Plans & Rates (Active Member) (2025)

Anthem Blue Cross (Basic HMO)

  • Select HMO
  • Traditional HMO

Anthem Blue Cross

(855) 839-4524

No

OptumRx is the Pharmacy Benefit Manager (PBM) providing prescription benefits for this health plan.

Access Anthem Blue Cross’ Transparency in Coverage Machine Readable Files on their website.

Anthem Blue Cross Medicare Preferred (PPO)

Anthem Blue Cross

(855) 251-8825

YesOptumRxis the PBM providing prescription benefits for this health plan.

Blue Shield of California (Basic HMO)

  • Blue Shield Access+ HMO
  • Blue Shield Trio HMO

Blue Shield of California (HMO)

(800) 334-5847

No

Blue Shield of California administers its own prescription drug benefits.

Access Blue Shield of California’s Transparency in Coverage Machine Readable Files on their website.

Blue Shield of California (EPO)

Blue Shield of California

(800) 334-5847

No

Blue Shield EPO is available in Alpine, Calaveras, Colusa, Del Norte, Inyo, Lake, Lassen, Mendocino, Modoc, Mono, Plumas, San Benito, Shasta, Siskiyou, Sierra, Tehama, Trinity, and Tuolumne counties.

Blue Shield of California administers its own prescription drug benefits.

Access Blue Shield of California’s Transparency in Coverage Machine Readable Files on their website.

Blue Shield of California Medicare (PPO)

Blue Shield of California

(888) 802-4599

YesBlue Shield of California administers its own prescription drug benefits.

California Association of Highway Patrolmen (CAHP) (PPO)

  • CAHP Basic Health Plan
  • CAHP Supplement to Medicare
  • CAHP Medicare PDP

Anthem Blue Cross

Accolade Customer Service

(866) 518-1767

Yes

You must belong to the specific employee association and pay applicable dues to enroll in the CAHP. Note: The Prudent Buyer Network for CAHP’s Basic and Combination Plan is available only in California and in limited areas of selected states outside of California.

CAHP prescription benefits are administered by Express Scripts.

California Correctional Peace Officers Association (CCPOA) Access+ (Basic HMO)

Blue Shield of California

(800) 257-6213

No

You must belong to the specific employee association and pay applicable dues to enroll in the CCPOA. The CCPOA plan is available only to dues-paying members of that organization and their families.

CCPOA prescription benefits are administered through Blue Shield of California.

California Correctional Peace Officers Association (CCPOA) (Medicare PPO)

  • CCPOA Medical Plan Medicare (PPO)

Blue Shield of California

(800) 776-4466

Yes

You must belong to the specific employee association and pay applicable dues to enroll in the CCPOA. The CCPOA plan is available only to dues-paying members of that organization and their families.

CCPOA prescription benefits are administered through Blue Shield of California.

Health Net of California (HMO)

  • Salud y Más HMO

Health Net of California

(888) 926-4921

No

OptumRxis the PBM providing prescription benefits for this health plan.

Access Health Net of California’s Transparency in Coverage Machine Readable Files on their website.

Kaiser (HMO)

  • Kaiser Permanente Basic Plan
  • Kaiser Permanente Senior Advantage & Senior Advantage Summit

Kaiser Permanente

(800) 305-1220

Senior Advantage & Senior Advantage Summit

(855) 717-9598

Yes

Kaiser administers its own prescription benefits.

Access Kaiser Permanente’s Transparency in Coverage Machine Readable Files on their website.

Peace Officers Research Association of California (PORAC) (PPO)

  • PORAC Prudent Buyer Health Plan
  • PORAC Out-of-State Basic Health Plan
  • PORAC Supplement to Original Medicare
  • PORAC Medicare PDP

Anthem Blue Cross

(800) 655-6397

Yes

You must belong to the specific employee association and pay applicable dues to enroll in the PORAC. The PORAC plan is available only to dues-paying members of that organization and their families.

PORAC prescription are administered by Anthem Blue Cross.

PERS Platinum (PPO)

  • PERS Platinum Basic Plan
  • PERS Platinum Supplement to Medicare Plan
  • PERS Platinum Medicare PDP

Included Health

Basic

(855) 633-4436

TTY 711

&

Blue Shield of California

Supplement to Medicare

(800) 405-2127

TTY 711

Yes

Included Health will be your point of contact for Basic plan information and Blue Shield will be your point of contact for Supplement to Medicare plan information. Visit the 2025 PPO Administrators for Basic Plan Members webpage for more information on this change.

This plan has no geographical restrictions. It provides coverage anywhere in the world.

OptumRxis the PBM providing prescription benefits for this health plan.

Access Blue Shield of California’s Transparency in Coverage Machine Readable Files on their website.

PERS Gold (PPO)

  • PERS Gold Basic Plan
  • PERS Gold Supplement to Medicare Plan
  • PERS Gold Medicare PDP

Included Health

Basic

(855) 633-4436

TTY 711

&

Blue Shield of California

Supplement to Medicare

(800) 405-2127

TTY 711

Yes

Included Health will be your point of contact for Basic plan information and Blue Shield will be your point of contact for Supplement to Medicare plan information. Visit the 2025 PPO Administrators for Basic Plan Members webpage for more information on this change.

OptumRxis the PBM providing prescription benefits for this health plan.

Access Blue Shield of California’s Transparency in Coverage Machine Readable Files on their website.

Sharp Health Plan (Basic HMO) Sharp Performance Plus

Sharp Health Plan

(855) 995-5004

No

OptumRxis the PBM providing prescription benefits for this health plan.

Access Sharp Health Plan’s Transparency in Coverage Machine Readable Files on their website.

Sharp Direct Advantage (Medicare HMO)

Sharp Health Plan

(833) 346-4322

YesCVS Caremark is the PBM for Sharp Direct Advantage (Medicare HMO).

UnitedHealthcare (Basic HMO)

  • UnitedHealthcare SignatureValue Alliance
  • UnitedHealthcare SignatureValue Harmony

UnitedHealthcare

(877) 359-3714

No

OptumRxis the PBM providing prescription benefits for this health plan.

Access UnitedHealthcare’s Transparency in Coverage Machine Readable Files on their website.

UnitedHealthcare (Medicare PPO)

  • UnitedHealthcare Group Medicare Advantage

UnitedHealthcare

(888) 867-5581

Yes

The UnitedHealthcare® Group Medicare Advantage (PPO) plans include Medicare Part D prescription drug coverage.

UnitedHealthcare of California administers its own prescriptions. For more information please visit their website.

Western Health Advantage (HMO)

Western Health Advantage

(888) 942-7377

TTY: 711

No

OptumRx is the PBM providing prescription benefits for this health plan.

Access Western Health Advantage’s Transparency in Coverage Machine Readable Files on their website.

Plans & Rates (Active Member) (2025)

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