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Medical, Dental, & Vision

Benefit Guides

Benefits Jargon

Before diving into our benefit plan information watch the video below for a short review of common benefit terms.

Here's our full-time benefits guide and part-time benefits guide if you need to take a quick look at your options.

All health plans offered are CalPERS medical plans

Visit the CalPERS Open Enrollment page for more information.

Log in to your myCalPERS account to explore your health plan options. myCalPERS allows you to access customized health information and has tools and resources to help you with your Open Enrollment decisions. myCalPERS also provides you with secure 24/7 access to view:

Specific health benefit changes that may impact you in the coming year.
Your current 2022 monthly premium and 2023 monthly premium if you do not change your health plan.
2023 health plans and monthly premiums available based on your health eligibility ZIP code.
Which health plans your doctors participate in (updated to include specialists).
Your enrolled dependents.
All CalPERS Open Enrollment information.
Your 2022 Health Plan Statement.

Are you getting the most out of your CalPERS health plan? Watch the video below to find out!

CalPERS and Open Enrollment

Want to make changes to your CalPERS health plan? Open Enrollment is your chance. Watch below for some tips for making the process as smooth as possible. Visit the CalPERS Open Enrollment page for more information.

Anthem

Anthem Member Homepage
- Health and Wellness Programs
  - Your health is priceless. Finding the right tools and programs to achieve your health goals is an important step in working toward being your healthiest you. That is where Anthem can help. From convenient online resources to one-on-one coaching with a registered nurse, you have options that can be tailored to you to help you feel your best. For more information, click here to view their available programs.
- Find a Doctor
  - Searching for a doctor or facility is easy. Use their online Find Care tool to look for doctors, hospitals, labs and other health care professionals in your Anthem Blue Cross plan. Click here for an informational sheet.
- Benefit Guide
  - Anthem Select HMO
  - Anthem Traditional HMO
  - PERS Platinum
  - PERS Gold
  - PORAC PPO (Police and Fire) Coming Soon!
- Presentation
  - Click here to complete registration to access an Anthem Open Enrollment presentation on their HMO plans.
  - Click here to complete registration to access an Anthem Open Enrollment presentation on PERS Care, PERS Choice, and PERS Select plans.
- Mobile App
  - Anthem: Sydney

Blue Shield of California

Blue Shield Member Homepage
- The main page provides all the information and resources you need to learn about your health plan options. You will find an overview of the plans, quick links to the other pages on the site, plus information about how to register, how to get the mobile app, and Shield Concierge (a CalPERS dedicated customer service team).
  - Find a Doctor
    - Get instructions here on how to search for a doctor and links to the Trio HMO and Access+ HMO find a doctor tool.
  - Plan Overview
    - Get a deeper dive into plan information with links to Evidence of Coverage, Summary of Benefits and Coverage, Open Enrollment brochures, provider network lists and more.
  - Pharmacy Benefits
    - Get detailed information about the pharmacy benefits and copays with links to drug lists, the specialty pharmacy, etc.
  - Programs and Services
    - Find a comprehensive list of Blue Shield programs and services such as Care Management, NurseHelp 24/7, and Wellvolution.
  - Mobile App

Health Net

Health Net Home
- Member Guide
  - You want to make informed decisions during Open Enrollment. To do that, you need as much information as possible on hand. Whether you’re new to Health Net of California, Inc. (Health Net) or coming back for 2022, you’ll find this guide a useful tool to help guide your choices.
- Provider Search
  - With ProviderSearch, you’ll quickly find the most up-to-date listings of qualified in-network doctors, urgent care centers, hospitals, and other types of health care providers near your home or work.
- MinuteClinic
  - MinuteClinic is a walk-in health care service, staffed by nurse practitioners and physician assistants. You can often find MinuteClinics inside CVS/pharmacy stores. MinuteClinic is an ideal solution when you can’t see your doctor and need non-emergency treatment.
- Wellness Booklet
  - When it comes to health and wellness programs, we all have an idea of what we need, want and expect. Simply put, “Tell us what we need to know, show us how to do it and make it worth our while.” So, we developed Health Net programs for CalPERS Basic members to make it easy to engage in your health and to encourage the belief that you can achieve lasting, positive change.
- Network Guide Addendum
  - More participating physician groups have now been added to the network.
- Network Comparison List
- Mobile Apps
  - Health Net
  - Book a video appointment 24/7 through the Babylon app
  - Omada program and Welvie at no additional cost for qualifying members

Kaiser Permanente

Kaiser Member Home
- Virtual tours of hospitals and medical facilities
- 2022 CalPERS Enrollment Guide
- Current Members
  - General information pamphlet
  - Care from the comfort of your own home flyer
  - Travel benefits flyer
  - Chiropractic and acupuncture benefits flyer
- Explore health resources: Tools to help you thrive
- Mobile Apps
  - Kaiser Permanente App
  - Apps at no cost to members: Calm and myStrength
  - Omada program at no additional cost for qualifying members
- Flu Prevention

United Healthcare

United Healthcare Homepage
- How the Plan Works
  - The UnitedHealthcare HMO plan helps make things easier with resources, experience and support.
  - Watch this video for a virtual presentation explaining the United Healthcare HMO plan.
- Benefit Plan Details
  - The UnitedHealthcare HMO plan emphasizes patient-centered quality care with the goal of keeping you and your family healthier while helping to reduce your health care costs. With this plan, there is no additional cost for preventive care, and you’ll have access to on-site, one-stop care.
- Find a Provider
  - Finding doctors, medical groups and facilities in your network may help you lower your health care costs.
- Virtual Visits and NurseLine
  - With our 24/7 NurseLine, you can connect with a registered nurse who’ll answer questions, offer tips and help guide you to care.
- Clinical Resources Support
  - Whether you’re just not feeling your best, or you’re living with a chronic condition, it shouldn’t be a struggle to find the care you need. We’re with you all the way.
- Health and Wellness
  - Want more time to enjoy family, interests, new things? Your plan offers the health and wellness tools, tips and incentives to help you get the most of the time you spend.
- Member Resources
  - Not sure where you saw a particular form? Don’t stress. We’ve brought them all together in one place for quick, easy access.
- Mobile Apps
  - United Healthcare
  - United Healthcare: Rally

Sharp (San Diego County Residents Only)

MetLife Dental (DHMO & PPO)

MetLife Home
- Benefit Summaries
  - Dental HMO
  - Dental PPO (California residents)
  - Dental PPO (Residents of all states excluding California)
- Group Number: 5973407
- Finding a provider
  - Dental HMO: Search the Dental HMO/Managed Care network
  - Dental PPO: Search the PDP Plus network
- Transition of Care
  - Employees may worry about what will happen if they have dental care that’s in progress. Will they need to delay or adjust their treatment plan? Will they have to pay out-of-pocket? Some of the most common services—such as braces, root canals, and crowns—are ongoing treatments that could be affected if their employer switches dental carriers. For more information, please review their helpful guide.
  - Dental HMO continuing orthodontic treatment request form.
- Creating a Profile
  - Check out this video or flyer on how to register for MyBenefits and access your account information.
- Ancillary Benefits
  - Click here for a presentation on MetLife's ancillary benefits.
- Mobile App

MetLife Vision (PPO)

MetLife Home
- Benefit Summary
- Group Number: 5973407
- Finding a provider
  - Vision PPO: Search the MetLife Vision PPO network
- Creating a Profile
  - Check out this video or flyer on how to register for MyBenefits and access your account information.
Ancillary Benefits
- Click here for a presentation on MetLife's ancillary benefits.
Mobile App

Disability & Life Insurance

Benefit Summaries
Supplemental Term Life Enrollment
- Enrollment Form
Presentation
- Click here for a presentation on MetLife's ancillary benefits.

Ancillary Benefits

Manage your health benefits on the go. Click here for more information on the Workterra app.
Flexible Spending Accounts FAQs
WexHealth Cloud Card
Learn more about your Workterra Flexible Spending Account

Flexible Spending Account (FSA) & Dependent Care Account (DCA)

Workterra

Watch the video below for some helpful information regarding your FSA and DCA benefit administered through Workterra.

Click here to learn more about the Workterra consumer portal, member center, FSA debit card, claims and login information. Still have questions? Check out Workterra's FAQ document or contact them directly at 1-888-327-2770 or by email.

Amazon FSA Store

Did you know you can make FSA eligible purchases on Amazon? See below for a short video on where and how to access this feature.

Filing an FSA Claim on Workterra

Filing a claim on Workterra is fast and simple. Watch below for a tutorial.

Plan Documents

Click here for a listing of the City's current health, life and disability insurance and employee assistance program offerings, with links to their corresponding evidence of coverage and/or policy documents. These documents will provide you with information on your plan benefits and specific terms of coverage. Should you have any further questions about your insurance plans or provisions therein, please contact the carrier directly, using the numbers provided in their links.

Employee Self Service (ESS)

To complete your open enrollment selections, please login to ESS.

Through ESS you can complete the following:

Change your CalPERS health plan
Add eligible dependents
Remove dependents
Cancel your existing CalPERS health coverage
Enroll in a CalPERS health plan if you don't currently have coverage
Continue with current elections

Employees must confirm their selection through their ESS account no later than October 15, 2021 at 5 p.m. All benefit plans will take effect January 1, 2022.

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