2022 Health Benefit Summary - Calpers.ca.gov

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2022 Health Benefit SummaryHelping you make an informed decision about your health plan

About CalPERSAbout This PublicationCalPERS is the largest purchaser of publicThe 2022 Health Benefit Summary provides only a generalemployee health benefits in California, and theoverview of certain benefits. It does not include details ofsecond largest public purchaser in the nationall covered expenses or exclusions and limitations. Pleaseafter the federal government. Our programrefer to each health plan’s Evidence of Coverage (EOC)provides benefits for 1.5 million publicbooklet for the exact terms and conditions of coverage.employees, retirees, and their families.Health plans mail EOCs to new members at the beginningDepending on where you reside or work,of the year, and to existing members upon request. In caseCalPERS offers active employees and retireesof a conflict between this summary and your health plan’sone or more types of health plans, whichEOC, the EOC establishes the benefits that will be provided.may include: Health Maintenance Organization (HMO) Preferred Provider Organization (PPO)information to help you make an informed choice about Exclusive Provider Organization (EPO)compares covered services, copayments, and benefits for(for members in certain California counties)The 2022 Health Benefit Summary provides valuableyour health plan and health care providers. This publicationeach CalPERS health plan. It also provides informationabout plan availability by county and a chart summarizingThe CalPERS Board of Administration annually determines health plan availability, coveredimportant differences among health plan types.You can use this information to determine which healthbenefits, health premiums, and copayments.plan offers the services you need at the cost that works for you.Whether you are working or retired, yourThe 2022 health plan premiums are available at the CalPERSemployer or former employer makes monthlywebsite at www.calpers.ca.gov. Check with your employercontributions toward your health premiums.to find out how much they contribute toward your premium.The amount of this contribution varies. YourWe recommend that you only use this publication incost may depend on your employer or formerconjunction with the current year’s health premium rateemployer’s contribution to your premium, theschedule and EOCs. To obtain a copy of the health premiumlength of your employment, and the health planrate schedule for any health plan, please go to the CalPERSyou choose. For monthly contribution amounts,website at www.calpers.ca.gov or contact CalPERS atactive employees should contact their employer,888 CalPERS (or 888–225–7377).State retirees should contact CalPERS, andcontracting agency retirees should contactOther Health Publicationstheir former employer.This publication is one of many resources CalPERS offers tohelp you choose and use your health plan. Others include: Health Program Guide: Describes Basic and Medicarehealth plan eligibility, enrollment, and choices CalPERS Medicare Enrollment Guide: Providesinformation about how Medicare works with yourCalPERS health benefitsYou can obtain the above publications and otherinformation about your CalPERS health benefits throughmyCalPERS at my.calpers.ca.gov or by calling CalPERSat 888 CalPERS (or 888–225–7377).

ContentsConsidering Your Health Plan Choices . . . . . . . . 2Additional Resources . . . . . . . . . . . . . . . . 14Understanding How CalPERS Health Plans Work . . . 3Health Plan Directory . . . . . . . . . . . .CalPERS Health Plan Choices . . . . . . . . . . 4Obtaining Health Care Quality Information . . . . . 1514Choosing Your Doctor and Hospital . . . . . . . . 5Enrolling in a Health Plan Using Your Residentialor Work ZIP Code . . . . . . . . . . . . .CalPERS Health Plan Benefit Comparison5Basic Plans . . . . . . . . . . . . . . . . . . .16Medicare Plans . . . . . . . . . . . . . . . . . 24Health Plan AvailabilityBasic Plans . . . . . . . . . . . . . . . . 6Medicare Plans . . . . . . . . . . . . . . 8Tools to Help You Choose Your Health Plan . . . . .10Accessing Health Plan Informationwith myCalPERS . . . . . . . . . . . . . . 10myCalPERS Health Plan Comparison Feature . . . . 10Comparing Your Options: Search Health Plans . . .11Comparing Your Options: Health PlanChoice Worksheet . . . . . . . . . . . . . 11Health Plan Choice Worksheet . . . . . . . . . 12CalPERS Health Plan Member Survey Results . . . . 132022 Health Benefit Summary 1

Considering Your Health Plan ChoicesSelecting a health plan for you and your family is oneWe realize that comparing health plan benefits,of the most important decisions you will make. This deci-features, and costs can be complicated. This sectionsion involves balancing the cost of each plan, along withprovides information that can simplify your decision-other features, such as access to doctors and hospitals,making process. As you begin that process, the followingpharmacy services, and special programs for managingare some questions you should ask: Do you prefer to receive your health care from anspecific medical conditions. Choosing the right planensures that you receive the health benefits and servicesHMO or PPO? Your preference will impact the plansthat matter to you.available to you, your access to health care providers,and how much you pay for certain services. See theIf you are a new CalPERS member or you are considering changing your health plan during Open Enrollment,chart on the next page for a summary of the differencesyou will need to make two related decisions: Which health plan is best for you and your family?among plan types.1 What are the costs (premiums, copayments, deduct- Which doctors and hospitals do you want to provideibles, and coinsurance)? Beginning on page 16your care?of this publication, you will find information about bene-The combination of health plan and providers that isfits, copayments, and covered services. Visit theright for you depends on a variety of factors, such asCalPERS website at www.calpers.ca.gov to find out whatwhether you prefer a Health Maintenance Organizationthe premiums are for the various plans.(HMO) or Preferred Provider Organization (PPO); your Does the plan provide access to the doctors and hospi-premium and out-of-pocket costs; and whether you wanttals you want? Contact health plans directly for thisto have access to specific doctors and hospitals.information. See the “Health Plan Directory” on page 14of this publication for health plan contact information.12 2022 Health Benefit SummaryNote that in a few counties where access to HMOs is limited, a thirdoption, Exclusive Provider Organization (EPO), is available. An EPOprovides benefits similar to an HMO with some PPO features.

Understanding How CalPERS Health Plans WorkThe following chart will help you understand some important differences among health plan types.FeaturesHMOPPOEPOAccessinghealth careprovidersContracts with providers(doctors, medical groups,hospitals, labs, pharmacies, etc.)to provide you servicesat a fixed priceGives you access to a network ofhealth care providers (doctors,hospitals, labs, pharmacies, etc.)known as preferred providersGives you access to the EPOnetwork of health careproviders (doctors, hospitals,labs, pharmacies, etc.)Selecting aprimary carephysician(PCP)Most HMOs require you toselect a PCP who will workwith you to manage yourhealth care needs 1Does not require you to selecta PCP 2Does not require you toselect a PCPSeeing aspecialistRequires advance approvalfrom the medical group orhealth plan for some services,such as treatment by a specialistor certain types of testsAllows you access to many typesof services without receiving areferral or advance approvalAllows you access to manytypes of services withoutreceiving a referral oradvance approvalObtaining careGenerally requires you to obtaincare from providers who are apart of the plan networkEncourages you to seek servicesfrom preferred providers to ensureyour coinsurance and copaymentsare counted toward your calendaryear out-of-pocket maximums 3Requires you to obtain carefrom providers who are a partof the plan networkRequires you to pay the totalcost of services if you obtaincare outside the HMO’sprovider network without areferral from the health plan(except for emergency andurgent care services)Paying forservicesRequires you to make a smallcopayment for most servicesAllows you the option of seeingnon-preferred providers, butrequires you to pay a higherpercentage of the bill 4Limits the amount preferred providers can charge you for servicesConsiders the PPO plan paymentplus any deductibles andcopayments you make as paymentin full for services rendered by apreferred providerRequires you to pay the totalcost of services if you obtaincare outside the EPO’sprovider network without areferral from the health plan(except for emergency andurgent care services)Requires you to make asmall copayment formost services1Your PCP may be part of a medical group that has contracted with the health plan to perform some functions, including treatment authorization, referrals tospecialists, and initial grievance processing.2Members enrolled in the PERS Gold plan may access a lower copayment if they select a personal doctor.3Once you meet your annual deductible and maximum coinsurance, the plan pays 100% of medical services/claims from Preferred Providers for theremainder of the calendar year; however, you will continue to be responsible for copayments for physician office visits, pharmacy, and other services,up to the annual out-of-pocket maximum.4Non-preferred providers have not contracted with the health plan; therefore, you will be responsible for paying any applicable member deductibles orcoinsurance, plus any amount in excess of the allowed amount.2022 Health Benefit Summary 3

CalPERS Health Plan ChoicesDepending on where you reside or work, your Basic and Medicare health plan options may include the following:Basic EPO & HMOHealth PlansBasic PPOHealth PlansAnthem Blue Cross EPOCalifornia Associationof Highway Patrolmen(CAHP) Health Plan1Anthem Blue CrossSelect HMOAnthem Blue CrossTraditional HMOBlue Shield Access HMOBlue Shield Access EPOBlue Shield Trio HMOSupplement toMedicare PPO &HMO Health PlansMedicare ManagedCare Plans (MedicareAdvantage)Out-of-StatePlan ChoicesCAHP Health Plan1Anthem MedicarePreferred (PPO)Blue ShieldMedicare (PPO)Blue ShieldMedicare (PPO)Kaiser Permanente(HMO)2Kaiser PermanenteSenior AdvantagePERS Platinum (PPO)CCPOA Medical Plan1PERS GoldPERS GoldPERS PlatinumPERS PlatinumPeace OfficersResearch Associationof California (PORAC)Police and FireHealth Plan1PORAC Police andFire Health Plan1Sharp DirectAdvantage (HMO)UnitedHealthcareGroup MedicareAdvantage (PPO)California CorrectionalPeace Officers Association(CCPOA) Medical Plan1UnitedHealthcareGroup MedicareAdvantage Edge (PPO)Health Net Salud y MásPORAC Police andFire Health Plan (PPO)1UnitedHealthcareGroup MedicareAdvantage (PPO)UnitedHealthcareGroup MedicareAdvantage Edge (PPO)Western HealthAdvantageMyCare Select (HMO)Health Net SmartCareKaiser PermanenteSharp Performance PlusUnitedHealthcareSignatureValue AllianceUnitedHealthcareSignatureValue HarmonyWestern Health AdvantageContacting a Health PlanIf you have a specific question about a plan’scoverage, benefits, or participating providers,please contact the plan directly. See the1You must belong to the specific employee association and payapplicable dues to enroll in an Association Plan (CCPOA, CAHPor PORAC)2Plan only available in certain states. Benefits out-of-state may differfrom those in California.“Health Plan Directory” on page 14 for healthplan contact information.4 2022 Health Benefit Summary

Choosing Your Doctor and HospitalOnce you choose a health plan, you should select achoose a health plan, you should call the health plan'sprimary care physician. Except in the case of an emer-member services to inquire about physician availability.gency, the doctors you can use — and the medical groupsWhen choosing an HMO plan, you should confirm that theand hospitals you will have access to — will depend ondoctor is taking new patients in the plan you select.your choice of health plan.If you need to be hospitalized, your health plan orMany people find their doctor by asking neighbors ormedical group will have certain hospitals that you are ableco-workers for a doctor’s name. Others receive referralsto use. If you prefer a particular hospital, you should makefrom doctors they already know. Still others simply selectsure the health plan you select contracts with that hospital.a physician from their health plan who happens to beSee page 15 for a list of resources that can help you evalu-nearby. You can also use the Search Health Plans toolate and select a doctor and hospital.(described on page 10), which is available by logging intoyour myCalPERS account at my.calpers.ca.gov. Before youEnrolling in a Health Plan Using Your Residential or Work ZIP CodeSome of our health plans are available only in certainIf you use your residential ZIP Code, all enrolled depen-counties and/or ZIP Codes. As you consider your healthdents must reside in the health plan’s service area. Whenplan choices, you should determine which health plans areyou use your work ZIP Code, all enrolled dependents mustavailable in the ZIP Code in which you are enrolling.receive all covered services (except emergency and urgentIn general, if you are an active employee or a workingCalPERS retiree, you may enroll in a health plan usingeither your residential or work ZIP Code.If you are a retired CalPERS member, you may selectcare) within the health plan’s service area, even if they donot reside in that area.To determine if the health plan you are consideringprovides services where you reside or work, see the “Healthany health plan in your residential ZIP Code area. YouPlan Availability by County” chart on the following page.cannot use the address of the CalPERS-covered employerYou can also use the Health Plan search by ZIP Code, whichfrom which you retired to establish ZIP Code eligibility.is available on the CalPERS website at www.calpers.ca.gov,To enroll in a Medicare Advantage plan, you must useto find out which plans are available in your area. If youyour residential address. In addition, Medicare Part Dhave questions about plan availability or coverage, or wishEmployer Group Waiver plans require you to provide ato obtain a copy of the Evidence of Coverage, contact thephysical address.health plans using the “Health Plan Directory” on page 14.If you have a combination of Basic and Medicaremembers on your health plan, you must choose a healthplan that has both Basic and Medicare plan options available within your residential ZIP Code area.2022 Health Benefit Summary 5

Health Plan Availability by County: Basic PlansSome health plans are available only in certain countiesalso use our online service, the Health Plan Searchand/or ZIP Codes. Use the chart below to determine if theby ZIP Code, available at www.calpers.ca.gov.AlpineAmador Butte Calaveras Contra Costa Fresno GlennHumboldt Madera Marin Mariposa Modoc Mono Nevada Orange 6 2022 Health Benefit Summary Western HealthAdvantage thcareSignatureValueAlliance Napa Monterey LassenMendocino Lake KingsMerced InyoLos Angeles Kern El DoradoImperial ColusaDel Norte Sharp PerformancePlus PORAC Health NetSalud y MásCCPOA CAHP Blue Shield Trio HMOBlue ShieldAccess HMO Blue ShieldAccess EPOAnthem Blue CrossTraditional HMOAlamedaAnthem Blue CrossSelect HMOCountyAnthem Blue CrossEPOnetwork is accepting new patients in your area. You mayPERS Gold &PERS Platinummake sure they cover your ZIP Code and that their providerHealth plan covers all or part of county.Only PERS Platinum is available out-of-state.Only applies to some agencies; does not apply to publicagencies or schools.Kaiser Permanente Health Net SmartCarehealth plan you are considering provides services whereyou reside or work. Contact the plan before enrolling to

Sacramento San Benito San Bernardino San Diego San Francisco San Joaquin San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Shasta Sierra SiskiyouSolano SonomaStanislaus Trinity Tuolumne Ventura Yolo YubaOut-of-State Tehama Sutter Tulare Western HealthAdvantage HMO areSignatureValueAlliance RiversideSharp PerformancePlusPORACPlumasPERS Gold &PERS Platinum Kaiser Permanente Health Net SmartCare Health NetSalud y MásCCPOA CAHPBlue ShieldAccess HMO Blue Shield Trio HMOAnthem Blue CrossTraditional HMO Blue ShieldAccess EPOAnthem Blue CrossSelect HMOPlacerAnthem Blue CrossEPOCounty 2022 Health Benefit Summary 7

Health Plan Availability by County: Medicare PlansSome health plans are available only in certain countiesalso use our online service, the Health Plan Searchand/or ZIP Codes. Use the chart below to determine if theby ZIP Code, available at www.calpers.ca.gov.health plan you are considering provides services where you reside or work. Contact the plan before enrolling to make sure they cover your ZIP Code and that their providerHealth plan covers all or part of county.Only PERS Platinum is available out-of-state.PORAC MedicareSupplementUnitedHealthcareGroup MedicareAdvantage PPOUnitedHealthcareGroup MedicareAdvantage Edge PPO Madera Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Nevada Orange Alpine Amador Butte Calaveras Colusa Contra Costa Del Norte El Dorado Fresno Glenn Humboldt Imperial Inyo Kern Kings Lake Lassen Los Angeles8 2022 Health Benefit Summary Western HealthAdvantage MyCareSelect HMOPERS PlatinumMedicare Supplement AlamedaCountySharp DirectAdvantage HMOPERS Gold MedicareSupplement CCPOA MedicareSupplement CAHP MedicareSupplement Blue ShieldMedicare PPO Anthem MedicarePreferred PPOKaiser PermanenteSenior Advantagenetwork is accepting new patients in your area. You may

PERS Gold MedicareSupplementPERS PlatinumMedicare SupplementPORAC MedicareSupplementUnitedHealthcareGroup MedicareAdvantage PPOUnitedHealthcareGroup MedicareAdvantage Edge PPOWestern HealthAdvantage MyCareSelect HMO Sonoma Stanislaus Sutter Tehama Trinity TularePlacer Plumas Riverside Sacramento San Benito San Bernardino San Diego San Francisco San Joaquin San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Shasta Sierra Siskiyou Solano Sharp DirectAdvantage HMOKaiser PermanenteSenior Advantage CCPOA MedicareSupplement CAHP MedicareSupplement Blue ShieldMedicare PPO Anthem MedicarePreferred PPO County Tuolumne Ventura Yolo Yuba Out-of-State 2022 Health Benefit Summary 9

Tools to Help You Choose Your Health PlanThis section provides a variety of information that can helpyou evaluate your health plan choices. Included here aredetails about using your myCalPERS account, the SearchHealth Plans tool, and the Health Plan Choice Worksheet.Accessing Health Plan Information with myCalPERSYou can use myCalPERS at my.calpers.ca.gov, our secure,forms, and find additional information about CalPERSpersonalized website, to get one-stop access to all of yourhealth plans. If you are a retiree, CalPERS is your Healthcurrent health plan information, including details aboutBenefits Officer. Retirees may change their health planwhich family members are enrolled. You can also use it toduring Open Enrollment by calling CalPERS toll freesearch for other health plans that are available in your area,at 888 CalPERS (or 888–225–7377) or by using yourcompare health plans, access CalPERS Health ProgrammyCalPERS account.myCalPERS Health Plan Comparison FeatureHealth Plan ResourcesSave Your SearchesChoosing a health plan that’s right for you is unique forSave as many as ten comparison scenarios with ability toevery person or family. myCalPERS includes additionalreview, rename, or delete at a later date.resources to help you choose a health plan. These resourcesLog in to your myCalPERS account at my.calpers.ca.govprovide access to more detailed health benefit informationand select the “Health” tab and then select “Search Healththat can help you when selecting what is most important toPlans” to see what’s available to you. To speak withyou in determining the plan that best fits your needs.someone at CalPERS about your health plan choices,call 888 CalPERS (or 888–225–7377).Evaluate Plan FeaturesAvailable health plans for you will be displayed based on thephysical or mailing health eligibility ZIP Code in our system.Create a customized plan search where you’ll be ableto review: Monthly premiums for each plan available to you Side-by-side comparisons of covered benefits,deductibles, and copayments10 2022 Health Benefit Summary

Comparing Your Options: Search Health PlansAccess your myCalPERS account for a convenient way toevaluate your health plan options and make a decisionabout which plan is best for you and your family. With thiseasy-to-use health plan comparison tool, you can weigh Review health plan options due to changes in yourmarital status or enrollment area. Explore health plan options because you are planningfor retirement or have become Medicare eligible.plan benefits and costs, and view how the plans compare.You can access your account 24/7 to help you makehealth plan decisions at any time. You can use it to: Review health plan options during Open Enrollment. Evaluate your health plan options and estimate costs.Be sure to tell us what you think about your myCalPERSplan search experience by completing a survey at the endof your research. Review a health plan option when your employer firstbegins offering the CalPERS Health Benefits Program.Get customized assistance selecting the healthplan that is right for you and your family by logginginto your myCalPERS account at my.calpers.ca.gov,selecting the “Health” tab and then selecting“Search Health Plans.”Comparing Your Options: Health Plan Choice WorksheetAn alternative tool we provide to help you choose the bestof the Worksheet. Several questions can be answered withplan for yourself and your family is the Health Plan Choicea simple “yes” or “no,” while others will require you to insertWorksheet, which you can find on page 12 of thisinformation or call the health plan. Some of the informationpublication. This worksheet can be used to compare factorscan be found on the CalPERS website at www.calpers.ca.gov.such as cost, availability, benefits, and quality of careIf you need assistance completing the form, contactmeasures. Simply follow the steps listed in the left columnCalPERS at 888 CalPERS (or 888–225–7377).2022 Health Benefit Summary 11

Health Plan Choice WorksheetPlan name and phone numbers:Select the type of plan: (circle choice)HMOPPOEPOAssoc.Plan 1Step 1 — CostCalculate your monthly cost.Enter the monthly premium (see current year’s rateschedule). Premium amounts will vary based on1-party/2-party/family and Basic/Medicare.Enter your employer’s contribution.For contribution amounts, active members shouldcontact their employer; retired members should contactCalPERS.Calculate your cost.Subtract your employer’s contribution from the monthlypremium. If the total is 0 or less, your cost is 0.Step 2 — AvailabilitySearch available plans online.Use our online service, the Health Plan Search by ZipCode, at www.calpers.ca.gov to find out if the plan isavailable in your residential or work ZIP Code. You mayalso call the plan’s customer service center.Call the doctor’s office.Confirm that they contract with the plan and areaccepting new patients. Ask what specialists areavailable and the hospitals with which they are affiliated.Step 3 — ComparisonsHow does the plan rate in quality of care measures?See page 15 to find out.Compare the benefits.See pages 16–31. CalPERS plans offer a standardpackage of benefits, but there are some differences:acupuncture, chiropractic, etc.Step 4 — OtherOther considerations:Does the plan offer health education? Do you or yourfamily have special medical needs? What services areavailable when you travel? Are the provider locationsconvenient?What changes are you planning in the upcoming year(e.g., retirement, transfer, move, etc.)?Other informationCompare and select a plan.1You must belong to the specific employee association and pay applicable dues to enroll in the Association Plans.12 2022 Health Benefit SummaryHMOPPOEPOAssoc.Plan 1

CalPERS Health Plan Member Survey ResultsCalPERS conducts an annual Health Plan Member SurveyMember Rating of Health Plansto assess members’ satisfaction with their health plansMembers were asked to rate their health plan on aduring the previous 12-month period. We use a modified10-point scale with 10 being the best health plan possible.version of the Consumer Assessment of HealthcareThe following charts show the average rating by planProviders and Systems (CAHPS) Survey, a standard tool forrespondents in eligible Basic and Medicare health plans.measuring health plans. CalPERS evaluates the survey resultsto compare satisfaction ratings across health plans and overtime. The results below reflect health plan satisfaction duringthe 2020 plan year.Member ratings offer another tool to help you choose aplan that is right for you. Please note that your experiencemay differ depending on your needs, behavior, andexpectations, as well as your provider and treatment choices.Basic RatingMedicare RatingsAnthem Select8.0Anthem Blue Cross Medicare PreferredAnthem Traditional8.2CAHP8.4Blue Shield Access 8.1Blue Shield Trio8.79.5Kaiser Permanente Senior Advantage9.1PERSCare9.29.2CAHP8.7PERS ChoiceCCPOA8.6PERS Select8.8PORAC9.1UnitedHealthcare9.1Overall Average Medicare Rating9.1Health Net Salud y Más7.38.1Health Net SmartCare8.6Kaiser PermanentePERSCare8.1PERS Choice8.0PERS SelectPORAC7.18.38.9SharpUnitedHealthcareWestern Health AdvantageOverall Average Basic Rating8.28.68.3* Association Plans (CCPOA, CAHP, and PORAC) are availableonly to members who belong to the applicable association.The CalPERS Health Benefits Program AnnualReport displays additional health care satisfactionscores and other valuable information about theHealth Program. To view the report, visit CalPERSonline at www.calpers.ca.gov.2022 Health Benefit Summary 13

Additional ResourcesAs a health care consumer, you have access to manyresources, services, and tools that can help you find theright health plan, doctor, medical group, and hospitalfor yourself and your family.Health Plan DirectoryFollowing is contact information for the health plans.boundaries (covered ZIP Codes); benefits, deductibles,Contact your health plan with questions about: ID cards;limitations, exclusions; and Evidence of Coverage booklets.verification of provider participation; service areaAnthem Blue Cross 2 HMO & EPOHealth Net of California 1Peace Officers Research(855) 839-4524(888) 926-4921Association of California calpers(800) 288-6928http://ibtofporac.orgAnthem Medicare Preferred PPOKaiser Permanente(855) 251-8825(800) 464-4000Sharp Health Plan 1www.anthem.com/ca/calperswww.kp.org/calpersActive Member Services2(855) 955-5004Blue Shield of CaliforniaOptumRxRetiree Member ServicesActive Member ServicesPharmacy Benefit Manager(833) 346-4322(800) 334-5847Active Member Servicessharphealthplan.com/CalPERSMedicare Member Services(855) 505-8110(888) 802-4599Medicare Member ServicesUnitedHealthcare 2www.blueshieldca.com/calpers(855) 505-8106Active Member Serviceswww.optumrx.com/calpers(877) 359-3714www.uhc.com/calpersCalifornia Association ofRetiree Member ServicesHighway Patrolmen (CAHP)PERS Gold and PERS Platinum(800) 734-2247Administered by Anthem Blue Cross(888) 867-5581www.thecahp.org(877) /ca/calpersCalifornia Correctional PeaceSupplement to MedicareWestern Health Advantage1Officers Association (CCPOA)(877) 737-7776Active Member ServicesMedical Plan(888) 942-7377(800) 257-6213Medicare Member Serviceswww.ccpoabtf.org(888) 942-7377www.westernhealth.com/calpers1Pharmacy benefits administered by OptumRx for the Basic plan only.2Pharmacy benefits administered by OptumRx for both Basic and Medicare plans.14 2022 Health Benefit Summary

Obtaining Health Care Quality InformationFollowing is a list of resources you can use to evaluateand select a doctor and hospital.HospitalsDoctors and Medical GroupsCal Hospital CompareMedical Board of Cal Hospital Compare makes it easy to find and compareThis is the California State agency that licenses medicalthe quality of hospitals in California.doctors, investigates complaints, disciplines those whoviolate the law, conducts physician evaluations, andU.S. Department of Health and Human Servicesfacilitates rehabilitation where appr

Health Net Salud y Más. Health Net SmartCare. Kaiser Permanente. Sharp Performance Plus. UnitedHealthcare SignatureValue Alliance. UnitedHealthcare SignatureValue Harmony. Western Health Advantage. California Association . of Highway Patrolmen (CAHP) Health Plan. 1 PERS Gold. PERS Platin