Special Needs Plans
What is a Special Needs Plan? A coordinated care plan (CCP) for Medicare Advantage (MA) known as a special needs plan (SNP) is created expressly
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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 : Basic Plans
Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) baselines
| plan Name | Changes 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 EPO | Expand into Lassen and Shasta counties |
| Blue Shield Trio | Expand into Santa Cruz, Stanislaus, and Orange counties |
| UnitedHealthcare Signature Value Harmony | New plan available in Los Angeles, Orange, Riverside, San Bernardino, and San Diego counties |
| Western Health Advantage | Expand 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 Name | Changes for 2022 |
| PERSCare | Conversion to PERS Platinum. Maintains the same 90/10 design and performance network as Persare/Pers Choice |
| PERS Choice | Conversion to PERS Platinum. Provides a 90/10 benefit design and maintains the Persare/Pers Choice network |
| PERS Select | Transition 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 Name | Changes for 2022 |
| Anthem Blue Cross Medicare Preferred | Extension to 21 additional districts to cover 58 counties New benefits:
|
| Blue Shield Medicare Advantage | New plan available nationwide Additional benefits:
|
| PERSCare Supplement to Medicare Plan | Moving to the Platinum PERS Supplement of the Medicare Plan. No change in performance design or network. |
| PERS Choice Supplement to Medicare Plan | Moving to the Platinum PERS Supplement of the Medicare Plan. No change in performance design or network. |
| PERS Select Supplement to Medicare Plan | Transition to PERS Gold Supplement to Medicare Plan. No change to benefit design or network. |
| UnitedHealthcare Medicare Advantage Edge | New National Plan with OptumRx Pharmacy Benefit Manager |
| Western Health Advantage (WHA) MyCare Select Medicare Advantage | New plan available in 9 counties (Sacramento, Yolo, Solano, El Dorado, Placer, Colusa, Marin, Napa, Sonoma) |
Read More:
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