip code and search for providers.
• 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 PERS Choice and PERSCare.

PERS Select (.pdf) (administered by Anthem 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. Search for a doctor by going to http://www.anthem.com/ca/. Select “Find a Doctor” > “All Doctors & Facilities” > “Next” under “New Member & Visitor Search.” In the “Select a Plan Type” drop down menu choose “Large Group.” In the “Select A Plan” drop down menu choose “Select PPO.” Under “Select Provider Type” choose “Physicians.” Now you can choose a specialty or indicate “No Preference” and “Next.” In the last section you can type in your address and/or zip code and search for providers.

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