PERS Gold & Platinum Basic Plan

Get access to all Included Health services and benefits in one, easy-to-use app by following these simple steps:

1. Download and open the Included Health app from the App Store (iOS) or Google Play Store (Android).
2. Open the app and tap on the “I’m new here” button on the home screen.
3. Follow the on-screen instructions to input your basic information, such as email, name, date of birth, and contact details.
4. When asked to check if you’re covered for Included Health, search for and select “CalPERS” from the menu.

You’ll receive a confirmation email once your registration is complete. For assistance downloading or using the mobile app, call (855) 633-4436.

In the app you can access the following services:

• Provider Search: This tool, you can identify the best-matched physicians for your unique health needs. The process is seamless and convenient — available by phone, website, or mobile app — ensuring accessibility according to your preference.
• Deductible Tracker: Included Health allows you to track your progress toward medical deductibles and out-of-pocket maximums, helping you stay informed.
• View Claims Activity: Included Health allows you to track your historical medical and pharmaceutical claims, including claims for provider visits, through the app. You can access detailed information about each claim, including the claim type, facility, and your payment responsibility.
• Benefits Directory: Members can review a comprehensive list of CalPERS benefits and filter the list based on benefit categories. The Included Health Care Team offers live navigation support. This service ensures you can quickly and easily access your benefits.

Included Health offers 24/7 support over the phone from a team of registered nurses who can direct you to the next best step for care. You can speak with on-staff clinician anytime for personalized advice on the best course of action for your care, including education and support for conditions or symptoms.

Visit includedhealth.com/calpers or call (855) 633-4436 to learn more and get started today.

Note: Included Health clinicians do not practice medicine through this service, meaning they do not make diagnoses, treatment recommendations, or write prescriptions.

Included Health offers virtual primary care via appointment for routine preventive care and care of acute and chronic conditions. They also offer 24/7 urgent care, allowing you to  see an urgent care provider within minutes from your smartphone, tablet, or computer. You can access on-demand care or schedule appointments in the app or online.

Visit includedhealth.com/calpers or call (855) 633-4436 to learn more and get started today.

Included Health provides convenient and accessible mental behavioral health care with through virtual therapy and psychiatry services, available seven days a week by appointment. You can book virtual visits with licensed therapists or board-certified psychiatrists to receive personalized care from the comfort of your home.

Visit includedhealth.com/calpers or call (855) 633-4436 to learn more and get started today.

Included Health can help find and schedule in-network, local care for complex needs by identifying high-quality, in-network physicians and referrals best matched to your unique needs and preferences. With your permission, we can also request that your patient records are shared between participating providers and referred specialists, ensuring comprehensive and coordinated care.

Visit includedhealth.com/calpers or call (855) 633-4436 to learn more and get started today.

With Included Health’s second-opinion service,  a top specialist reviews your diagnosis or current treatment plan so you can better understand your options.

Visit includedhealth.com/calpers or call (855) 633-4436 to learn more and get started today.

Included Health is dedicated to helping you resolve issues related to your claims. We can help obtain pre- authorizations and support you if you are denied services.

Visit includedhealth.com/calpers or call (855) 633-4436 to learn more and get started today.

Included Health’s integrated Care and Case Management Program provideswhole-person care and dedicated support for complex health conditions, like diabetes, back-pain, and pregnancy.

• Case Management: Offers dedicated support to help you navigate acute medical needs, such as surgeries and hospitalizations.
• Care Management: Delivers long-term clinical care coordination for complex health needs. This includes an initial assessment, personalized care planning, education, and ongoing clinical guidance. This program is designed to support you throughout your health care journey, providing the necessary tools and support for the best health outcomes.

Visit includedhealth.com/calpers or call (855) 633-4436 to learn more and get started today.

Get the best care for you and your baby with help from Included Health by enrolling in Included Health’s Maternity Care Program. This program is available at no cost to CalPERS Basic members enrolled in a PERS Gold/Platinum plan. By enrolling, you get access to a team of health care professionals, including doctors, nurse practitioners, physician assistants, nurses, registered dietitians, mental health specialists, social workers, and care coordinators who are committed to raising the standard of care for pregnant members.

They offer education, support, and guidance throughout your pregnancy and in the postpartum period, making sure that your prenatal care is on track and that you fully understand each step of your pregnancy journey. They can collaborate with your local prenatal care provider, recommend local maternity classes, connect you with lactation support, and more.

Call (855) 633-4436 to enroll in the Maternity Care Program or learn more.

In addition to our Maternity Care Program, Included Health can offer you and your baby help with the following:

• Explore Maternity Benefits
• Find Top Doctors near you
• Dedicated support
• Get 24/7 medical advice
• Plan for future expenses

Included Health can help you with disease and health conditions like:

• Offer support with any aches and pains from bones, joints or muscles
• Heart conditions and heart health
• Cancer support and guidance
• Diabetes support and guidance

Included offers the following support:

• Access to 24/7 virtual care network that can help you deal with chronic conditions, acute conditions and pain
• Second opinions to ensure you are getting the right care or to offer reassurance in your current care plan
• Help with finding a specialist near you, they can even help with getting your medical records with your permission and in some cases schedule the appointment for you
• Help you navigate your care by partnering with a dedicated clinician, nurse care manager, and Care Coordinator for personalized support and guidance. We create a custom care plan for your unique needs
• Address any claims or healthcare cost related questions, they can also help you plan for any future healthcare expenses like surgery

When members join a healthy lifestyle program, they can get healthier, lose weight, feel more energetic, and reduce the risk of type 2 diabetes. The Diabetes Prevention Program is a 12-month program designed to help you lose extra weight and prevent or delay the onset of type 2 diabetes. Members who are eligible and sign up for the program can get a Fitbit, digital scale, and health coaching at no additional cost. All programs adhere to the U.S. Centers for Disease Control and Prevention curriculum. To check if you qualify for the Diabetes Prevention Program, take a one-minute online quiz at Blue Shield of California Wellvolution.