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Open Enrollment

The CSU Open Enrollment period is now closed.

​Every year the CSU reviews the benefit plans offered to retirees and their eligible dependents. We continue to work to provide benefits that not only meet the long-term institutional obligations of the CSU plans, but also encourages a sustainable option for covered members.

This is the time of year to re-evaluate your existing benefits elections, discover the benefit plans that are best for you and your family, and make changes that best fit your needs. Plan changes will be effective as of January 1, 2023.

Actions You Can Take During Open Enrollment:

  • Enroll in a plan
  • Change from one plan to another
  • Add or delete eligible family members
  • Cancel coverage​

Review your health plan to understand changes fo​r 2023. 
If no enrollment changes are made to the health*, dental or vision plans, coverage will remain the same in 2023.

Questions?

For health or dental eligibility, contact CalPERS at 888-225-7377.
For vision plan questions, contact Vision Service Plan (VSP) at 800-400-4569.


What's New for 2023?

Preferred Provider Organization (PPO)

Preferred Provider Organization (PPO) Basic members and their dependents will be assigned a Primary Care Physician (PCP) – for example, a general practitioner, family practitioner, internist, or pediatrician – based on factors such as location, age, and primary language. Members are free to choose a different PCP, and it does not change your ability to see a specialist at any time without a referral. PPO members with an existing PCP assignment will keep their current PCP. PPO Medicare members are not impacted.


Health Benefit Design Change

New benefit providing medically necessary and clinically appropriate hearing aids in both ears at 100% coverage every 36 months. PPO Medicare members are not impacted. 


Health Plan Expansions and Changes

  • Kaiser Permanente Senior Advantage is introducing a new senior advantage summit with a $0 copay plan available in California.
  • Blue Shield Trio is expanding its service area to include Butte, Kern, Kings, Monterey, Riverside, San Bernardino, and Tulare counties.
  • Blue Shield EPO is expanding into Alpine, Calaveras, Inyo, Lake, Modoc, Mono, Plumas, Siskiyou, Tehama, Trinity, and Tuolumne counties.

Vision Service Plan (VSP) New Plan Enhancements

  • Vision benefits now include VSP LightCare™, which allows you to use your frame and lens benefit to get non-prescription eyewear from your VSP® network doctor. Simply choose either prescription eyewear coverage, or use your frame and lens allowance toward ready-to-wear non-prescription sunglasses or non-prescription blue light filtering glasses.
  • Participants will also see a small premium decrease in 2023.

Please make sure you carefully consider all your plan options during this open enrollment.  For more information on Health Plan changes, please visit CalPERS'​ Website.

Benefits Plans for 2023

CalPERS is your Health Benefits Officer and administers health insurance coverage for CSU re​tirees. You may change your health plan online during Open Enrollment by logging onto my|CalPERS and following the instructions.

You may also call CalPERS at 888-225-7377 to make changes. Complete the CalPERS Health Enrollment Retirees (PDF) form before calling.

State Employer Contribution Amounts

The state pays a portion of your health insurance premium. You must pay the difference between the state contribution amount and the premium for the health plan in which you’re enrolled.

Your plan’s monthly premium – what’s paid by the CSU = your monthly cost

The state employer contribution amounts for 2023 are:

Coverage Level
What’s Paid by CSU Monthly
Retiree Only$883
Retiree + One
$1,699
Retiree + Two or More$2,124​

Find your plan’s monthly premium in one of these documents to determine your monthly cost:
2023 HMO Health Plan Rates​ (PDF)
2023 PPO Health Plan Rates (PDF)

CalPERS maintains the dental benefit enrollment records for all eligible CSU retirees and processes retirees' dental enrollments.

Voluntary Dental Enhance​d Plans:

You can now choose between the Basic Plans (Delta Dental PPO Basic, DeltaCare USA Basic) (at no cost) and the Enhanced Plans (Delta Dental PPO Voluntary Enhanced II, Delta Care USA Voluntary Enhanced). For an additional monthly fee, you can enroll in the same Enhanced Plan you had as a California State University active employee. If you want to keep the same type of plan (Delta Dental PPO vs DeltaCare USA) but want to enroll in the enhanced coverage, make sure to select the correct enhanced plan (see the chart below). If you are uncertain which plan you are currently enrolled in (Delta Dental PPO Basic or DeltaCare USA Basic), contact Delta Dental or CalPERS (contact information is below). You may also choose to enroll in Basic coverage if you are currently enrolled in Enhanced coverage during open enrollment. Keep in mind, you and your dependents must be enrolled in the same type and level of coverage.​

​ ​ ​ ​
Current Basic Plans
​​​​To​
New Enhanced Plans
Delta Dental PPO Basic​​​→​Delta Dental PPO Voluntary Enhanced II
DeltaCare USA Basic
​→​
​DeltaCare USA Voluntary Enhanced
  • Compare the dental plans for CSU retirees: Retiree Dental Comparison ​Charts (PDF)​​

  • To enroll in the Enhanced Plan, Basic Plan, or make other changes​​, complete the CSU Retiree Dental Change/E​nrollment Form and fax or mail to CalPERS.

  • For more information about the plans or your current coverage, visit Delta Dental’s website at Delta Dental​​ or call Customer Service at 800-626-3108 for Delta Dental PPO and 844-519-8751 for DeltaCare USA.

    If you have questions regarding your enrollment or eligibility, contact CalPERS, Member Account Management Division at 888-225-7377 or visit CalPERS.

FAX THIS FORM TO: (800) 959-6545, or
MAIL THIS FORM TO:
CalPERS – Health Account Management Division
P.O. Box 942715 - Sacramento, CA 94229-2715
To be processed, this form must be faxed or received by CalPERS no later than October 14, 2022.

To keep your current Plan, no action is required. You and all your eligible dependents will be enrolled in the same plan.

CSU Retiree Enhanced Dental Rates
Coverage Effective January 1, 2023
Dental Plan Name​​

Gross Premium Employer Share Retiree Cost
Delta Dental PPO Voluntary Enhanced II​
​Retiree Only
Retiree + One
Retiree + Family
$46.15
$86.82
$169.33
$30.45
$57.52
$115.49
$15.70
$29.30
$53.84
DeltaCare USA Voluntary Enhanced​Retiree Only
Retiree + One
Retiree + Family

$25.34
$41.63
$61.62
$18.85
$31.08
$45.97
$6.49
$10.55
$15.45

The CSU pays 100 percent of the monthly premium cost for the Basic Plan dental coverage for all retirees and their eligible dependents, which includes a spouse or registered domestic partner and/or children up to age 26.​

Delta Dental PPO Plan Enhancements Reminder

Diagnostic and Preventive (D&P) Waiver for the Delta Dental PPO Basic Plan​
When you visit a PPO dentist, your diagnostic and preventive services (like cleanings and exams) will not count against your annual maximum. No action necessary to receive this benefit.

Example Delta Dental Pays You Pay Your remaining maximum
Without D&P Maximum Waiver$300.00$100.00$1,200.00
With D&P Maximum Waiver$300.00$100.00 $1,500.00


Diagnostic and Preventive (D&P) Waiver for the Delta Dental PPO Voluntary Enhanced Plan

When you visit a PPO dentist, your diagnostic and preventive services (like cleanings and exams) will not count against your annual maximum​. No action necessary to receive this benefit.​

Example Delta Dental Pays You Pay Your remaining maximum
Without D&P Waiver$350.00$100.00$1,650.00
With D&P Waiver$350.00$100.00 $2,000.00

More information: Diagnostic-Preventive Waiver for Retirees (PDF)

SmileWay Wellness Benefit
The SmileWay Wellness Benefit offers enhanced coverage for retirees who qualify as “higher risk” (meaning those with a diagnosed medical condition such as diabetes, heart disease, HIV/AIDS, rheumatoid arthritis or stroke).

Expanded coverage includes one periodontal scaling and root planning procedure per quadrant of the mouth, per calendar year, covered at 100 percent. Also included is four (4) of any combination of yearly cleanings or periodontal maintenance. To use this benefit, retirees must opt in by calling Delta Dental at 800-626-3108

More information: SmileWay Wellness Benefits for Retirees (PDF)

Added Features from Delta Dental​

Access to hearing aid discounts offered through Amplifon- Hearing Health Care which offers discounts on top hearing aid brands offering a 62% average savings off retail hearing aid pricing with a choice of leading hearing aid brands and thousands of hearing care providers.

QualSight which offers LASIK services that has preferred pricing on LASIK eye surgery with a 40-50% discount off the national average price of Traditional LASIK at over 1000 LASIK locations with credentialed surgeons that have collectively performed 6.5 million procedures.

To enroll visit Amplifon USA or by calling (888) 779-1429 for Amplifon and visit Qualsight​ or call (855) 248-2020.

The CSU and Vision Service Plan (VSP) offer you a choice of two vision plans: Basic or Premier. The VSP Premier plan offers a higher level of benefits for lenses, contacts and frames.

Use the 2023 VSP Retiree Benefit Summary (PDF) to determine which plan best suits your vision needs.

Monthly Vision Costs
The cost is deducted directly from your state retirement warrant. If you don’t have enough in your warrant to cover the cost, you will be billed directly by VSP.

 Basic PlanPremier Plan
Retiree Only
$5.10
$14.83
Retiree + One$9.31
$27.63
Retiree + Family$9.98
$29.64

There are two ways to enroll:

  • Complete the online enrollment form on the VSP website.
  • Call VSP at 800-877-7195​ and speak to a representative.

This plan, offered by MetLife, provides representation for many personal legal services for you and your eligible dependents. Covered legal services performed by network attorneys are fully paid for by the plan. Now as a retiree, you can enroll in the same Legal Plan offered to active employees. You can only enroll or cancel during Open Enrollment. To enroll or learn more about this plan and/or to enroll visit, MetLife.

View more information on the MetLaw Plan Description.


CSU retirees are able to enroll, change or cancel the above benefits during Open Enrollment for plan year 2023. See Other Benefits for a complete listing of benefits available to retirees.