HMO - Health Maintenance Organizations
Enroll or Make Changes
Health Maintenance Organizations (HMOs)
An HMO offers health benefits, including preventive care, with no deductibles or maximums, and minimal co-payments. You will choose a primary care physician (PCP) within a network of contracting doctors. The PCP coordinates your care, including referrals to specialists. If you go outside of the HMO without a referral (except for emergency services), you will be responsible for the total cost of services. Please see EOC for specific plan details.
Anthem Blue Cross Traditional HMO
Contact Anthem: 855-839-4524
Blue Shield Access+ HMO
Contact Blue Shield: 800-334-5847
UnitedHealthcare HMO
Contact UnitedHealthcare: 877-359-3714
Rates Comparisons
Health Plans are administered by the California Public Employee's Retirement System (CalPERS) calpers.ca.gov
Please refer to each Plan’s Evidence of Coverage (EOC) below for the exact terms and conditions of coverage. In case of a conflict between the summaries provided on this page and the Plan’s EOC, the EOC determines the benefits and coverage.
HMO Monthly Rates 2017
|
Anthem Traditional |
Blue Shield Access + |
United Health Care |
| 1 Party |
$165.91 |
$123.44 |
$0.00 |
| 2 Party |
$396.82 |
$311.88 |
$23.34 |
| 3+ Party |
$542.57 |
$432.14 |
$57.04 |
Cal Poly's 2017 monthly contribution: 1 Party-$707; 2 Party-$1,349; 3+ Party-$1,727
Bargaining Unit 6, SETC (Trades), pay slightly less: -$5.00/-$10.00/-$20.00
*Bargaining Unit 8, SUPA (Police) only, mat enroll in PORAC
Prescription Information
| Vendor |
Website |
Phone |
Description |
| OptumRx |
chp.optumrx.com |
855-505-8110 |
Pharmacy manager for United Healthcare HMO, and Anthem Traditional HMO) |
