CalPERS Health Benefits Open Enrollment Starts September 20
September 16, 2021
Communications & Stakeholder Relations
Contact: Deb Reyman, Information Officer
(916) 795-3991 - firstname.lastname@example.org
New HMO and Medicare Advantage Plans and Expansions Increase Choice for Members
Sacramento, Calif. – The CalPERS Health Open Enrollment period starts Monday, September 20 and ends Friday, October 15. During this time, CalPERS health plan members may enroll in or switch their health plan, add eligible dependents, or delete dependents. Any coverage changes become effective January 1, 2022.
Open Enrollment is the annual time of year members can review health coverage options from CalPERS’ Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans, self-funded Preferred Provider Organization (PPO) plans, and association plans. The choice of health plans available to a member is based on their eligible home or work ZIP code.
During the 2021 Open Enrollment period, members can elect from 13 Basic (non-Medicare) HMO plans available through Anthem Blue Cross, Blue Shield of California, Health Net, Kaiser Permanente, Sharp Health Plan, UnitedHealthcare, and Western Health Advantage. Two Basic PPO plans, PERS Gold and PERS Platinum, will be offered through third-party administrator Anthem Blue Cross.
Nine Medicare plans will be available through Anthem, Blue Shield, Kaiser Permanente, UnitedHealthcare, and Western Health Advantage. The three associations offer Basic and Medicare plans for their members.
For 2022, CalPERS has added more affordable managed care HMO, EPO, and Medicare plans to give members more choice. These changes include:
- A new Western Health Advantage HMO plan in Humboldt County and new Blue Shield EPO plan in Shasta and Lassen counties.
- Expansion of Blue Shield Trio HMO into Orange, Santa Cruz, and Stanislaus counties.
- Introduction of a new UnitedHealthcare SignatureValue Harmony HMO plan in Los Angeles, Orange, Riverside, San Bernardino, and San Diego counties.
- Re-entry of the Blue Shield Access+ HMO plan in eight Bay Area counties it exited in 2019: Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma.
- The transition of CalPERS’ three PPO plans to two new plans, PERS Platinum and PERS Gold.
- Three new Medicare Advantage plans from Blue Shield, UnitedHealthcare, and Western Health Advantage and statewide expansion for Anthem Medicare Advantage.
Members can search coverage options and access their health plan information through their myCalPERS accounts. There they can view their customized Health Plan Statement, which details their current health coverage and their 2022 monthly premium if they remain enrolled in their current health plan. Using the Search Health Plans tool, they can search the CalPERS plans for their doctors, including specialists, explore available health plans, and compare side-by-side benefits and costs.
To make changes, active employees can use myCalPERS to complete the form, electronically sign, and email it to their employer or contact them directly. Retirees may elect changes through myCalPERS, via mail or by calling CalPERS toll free at 888 CalPERS (or 888-225-7377).
For more than eight decades, CalPERS has built retirement and health security for state, school, and public agency members who invest their lifework in public service. Our pension fund serves more than 2 million members in the CalPERS retirement system and administers benefits for more than 1.5 million members and their families in our health program, making us the largest defined-benefit public pension in the U.S. CalPERS' total fund market value currently stands at approximately $489 billion. For more information, visit www.calpers.ca.gov.