Rates

2009 Plan Rates (Monthly/Semimonthly)

Rates are deducted semimonthly (twice a month). Deductions are taken 24 times a year. When you receive a third check in a month, it will not have a deduction for your medical plan, unless you have unpaid medical costs that need to be collected.

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Monthly

Semimonthly

County Medical Plans

Exclusive Care EPO
Single:
Two-Party:
Family:

$338.14

$690.16
$868.20

$169.07
$345.08

$434.10

Blue Shield Access HMO
Single:
Two-Party:
Family:

$461.70
$921.30
$1,195.60

$230.85

$460.65
$597.80

Blue Shield Spectrum PPO
Single:
Two-Party:
Family:

$887.80

$1,775.10
$2,307.10

$443.90
$887.55
$1,153.55

Kaiser
Single:
Two-Party:
Family:

$454.00
$906.00

$1,177.00

$227.00

$453.00
$588.50

CalPERS Medical Plans - Los Angeles Area Region (Los Angeles, San Bernardino and Ventura Counties)

Blue Shield
Single:
Two-Party:
Family:

$412.35
$824.70
$1,072.11

$206.18
$412.35
$536.06

Kaiser
Single:
Two-Party:
Family:
$388.02
$776.04
$1,008.85
$194.01
$388.02
$504.43

PERSCare
Single:
Two-Party:
Family:

$697.87
$1,395.74
$1,814.46

$348.94
$697.87
$907.23

PERS Choice
Single:
Two-Party:
Family:
$449.04
$898.08
$1,167.50
$224.52
$449.04
$583.75

PORAC
Single:
Two-Party:
Family:
$484.00
$906.00
$1,151.00
$242.00
$453.00
$575.50

Exclusive Care EPO
Single:
Two-Party:
Family:

$338.14
$690.16
$868.20

$169.07
$345.08
$434.10

CalPERS Medical Plans - Other Southern California County Regions (Riverside, Orange, San Diego and Imperial Counties)

Blue Shield
Single:
Two-Party:
Family:
$471.18
$942.36 $1,225.07

$235.59
$471.18
$612.54

Kaiser
Single:
Two-Party:
Family:
$425.11
$850.22
$1,105.29

$212.56
$425.11
$552.65

PERSCare
Single:
Two-Party:
Family:
$712.71
$1,425.42
$1,853.05
$356.36
$712.71
$926.53

PERS Choice
Single:
Two-Party:
Family:
$458.59
$917.18
$1,192.33

$229.30
$458.59
$596.17

PORAC
Single:
Two-Party:
Family:
$484.00
$906.00
$1,151.00
$242.00
$453.00
$575.50

Exclusive Care EPO
Single:
Two-Party:
Family:

$338.14
$690.16
$868.20

$169.07
$345.08
$434.10

CalPERS Medical Plans - Out of State Region (Residents outside California)

Kaiser
Single:
Two-Party:
Family:
$660.32
$1,320.64
$1,716.83
$330.16
$660.32
$858.42

PERSCare
Single:
Two-Party:
Family:

$816.65
$1,633.30
$2,123.29

$408.33
$816.65
$1,061.65

PERS Choice
Single:
Two-Party:
Family:
$525.47
$1,050.94
$1,366.22
$262.74
$525.47
$683.11

PORAC
Single:
Two-Party:
Family:
$484.00
$906.00
$1,151.00
$242.00
$453.00
$575.50

County Dental Plans

Local Advantage - Plus
Single:
Two-Party:
Family:
$42.70
$84.98
$125.84
$21.35
$42.49
$62.92

Local Advantage - Blythe
Single:
Two-Party:
Family:
$30.46
$55.12
$84.46
$15.23
$27.56
$42.23

DHMO - TCA21
Single:
Two-Party:
Family:
$19.92
$30.40
$47.80
$9.96
$15.20
$23.90

DHMO - TCA36
Single:
Two-Party:
Family:
$14.78
$22.28
$34.68
$7.39
$11.14
$17.34

United Concordia PPO
Single:
Two-Party:
Family:

$45.00
$80.60
$117.44

$22.50
$40.30
$58.72

Freedom Dental Plan
Single:
Two-Party:
Family:
$69.34
$126.34
$186.14
$34.67
$63.17
$93.07

County Vision Plans

Medical Eye Services
Plan 1 (with Eye Exam & Eyewear)
Single:
Two-Party:
Family:

$9.46
$14.28
$19.32

$4.73
$7.14
$9.66

Medical Eye Services
Plan 2 (Eyewear Only)
Single:
Two-Party:
Family:

$7.98
$12.72
$17.54

$3.99
$6.36
$8.77