We realize changes to health plans impact decisions you make during Open Enrollment time. We also understand that changes to health plans during a pandemic can be especially hard and that members may be concerned with how the plan changes may impact their health benefits.

We’re providing you with information on the health plan proposals approved (PDF) in November 2020 by the CalPERS Board of Administration for the 2022 plan year.

There’s no action for you to take now.

These proposals become part of our rate development process and How CalPERS Sets Health Rates. Preliminary 2022 health premiums will be presented to the Pension & Health Benefits Committee in June. In July, the board will adopt final premiums. All plan changes and premiums will be communicated to you prior to Open Enrollment, which will be held September 20 - October 15.

Proposed Plan Changes for 2022

Basic Plans

Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO)

Plan Name Changes for 2022
Blue Shield Access+ Reenter into eight Bay Area counties: Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara, Sonoma, and Solano
Blue Shield EPO Expand into Lassen and Shasta counties
Blue Shield Trio Expand into Santa Cruz, Stanislaus, and Orange counties
UnitedHealthcare SignatureValue Harmony New plan to be available in Los Angeles, Orange, Riverside, San Bernardino, and San Diego counties
Western Health Advantage Expand into Humboldt County

Preferred Provider Organization (PPO)

CalPERS three PPO plans, PERSCare, PERS Choice, and PERS Select, will transition to two plans, PERS Platinum and PERS Gold. The change is the result of a year-long analysis to stabilize the Basic plan portfolio, including engagement with members, employers, and stakeholders. The two PPO plans will offer more distinction in benefit design, networks, and premium pricing.

Plan Name Changes for 2022
PERSCare Transition to PERS Platinum. Retains the same 90/10 benefit design, and network as PERSCare/PERS Choice
PERS Choice Transition to PERS Platinum. Offers a 90/10 benefit design, and retains the network of PERSCare/PERS Choice
PERS Select Transition to PERS Gold. Retains the same 80/20 benefit design and network as PERS Select

Medicare Plans

Plan Name Changes for 2022
Anthem Blue Cross Medicare Preferred Expand into 21 additional counties for coverage in all 58 counties

New supplemental benefits:

  • 12 telephone nutritional counseling sessions
  • 1 monthly shipment of recommended healthy non-perishable staples
  • Non-emergency medical transportation to medical appointments, SilverSneakers locations, and pharmacies. Twelve one-way trips, up to 60 miles per trip, per year
Blue Shield Medicare Advantage New plan to be available nationwide

Additional supplemental benefits:

  • Quarterly $80 over-the-counter drug benefit
  • Personal emergency response system
  • Post-discharge meals
  • 24 non-emergency medical transportation one-way trips
PERSCare Supplement to Medicare Plan Transition to PERS Platinum Supplement to Medicare Plan. No changes to benefit design or network.
PERS Choice Supplement to Medicare Plan Transition to PERS Platinum Supplement to Medicare Plan. No changes to benefit design or network.
PERS Select Supplement to Medicare Plan Transition to PERS Gold Supplement to Medicare Plan. No change to benefit design or network.
UnitedHealthcare Medicare Advantage Edge New nationwide plan with OptumRx pharmacy benefit manager
Western Health Advantage (WHA) MyCare Select Medicare Advantage New plan to be available 9 counties (Sacramento, Yolo, Solano, El Dorado, Placer, Colusa, Marin, Napa, Sonoma)