Basic Plans Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) Health Planġ1.13% premium increase for Public Agencies and Schools in Region 1ĩ.08% premium increase for Public Agencies and Schools in Region 3ġ4.48% premium increase for State and California State Universitiesġ3.54% premium increase for Public Agencies and Schools in Region 1Įxpansion into 11 counties: Alpine, Calaveras, Inyo, Lake, Modoc, Mono, Plumas, Siskiyou, Tehama, Trinity, and TuolumneĮxpansion into seven counties: Butte, Kern, Kings, Monterey, Riverside, San Bernardino, and Tulare Use the Search Health Plans tool to find health plans available in your area and whether your doctor accepts those plans. Log in to m圜alPERS to view customized health benefit information. For a full list of our available health plans and premiums, view our Plans & Rates page. The health plans indicated below will have premium increases of 9% or higher, changes to service areas, and benefit design changes in 2023. The Board of Administration approved final health plan premiums for 2023 in July. Kaiser Permanente Senior Advantage SummitĮxpansion into eight out-of-state regions: Colorado, Hawaii, Georgia, Northwest (Oregon, Washington), Mid-Atlantic (Virginia, Maryland, District of Columbia), and WashingtonĬhanging from $0 to a $50 copay for emergency room visits New supplemental benefits: Personal Emergency Response System (PERS) devices and in-home support services Site of care lab services incentive waives coinsurance when members use preferred lab providers for routine lab testsīasic PPO out-of-network deductible will increase from $1,000 to $2,500īasic PPO out-of-network deductible will increase from $500 to $2,000 Preferred Provider Organization (PPO) Health Plan Check with your health plan or call the Department of Managed Health Care at 1-88 for more information about continuity of care options. This means you’ll continue to receive the medical and behavioral health services and medicines you need. *Regardless of the health plan you enroll in, continuity of care coverage is available to you even if your current doctor, medical group, or hospital is not available. Pharmacy mail-order program with opt-out option guiding members to use home delivery for non-specialty maintenance medicationsĮxpansion into Del Norte and San Benito countiesĮxits all counties no longer part of CalPERS health plan offerings *Įxpansion into 12 counties for public agencies and schools members: Alameda, Contra Costa, Marin, Merced, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, and StanislausĮxpansion into Santa Clara and Santa Cruz counties Basic Plans Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) Health Plan For a full list of our available health plans, view the Plans & Rates page. There are no other changes to our health plans or benefits except those described here. Health plans indicated below will have changes in 2024. The Pension & Health Benefits Committee approved final premiums in July 2023. These proposals become part of our rate development process when we set health premiums. We’re providing you with information on the 2024 health plan changes approved in November 2022 (PDF) and March 2023 (PDF) by the CalPERS Board of Administration.
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