PPO - Preferred Provider Organizations

Enroll or Make Changes

Preferred Provider Organizations (PPOs).

A PPO is a form of managed care, but it is more similar to a traditional "fee-for-service" type plan. PPOs contract with doctors, hospitals, and other providers to provide services for an agreed-upon charge. You may choose to use a non-contracting doctor, but you will pay a higher co-payment (40% vs 20%) These plans are available statewide and some are available outside of California.

Unlike an HMO, where a primary care physician directs all your care, a PPO allows you to select a provider and a specialist without a referral. There are annual deductibles to meet before the plan will pay benefits, (other than doctor visits), and you are responsible for a certain percentage of the charges (co-insurance). The plan pays the balance up to the contracted amount.

CalPERS Compare

CalPERS Compare is a one-stop-shop for current enrollees of the Basic PERSCare, PERSChoice, PERS Select health plans. This online tool is available at no additional cost and helps you track your expenses, Castlight Health.

  • Compare qulaity information and prices in order to make informed decisions.
  • Shop for convenient, quality health care services; prescriptions and doctors in your network.
  • Track all your medical spending.
  • View estimated costs of future services.

Plan & Rate Comparion

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)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.

PPO Monthly Rates 2018
PERS Select PERS Choice PERS Care PORAC*
1 Party $0.00 $0.00 $51.19 $9.00
2 Party $0.00 $71.32 $175.38 $163.00
3+ Party $0.00 $116.82 $252.09 $204.00

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