Tuesday, March 16, 2010
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Rates
2010 Rates

2010 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.

Jump to: County Dental Plans

Jump to: CalPERS LA Region

Jump to: County Vision Plans

Jump to: CalPERS Other So California Region

 

Jump to: CalPERS Out of California

 

 

Monthly

Semimonthly

County Medical Plans

Exclusive Care EPO
Single:
Two-Party:
Family:


$354.86

$724.26
$911.10


$177.43
$362.13

$455.55

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


$487.30
$972.58 
$1,263.76


$243.65

$486.29
$631.88

Kaiser HMO
Single:
Two-Party:
Family:


$469.00
$936.00

$1,216.00


$234.50

$468.00
$608.00

Exclusive Care Select POS
Single:
Two-Party:
Family:

 

$1,020.98
$2,041.38

$2,653.18

 

$510.49

$1,020.69
$1,326.59

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

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


$424.70
$849.38
$1,104.20


$212.35
$424.69
$552.10

Blue Shield HPN

Single:
Two-Party:
Family:

 

 

$368.06
$736.12
$956.96

 

$184.03
$368.06
$478.48

Kaiser
Single:
Two-Party:
Family:


$413.18
$826.34
$1,074.24


$206.59
$413.17
$537.12

PERSCare
Single:
Two-Party:
Family:


$772.06
$1,544.10
$2,007.34


$386.03
$772.05
$1,003.67

PERS Choice
Single:
Two-Party:
Family:


$452.42
$904.82
$1,176.28


$226.21
$452.41
$588.14

PERS Select

Single:
Two-Party:
Family:

 

$422.36
$844.70
$1,098.12

 

$211.18
$422.35
$549.06

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:


$354.86

$724.26
$911.10

 

$177.43
$362.13

$455.55

Exclusive Care Select POS
Single:
Two-Party:
Family:

 

 

$1,020.98
$2,041.38

$2,653.18

 

 

$510.49

$1,020.69
$1,326.59

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

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

                              

$485.30
$970.58                  $1,261.76


$242.65
$485.29
$630.88

Blue Shield HPN

Single:
Two-Party:
Family:

 

$420.60
$841.18

$1,093.54

 

$210.30
$420.59

$546.77

Kaiser
Single:
Two-Party:
Family:


$455.00
$909.98
$1,182.98


$227.50
$454.99
$591.49

PERSCare
Single:
Two-Party:
Family:


$806.90
$1,163.78
$2,097.92


$403.45
$806.89
$1,048.96

PERS Choice
Single:
Two-Party:
Family:


$472.84
$945.66
$1,229.36


$236.42
$472.83
$614.68

PERS Select

Single:
Two-Party:
Family:

$441.42
$882.82
$1,147.68

$220.71
$441.41
$573.84

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:

 

$354.86

$724.26
$911.10

 

$177.43
$362.13

$455.55

Exclusive Care Select POS
Single:
Two-Party:
Family:

 

 

$1,020.98
$2,041.38

$2,653.18

 

 

$510.49

$1,020.69
$1,326.59

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

Kaiser
Single:
Two-Party:
Family:


$724.70
$1,449.38
$1,884.20


$362.35
$724.69
$942.10

PERSCare
Single:
Two-Party:
Family:


$989.08
$1,978.14
$2,571.58


$494.54
$989.07
$1,258.79

PERS Choice
Single:
Two-Party:
Family:


$579.58
$1,159.16
$1,506.92


$289.79
$579.58
$753.46

PORAC
Single:
Two-Party:
Family:


$484.00
$906.00
$1,151.00


$242.00
$453.00
$575.50

Exclusive Care Select POS
Single:
Two-Party:
Family:

 

$1,020.98
$2,041.38

$2,653.18

 

$510.49

$1,020.69
$1,326.59

County Dental Plans

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


$41.92
$83.44
$123.54


$20.96
$41.72
$61.77

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


$29.90
$54.12
$82.92


$14.95
$27.06
$41.46

United Concordia DHMO - TCA21
Single:
Two-Party:
Family:


$19.92
$30.40
$47.80


$9.96
$15.20
$23.90

United Concordia 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:



$43.88
$78.58
$114.48



$21.94
$39.29
$57.24

Freedom Dental Plan
Single:
Two-Party:
Family:


$68.86
$125.46
$184.86


$34.43
$62.73
$92.43

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

 

 

 
  

2009 Rates

2009 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.

Jump to: County Dental Plans Jump to: CalPERS LA Region
Jump to: County Vision Plans Jump to: CalPERS Other So California Region
  Jump to: CalPERS Out of California

 

 

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

  

 
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