Rates

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:

$313.38

$639.62
$804.90

$156.69
$319.81

$402.45

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

$414.60
$827.18
$1,073.32

$207.30
$413.59
$536.66

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

$743.58

$1,486.32
$1,931.74

$371.79
$743.16
$965.87

Kaiser
Single:
Two-Party:
Family:

$428.00
$854.00

$1,109.00

$214.00

$427.00
$554.50

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

Blue Shield
Single:
Two-Party:
Family:

$392.01
$784.02
$914.60

$196.01
$392.01
$509.62

Blue Shield HPN
Single:
Two-Party:
Family:
$351.77
$703.54
$914.60
$175.89
$351.77
$457.30

Kaiser
Single:
Two-Party:
Family:
$359.30
$718.60
$934.18
$179.65
$359.30
$467.09

PERSCare
Single:
Two-Party:
Family:

$697.87
$1,359.74
$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

PERS Select
Single:
Two-Party:
Family:
$434.80
$869.60
$1,167.50
$217.40
$434.80
$565.24

PORAC
Single:
Two-Party:
Family:
$452.00
$847.00
$1,076.00
$226.00
$423.50
$538.00

Exclusive Care EPO
Single:
Two-Party:
Family:

$313.38
$639.62
$804.90

$156.69
$319.81
$402.45

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

Blue Shield
Single:
Two-Party:
Family:

$447.97
$895.94
$1,164.72

$223.99
$447.97
$582.36

Blue Shield HPN
Single:
Two-Party:
Family:
$401.98
$803.96
$1,045.15

$200.99
$401.98
$522.58

Kaiser
Single:
Two-Party:
Family:
$393.63
$787.26
$1,023.44

$196.82
$393.63
$511.72

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

$356.36
$458.59
$596.17

PERS Select
Single:
Two-Party:
Family:
$444.05
$888.10
$1,154.53

$222.03
$444.05
$577.27

PORAC
Single:
Two-Party:
Family:
$452.00
$847.00
$1,076.00
$226.00
$423.50
$538.00

Exclusive Care EPO
Single:
Two-Party:
Family:

$313.38
$639.62
$804.90

$156.69
$319.81
$402.45

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

Kaiser
Single:
Two-Party:
Family:
$625.52
$1,251.04
$1,626.35
$312.76
$625.52
$813.18

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:
$452.00
$847.00
$1,076.00
$226.00
$423.50
$538.00

Exclusive Care EPO
Single:
Two-Party:
Family:
$313.38
$639.62
$804.90
$156.69
$319.81
$402.45

County Dental Plans

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

$42.08
$83.74
$124.00

$21.04
$41.87
$62.00

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

$30.00
$54.30
$83.20

$15.00
$27.15
$41.60

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:

$42.06
$75.34
$109.78

$21.03
$37.67
$54.89

Freedom Dental Plan
Single:
Two-Party:
Family:
$64.60
$117.70
$173.42
$32.30
$58.85
$86.71

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