Office of Human Resources

Medical Plan Comparisons Link (You will be redirected to the CalPERS website where you can view Member Satisfaction Survey Results and Quality Reports on all of the CalPERS health plans)

The University currently offers a variety of medical plan options which provide comprehensive benefits such as hospital, surgical, physician, prescription, x-ray, mental health, drug/alcohol rehabilitation and emergency services. These plans are administered by the California Public Employees' Retirement Sytems (CalPERS). The PPOs offer the same benefits and the HMOs offer the same benefits to simplify plan selections and insure that all plans provide a comprehensive set of benefits. Review PERS Health Plan Decision Guide (HBD-98) for health plan summaries. Individual health plan Evidence of Coverage booklets and brochures are available through the Office of Human Resources. There are two general types of plans from which to choose:

Preferred Provider Organization (PPO)

A PPO is a form of managed care, but is similar to a traditional "fee-for-service" type plan. A PPO has arrangments with doctors, hospitals, and other providers of care to provide services for an agreed upon charge. There are usually deductibles to meet before some benefits apply. You are responsible for a certain percentage of the charges (copayments) and the plan pays the balance up to the agreed upon amount. While you have the option to go to a care provider outside of the preferred provider network, you will have higher costs. The PPO plans have no geographical restrictions.

Health Maintenance Organization (HMO)

HMOs provide a wide range of health benefits, including preventative care, for a set monthly fee. You must reside in geographical locations within the service areas of the plan you choose. The HMO will give you a list of doctors for your use in choosing a primary care physician. This doctor coodinates your care, which means that generally you must contact your doctor to be referred to a specialist. In some plans, primary care physicians refer only to specialists in their medical group or independent practice association. In other plans, they have a larger network of contracting physicians to whom patients can be referred. If you go outside the HMO for care without a referral from the plan, you may be responsible for the total cost of services -- except in emergency or urgent medical care situations.

2011 CSU HEALTH CONTRIBUTIONS

CSU contribution rates for all non-represented employees and employees of all bargaining units except Unit 6 are currently set under Government Code 22825.1, subject to continuing collective bargaining. The CSU contribution rate for 2011 is as follows:

• $542.00    - One Party
• $1,030.00 - Two Party
• $1,326.00 - Family

Premiums which exceed the State's contribution are paid by the employee through payroll deduction on a pre-tax basis. Premiums, benefits and State contributions may change annually. Click below for specific information on the premiums for each plan:

Health Plan Rates

 

Health Care Providers

We have provided the following links to our current health plans. These are useful for provider directory information, along with E-mail access to member services for each of the plans. We have included these sites 'as is' and do not guarantee the accuracy of the information. It is the employee's responsibility to review the Evidence of Coverage booklets for specific benefits, exclusions and limitations of each plan. Please contact the Human Resources Office if you need a booklet.

• Blue Shield of California
• Kaiser Permanente
• PERSCare & PERS Choice (general overview of plans)
• Blue Cross of California (provider directory for PERSCare & PERS Choice)