25/26 Open Enrollment Plan Changes:
Rates have changed, please see rate sheet for more information.
Coverage IS changing;
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- Deductible: $500 individual / $1,000 family (change) (24/25 PPO plan deductible: $300 individual / $600 family)
- Calendar Year Out-of-Pocket max: $2,000 individual / $4,000 family (change) (24/25 PPO plan Out of Pocket Max: $1,000 individual / $3,000 family)
- Coinsurance: 20% after deductible (remains the same)
3. Blue Shield PPO HSA - No plan changes, coverage remains the same.
Rates have changed, please see rate sheet for more information.
4. Kaiser 15 and Kaiser 30 - No plan changes, coverage remains the same.
Rates have changed, please see rate sheet for more information.
5. Proactive Care Plan, PPO - New plan!!
- Anthem PPO Full Network
- $0 Primary Care Visits (includes Centivo)
- $0 Urgent Care Visits (includes MDLive)
- $0 Physical Therapy
- $0 Lab Work
- $0 Mental Health
- $0 some Brand Medications when prescribed by a PCP
- Asthma inhalers like Qvar, Arnuity Ellipta, Albuterol
- Diabetic medications like Ozempic, Jardiance, Mounjaro, Rybelsus, Trulicity
- Insulins like insulin lispro, Humalog, Semglee
- Anticoagulants like Xarelto, Eliquis
- Specialty Medicines like Dupixent, Xolair
- Biosimilars like Adalimumab-adaz, Hadlima
If you have any questions please make sure to contact Benefits Office:
Andrea Lopez
Employee Benefits Program Coordinator
(714) 447-2834
Esmeralda Torrez
Personnel Technician II
(714) 447-7451