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Medical Insurance Plans


Employees that are benefits eligible may enroll in one of several medical plans for themselves and their eligible dependents:

Health Maintenance Organizations (HMOs)

Employees select a primary care physician who coordinates all care including referral to specialists.

Anthem Blue Cross Traditional HMO California and Anthem Blue Cross Select HMO California

  • Dedicated to delivering quality care and great value
  • Both plans offer 360° Health, a program that helps members become involved in their health and wellness  
  • For more information, call (855) 839-4524 or visit their website.

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,” then click on “Select your plan.” Select "CalPERS" from the drop down menu. Under "Select a sub plan" select "CalPERS Access+ HMO." Here you can find a doctor by specialty, name or location.

Blue Shield NetValue

  • To find a doctor click here. Click on "Find a provider" and under "Select your plan" select "CalPERS" from the drop down menu. Under "Select a sub plan" select "CalPERS Net Value HMO." Here you can find a doctor by specialty, name or location.

Health Net Salud y Mas California and Health Net SmartCare California

  • Budget-friendly HMO plans with a tailored list of quality providers for selected California counties
  • Ideal for employees who want one primary care physician to coordinate all their medical care 
  • For more information, call (888) 926-4921 or visit the website.

Kaiser

  • A clinic/hospital-based plan where one specific clinic or hospital provides the services.
  • Click here to find a doctor or facility.

Sharp Performance Plus California

  • Local HMO plan serving residents of San Diego
  • Commitment to healthcare delivered in a convenient and cost-effective manner
  • For more information, call (855) 995-5004 or visit the website.

United Healthcare Alliance HMO California

  • Quality patient-centered healthcare at lower costs
  • Distinct network of providers offers collaborative care and health management 
  • For more information, call (877) 359-3714 or visit the website.

Preferred Provider Organization (PPO)

PERS Choice and PERSCare (administered by Anthem Blue Cross of California)

Plan Details:

  • Search for a doctor by going to http://www.anthem.com/ca/calpers. Select“ Find a Doctor” and select your plan. In the “Select a Provider Type” drop down menu choose the provider type you are looking for.  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.

PERS Select (administered by Anthem Blue Cross of California) Plan Details:

  • 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/calpers/.
    Select “Find a Doctor” and select your plan.” In the “Select a Provider Type” drop down menu choose the provider type you are looking for.  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.

Prescription Drug Information

CVS Caremark(Prescription Drug) Information


Content Contact:
Human Resource Services
(562) 951-4070
Technical Contact:
webmaster@calstate.edu

Last Updated: February 4, 2014