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Health Plan Changes for 2022

We understand that changes in health plans affect decisions you make during open enrollment We also understand that changes in health plans can be particularly difficult during a pandemic and that members may be concerned about how changes in plans affect their health benefits. We provide you with information on health plan changes approved by the CalPERS Board of Directors for the plan year 2022 in November 2020 (PDF). All changes and rewards of the plan will be communicated to you before open enrollment, which will take place from September 20 to October 15. 

Health Plan Changes for 2022
Health Plan Changes for 2022

Health Plan Changes for 2022 : Basic Plans

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

 

plan NameChanges for 2022
Blue Shield Access+Reenter eight districts of the Bay Area: Alameda, Contra Costa, Marín, San Francisco, San Mateo, Santa Clara, Sonoma and Solano 
Blue Shield EPOExpand into Lassen and Shasta counties
Blue Shield TrioExpand into Santa Cruz, Stanislaus, and Orange counties
UnitedHealthcare Signature Value HarmonyNew plan available in Los Angeles, Orange, Riverside, San Bernardino, and San Diego counties 
Western Health AdvantageExpand into Humboldt County

Read More: Difference between PPO and HMO Health Insurance Plans 

Preferred Provider Organization (PPO)

CalPERS’s three PPO plans, PersCare, PERS Choice, and PERS Select, are switching to two plans, PERS Platinum and PERS Gold. The change is the result of a one-year analysis to stabilize the baseline portfolio, including working with members, employers, and stakeholders. The two PPO plans offer a stronger distinction in terms of performance design, networking, and premium pricing. 

Plan NameChanges for 2022
PERSCareConversion to PERS Platinum. Maintains the same 90/10 design and performance network as Persare/Pers Choice 
PERS ChoiceConversion to PERS Platinum. Provides a 90/10 benefit design and maintains the Persare/Pers Choice network 
PERS SelectTransition to PERS gold. Maintains the same 80/20 performance and network design as PERS Select 

Read More: Sign up for Medicare part ABC and D

Medicare Plans

Plan NameChanges for 2022
Anthem Blue Cross Medicare PreferredExtension to 21 additional districts to cover 58 counties New benefits:

  • 12 nutrition counseling sessions over the phone 1 monthly delivery of recommended healthy and non-perishable commodities 
  • Non-urgent medical transportation with doctor appointments, SilverSneakers locations, and pharmacies. 
  • Twelve one-way trips, up to 60 miles per trip per year 
Blue Shield Medicare AdvantageNew plan available nationwide Additional benefits: 

  • $80 over-the-counter drug quarterly benefits Emergency 
  • personnel system Post-launch meals 24 one-way
  •  non-emergency medical transportation 
PERSCare Supplement to Medicare PlanMoving to the Platinum PERS Supplement of the Medicare Plan. No change in performance design or network. 
PERS Choice Supplement to Medicare PlanMoving to the Platinum PERS Supplement of the Medicare Plan. No change in performance design or network. 
PERS Select Supplement to Medicare PlanTransition to PERS Gold Supplement to Medicare Plan. No change to benefit design or network.
UnitedHealthcare Medicare Advantage EdgeNew National Plan with OptumRx Pharmacy Benefit Manager 
Western Health Advantage (WHA) MyCare Select Medicare AdvantageNew plan available in 9 counties (Sacramento, Yolo, Solano, El Dorado, Placer, Colusa, Marin, Napa, Sonoma) 

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