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2012 Plan Rates for Active Employees (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. Click here for the 2012 Medical and Dental rates (PDF Version).

 

Monthly

Semimonthly

County Medical Plans

Exclusive Care EPO
Single:
Two-Party:
Family:


$389.18

$784.88
$985.00


$194.59

$392.44

$492.50

Health Net HMO
Single:
Two-Party:
Family:


$539.86
$1,074.22 
$1,394.82


$269.93

$537.11
$697.41

Kaiser HMO
Single:
Two-Party:
Family:


$524.50
$1,043.50

$1,354.50


$262.25

$521.75
$677.25

Health Net PPO
Single:
Two-Party:
Family:

 

$774.08
$1,542.68

$2,003.82

 

$387.04

$771.34
$1,001.91

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

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


$510.72
$1,021.44
$1,327.88


$255.36
$510.72
$663.94

Blue Shield HPN

Single:
Two-Party:
Family:

 

 

$439.26
$878.50
$1,142.06

 

$219.63
$439.25
$571.03

Kaiser
Single:
Two-Party:
Family:


$465.64
$931.26
$1,210.64


$232.82
$465.63
$605.32

PERSCare
Single:
Two-Party:
Family:


$906.40
$1,812.78
$2,356.62


$453.20
$906.39
$1,178.31

PERS Choice
Single:
Two-Party:
Family:


$505.64
$1,011.26
$1,314.64


$252.82
$405.63
$657.32

PERS Select

Single:
Two-Party:
Family:

 

$429.22
$858.44
$1,115.98

 

$214.61
$429.22
$557.99

PORAC
Single:
Two-Party:
Family:


$556.00
$1,041.00
$1,323.00


$278.00
$520.50
$661.50

 

 

 

 

 

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

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

                              

$583.60
$1,167.20                  $1,517.36


$291.80
$583.60
$758.68

Blue Shield HPN

Single:
Two-Party:
Family:

 

$501.94
$1,003.86

$1,305.02

 

$250.97
$501.93

$652.51

Kaiser
Single:
Two-Party:
Family:


$512.76
$1,025.52
$1,333.18


$256.38
$512.76
$666.59

PERSCare
Single:
Two-Party:
Family:


$943.26
$1,886.52
$2,452.48


$471.63
$943.26
$1,226.24

PERS Choice
Single:
Two-Party:
Family:


$526.20
$1,052.38
$1,368.10


$263.10
$526.19
$684.05

PERS Select

Single:
Two-Party:
Family:

$446.68
$893.36
$1,161.38

$223.34
$446.68
$580.69

PORAC
Single:
Two-Party:
Family:


$556.00
$1,041.00
$1,323.00


$278.00
$520.50
$661.50

Exclusive Care EPO
Single:
Two-Party:
Family:

 

$389.18

$784.88
$985.00

 

$194.59
$392.44

$492.50

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

Kaiser
Single:
Two-Party:
Family:


$816.48
$1,632.94
$2,122.82


$408.24
$816.47
$1,061.41

PERSCare
Single:
Two-Party:
Family:


$1,163.70
$2,327.40
$3,025.62


$581.85
$1,163.70
$1,512.81

PERS Choice
Single:
Two-Party:
Family:


$649.16
$1,298.32
$1,687.82


$324.58
$649.16
$843.91

PORAC
Single:
Two-Party:
Family:


$556.00
$1,041.00
$1,323.00


$278.00

$520.50
$661.50

County Dental Plans

Local Advantage - Plus
Single:
Two-Party:
Family:


$47.68
$94.90
$140.52


$23.84
$47.45
$70.26

Local Advantage - Blythe
Single:
Two-Party:
Family:


$34.02
$61.56
$94.32


$17.01
$30.78
$47.16

DeltaCare USA DHMO -High Option 10A 
Single:
Two-Party:
Family:


$20.34
$29.98
$46.00


$10.17
$14.99
$23.00

Delta Care USA DHMO - Low Option 11A

Single:
Two-Party:
Family:


$15.24
$21.98
$33.08


$7.62
$10.99
$16.54

Delta Dental PPO
Single:
Two-Party:
Family:



$43.58
$78.02
$113.68



$21.79
$39.01
$56.84

 

 

 

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

 

 

 

2012 Plan Rates for Active Employees (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. Click here for the 2012 Medical and Dental rates (PDF Version).

 

Monthly

Semimonthly

County Medical Plans

Exclusive Care EPO
Single:
Two-Party:
Family:


$389.18

$784.88
$985.00


$194.59

$392.44

$492.50

Health Net HMO
Single:
Two-Party:
Family:


$539.86
$1,074.22 
$1,394.82


$269.93

$537.11
$697.41

Kaiser HMO
Single:
Two-Party:
Family:


$524.50
$1,043.50

$1,354.50


$262.25

$521.75
$677.25

Health Net PPO
Single:
Two-Party:
Family:

 

$774.08
$1,542.68

$2,003.82

 

$387.04

$771.34
$1,001.91

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

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


$510.72
$1,021.44
$1,327.88


$255.36
$510.72
$663.94

Blue Shield HPN

Single:
Two-Party:
Family:

 

 

$439.26
$878.50
$1,142.06

 

$219.63
$439.25
$571.03

Kaiser
Single:
Two-Party:
Family:


$465.64
$931.26
$1,210.64


$232.82
$465.63
$605.32

PERSCare
Single:
Two-Party:
Family:


$906.40
$1,812.78
$2,356.62


$453.20
$906.39
$1,178.31

PERS Choice
Single:
Two-Party:
Family:


$505.64
$1,011.26
$1,314.64


$252.82
$405.63
$657.32

PERS Select

Single:
Two-Party:
Family:

 

$429.22
$858.44
$1,115.98

 

$214.61
$429.22
$557.99

PORAC
Single:
Two-Party:
Family:


$556.00
$1,041.00
$1,323.00


$278.00
$520.50
$661.50

 

 

 

 

 

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

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

                              

$583.60
$1,167.20                  $1,517.36


$291.80
$583.60
$758.68

Blue Shield HPN

Single:
Two-Party:
Family:

 

$501.94
$1,003.86

$1,305.02

 

$250.97
$501.93

$652.51

Kaiser
Single:
Two-Party:
Family:


$512.76
$1,025.52
$1,333.18


$256.38
$512.76
$666.59

PERSCare
Single:
Two-Party:
Family:


$943.26
$1,886.52
$2,452.48


$471.63
$943.26
$1,226.24

PERS Choice
Single:
Two-Party:
Family:


$526.20
$1,052.38
$1,368.10


$263.10
$526.19
$684.05

PERS Select

Single:
Two-Party:
Family:

$446.68
$893.36
$1,161.38

$223.34
$446.68
$580.69

PORAC
Single:
Two-Party:
Family:


$556.00
$1,041.00
$1,323.00


$278.00
$520.50
$661.50

Exclusive Care EPO
Single:
Two-Party:
Family:

 

$389.18

$784.88
$985.00

 

$194.59
$392.44

$492.50

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

Kaiser
Single:
Two-Party:
Family:


$816.48
$1,632.94
$2,122.82


$408.24
$816.47
$1,061.41

PERSCare
Single:
Two-Party:
Family:


$1,163.70
$2,327.40
$3,025.62


$581.85
$1,163.70
$1,512.81

PERS Choice
Single:
Two-Party:
Family:


$649.16
$1,298.32
$1,687.82


$324.58
$649.16
$843.91

PORAC
Single:
Two-Party:
Family:


$556.00
$1,041.00
$1,323.00


$278.00

$520.50
$661.50

County Dental Plans

Local Advantage - Plus
Single:
Two-Party:
Family:


$47.68
$94.90
$140.52


$23.84
$47.45
$70.26

Local Advantage - Blythe
Single:
Two-Party:
Family:


$34.02
$61.56
$94.32


$17.01
$30.78
$47.16

DeltaCare USA DHMO -High Option 10A 
Single:
Two-Party:
Family:


$20.34
$29.98
$46.00


$10.17
$14.99
$23.00

Delta Care USA DHMO - Low Option 11A

Single:
Two-Party:
Family:


$15.24
$21.98
$33.08


$7.62
$10.99
$16.54

Delta Dental PPO
Single:
Two-Party:
Family:



$43.58
$78.02
$113.68



$21.79
$39.01
$56.84

 

 

 

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

 

 

 

  

 
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