HMO - Health Maintenance Organizations

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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.

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 2018
Anthem Traditional Blue Shield Access + United Health Care
1 Party $116.34 $27.32 $0.00
2 Party $305.68 $127.64 $32.18
3+ Party $421.48 $190.03 $65.93

Cal Poly's 2018 monthly contribution: 1 Party-$725; 2 Party-$1,377; 3+ Party-$1,766
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
CVS Caremark caremark.com 866-346-7200 Pharmacy manager for Blue Shield Access+ HMO
OptumRx chp.optumrx.com 855-505-8110 Pharmacy manager for United Healthcare HMO, and Anthem Traditional HMO)