Friday, November 20, 2009
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2009 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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  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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