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Employee Corner

Retiree Packet  Materials Medical, Dental, & Vision Plan Documents Important Contacts

 

 Retiree Packet Materials 

Mailed Materials 

 Medical, Dental, & Vision

 

Benefits Jargon

Before diving into our benefit plan information watch the video below for a short review of common benefit terms.

 

CALPERS 

All health plans offered are CalPERS medical plans 

Visit the CalPERS Open Enrollment page for more information.  

Log in to your myCalPERS account to explore your health plan options. myCalPERS allows you to access customized health information and has tools and resources to help you with your Open Enrollment decisions. myCalPERS also provides you with secure 24/7 access to view:

  • Specific health benefit changes that may impact you in the coming year.
  • Your current 2021 monthly premium and 2022 monthly premium if you do not change your health plan.
  • 2022 health plans and monthly premiums available based on your health eligibility ZIP code.
  • Which health plans your doctors participate in (updated to included specialists).
  • Your enrolled dependents.
  • All CalPERS Open Enrollment information.
  • Your 2021 Health Plan Statement.

Are you getting the most out of your CalPERS health plan? Watch the video below to find out!

 

 

CalPERS and Medicare 

Discover how Medicare works and how it might affect your CalPERS health coverage here

 

 

CalPERS and Open Enrollment  

Want to make changes to your CalPERS health plan? Open Enrollment is your chance. Watch below for some tips for making the process as smooth as possible. Visit the CalPERS Open Enrollment page for more information.

 

Anthem
Blue Shield of California
Health Net
Kaiser Permanente
United Healthcare

 MetLife Dental (DHMO & PPO) 

  • MetLife Home
    • Benefit Summaries
    • Group number: 5973407
    • Finding a provider
    • Transition of Care
      • Employees may worry about what will happen if they have dental care that’s in progress. Will they need to delay or adjust their treatment plan? Will they have to pay out-of-pocket?   Some of the most common services—such as braces, root canals, and crowns—are ongoing treatments that could be affected if their employer switches dental carriers. For more information, please review their helpful guide
      • Dental HMO continuing orthodontic treatment request form
    • Creating a Profile
      • Check out this video or flyer on how to register for MyBenefits and access your account information.
    • Mobile App

 MetLife Vision (PPO)

 

 Benefit Coordinators Company (BCC)

Please note effective January 1, 2021 BCC took over billing administration services for the City of Newport Beach and will administer your City dental and vision benefits.

  • Individual electronic funds transfer authorization form 

Plan Documents 

 

Click here for listing of the City's current health, dental and vision offerings, with links to their corresponding evidence of coverage and/or policy documents. These documents will provide you with information on your plan benefits and specific terms of coverage. Should you have any further questions about your insurance plans or provisions therein, please contact the carrier directly, using the numbers provided in their links. 

 Processing Health-Care Reimbursements

 Important Contacts

CalPERS Medical Plans

 Anthem Select HMO & Anthem Traditional HMO

  • Member Services
    •  855-839-4524
    • Site
  • RX: OptumRX
    •  855-505-8110
    • Site

Blue Shield HMO & Blue Shield Trio HMO

  • Member Services
  • RX: CVS Caremark
    •  800-334-5847
    • Site

Health Net Salud Y Más HMO & Health Net SmartCare HMO

  • Member Services
  • RX: OptumRX
    •  855-505-8110
    • Site

Kaiser Permanente HMO 

  • Member Services & RX

PERS Platinum PPO & PERS Gold PPO 

  • Member Services
  • RX: OptumRX
    •  855-505-8110
    • Site

PORAC PPO 

  • Member Services
  • Rx: Express Scripts
    •  866-470-6265
    • Site

Sharp Health Plan HMO (San Diego County residents only) 

  • Member Services
  • RX: OptumRX
    •  855-505-8110
    • Site

United Healthcare HMO  

  • Member Services
    •  877-359-3714
    • Site
  •  RX: OptumRX

Medicare Advantage PPO

  • Member Services
    • 888-867-5581

MetLife Dental: DHMO & DPPO

  • Member Services

MetLife Vision Plan

  • Member Services

CalPERS

  • Member Services
    • 888-225-7377
    • Site 

Mission Square 

  • Retiree Health Savings (RHS)
    • 800-669-7400
    • Site 

Meritain Health 

  • Billing: 800-748-0003
  • Reimbursements: 888-587-9441
  • Site 

Empower Retirement 

  • Participants