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Health

Placer County provides group health insurance through HMOs (Health Maintenance Organizations) and PPOs (Preferred Provider Organizations) or you may select ILH (In Lieu of Health).

Choosing your health plan is an important decision. To assist you with this process, each health plan available to you through the California Public Employees’ Retirement System has produced a Summary of Benefits and Coverage (SBC). In addition, the federal government has compiled a glossary of common health insurance terms. Together, these documents provide important information to help you better understand your health benefit coverage and more easily compare health plan options.

To view the SBCs and glossary online, visit CalPERS Health or any of the health plan websites below. To request a free paper copy of the SBC and glossary, please contact each health plan directly.

Please contact your department’s human resources office with questions regarding eligibility and enrollment.

HMOs

Generally pay 100% of the cost of care after a co-payment, but require you to use in-network providers and have your care coordinated through a designated Primary Care Physician.

Anthem (Select & Traditional) (855) 839-4524 https://www13.anthem.com/cp/web/calpers

Blue Shield Access+ (800) 334-5847 www.blueshieldca.com/calpers

Health Net SmartCare (888) 926-4921 www.healthnet.com/calpers

Kaiser (800) 464-4000 www.kp.org/calpers

United Health Care (877) 359-3714 www.uhc.com/calpers

PPOs

Generally pay a percentage of the cost of care after co-pay and deductible requirements are met. The services of in-network providers are paid at a higher percentage than out-of-network providers.

PERS Choice (877) 737-7776 www.anthem.com/ca/calpers

PERS Select (877) 737-7776 www.anthem.com/ca/calpers

PERSCare & PERSCare DSA (877) 737-7776 www.anthem.com/ca/calpers

PORAC (DSA/Safety Mgmt Only) (800) 937-6722www.porac.org

OptumRX

Beginning in 2017, OptumRx will be the Pharmacy Benefit Manager (PBM) and provide prescription benefits for, the CalPERS health plans.  In late November, OptumRx will send a welcome package to subscribers enrolled in these health plans. It will include a summary of your prescription benefits, a home delivery order form, and information on how you can save money on your prescriptions. Your new ID cards will be mailed to you during the second week of December.

For additional information, you can contact OptumRx Customer Service by calling (855) 505-8110 about non-Medicare benefits, or (855) 505-8106 about Medicare Part D benefits. Members needing TTY service, please dial 711.

ILH Plan

If you have other health insurance coverage or you elect to waive your Placer County health insurance, you may be able to take advantage of an employer contribution to a 401(k) savings plan.

To participate in the 401(k) In Lieu of Health program, you will need to:

  • Enroll through ACORN eBenefits by selecting 401(k) Flex Credit Part I, and 401(k) ILH Part II savings plans. If you do not currently have a 401(k), submit a 401(k) Enrollment form and a Beneficiary Designation form.
  • Provide proof of other health insurance (a copy of your insurance card showing your name is sufficient).

 

CalPERS Health Forms and Guides

Affidavit of Parent Child Relationship (HBD-40)

CalPERS Declaration of Health Form (HBD-12A)

2017 CalPERS Health Benefit Summary

CalPERS Health Enrollment Form

CalPERS Health Program Guide

CalPERS Medicare Enrollment Guide

CalPERS Physician Selection Form

CalPERS Zip Code Election Form

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