Agenda Premium Overall Rate Changes

Transcription

1 Agenda Health Premium Overall Rate Changes for 2011 Basic Premium Changes by Region National Healthcare Reform Health Partners Overview and Benefit Changes - Anthem Blue Cross Blue Shield of California - Medco Health Solutions Kaiser Permanente Open Enrollment Key Dates Questions and Answers 2011 Premium Overall Rate Changes Total Program (State and Contracting Agencies) Overall premium increase of 9.1% Overall premium increase for Basic plans of 10.6% Overall premium increase for Medicare plans of 3.4%

2 2011 Basic Premium Changes Southern California Regions Basic Premium Changes Los Angeles Area (Los Angeles, San Bernardino, Ventura counties) Health Plan Percent Change (+/-) Blue Shield Access % Blue Shield NetValue 16.17% Kaiser CA 5.04% PERS Choice 9.67% PERS Select 2.73% PERSCare 1.97% Basic Premium Changes Other Southern CA Regions Health Plan Percent Change (+/-) Blue Shield Access % Blue Shield NetValue 16.17% Kaiser CA 5.05% PERS Choice 9.19% PERS Select 2.28% PERSCare 1.52%

3 National Healthcare Reform Currently, CalPERS is on target to implement all 2010/2011 provisions, including - Extension of dependent coverage up to age 26 - Elimination of lifetime limits for PERS Select and PERS Choice - Changes to annual limits - Early Retiree Reinsurance Program (ERRP) Health Plan Partners Plan Overview and Changes

4 PPO Plan Options PERSCare - Longest standing plan design - Full Anthem Blue Cross PPO network access - Highest level of coverage PERS Choice - Most popular plan by enrollment - Full Anthem Blue Cross PPO network access - Competitive coverage, competitive premium PPO Plan Options (continued) PERS Select - New plan design introduced January Subset of Anthem Blue Cross PPO network - Same coverage as PERS Choice available, lowest premium PPO Plan Comparison Similarities between PPO Plans - $500 Calendar Year Deductible - $20 Office Visit Co-pay - 100% Routine/Preventive coverage - $50 Emergency Room Deductible

5 PPO Plan Comparison (continued) Differences between PPO Plans - 90% coverage on PERSCare; 80% coverage on PERS Choice and PERS Select - $3500 Physical Therapy Maximum on PERS Choice and PERS Select; No Maximum on PERSCare - Chiropractic & Acupuncture limited to 15 visits on PERS Choice and PERS Select; 20 visits on PERSCare How the PPO Plans Work Services that do not apply to the $500 calendar year deductible - Physician office visits - Routine/preventive visits - Prescriptions For other services, your deductible does apply. After the Deductible is met the percentage based benefit (90% or 80%) will begin How the PPO Plans Work (continued) The Coinsurance (10% or 20%) will apply towards the Calendar Year Maximum Out of Pocket ($2000 or $3000) Services for Non-Participating Providers are reimbursed at 60%. The 40% Coinsurance does not apply towards a Maximum Out of Pocket

6 PPO Plans Medical Benefits Changes Summary Lifetime maximum coverage limit of $2 million being removed Introducing Value Based Purchasing design for hip and knee joint replacement surgery Introducing Narrow Hospital Network to produce additional premium savings PERSCare PERS Choice PERS Select Value Based Purchasing Design (VBPD) This pilot program targets hip and knee joint replacement surgery These expensive procedures are rapidly growing in frequency PPO hospital charges for hip and knee joint replacement surgery vary greatly between facilities even in the same zip codes without any clinical evidence of differences in quality or outcomes Value Based Purchasing Design (VBPD) (continued) Benefits for these procedures at facilities designated in the VBPD pilot will apply in accordance to the member s plan Benefits for these procedures not performed by a VBPD pilot facility will be limited to $30,000 per procedure Total of 44 hospitals chosen as Value Based Purchasing facilities

7 Narrow Hospital Network (PERS Select) Billed charges for PPO hospitals vary greatly with no correlation in quality of care or outcomes Two Tiered Hospital Benefits - Inpatient and Outpatient services at Tier One hospitals will be covered at the existing Par coinsurance (80%) and maximum out of pocket plan provisions ($3,000/$6,000) - Inpatient and Outpatient services at Tier Two hospitals will be covered at a lower coinsurance (70%) and higher maximum out of pocket plan provisions ($6,000/$12,000) Narrow Hospital Network (PERS Select) (continued) The value of using more cost effective Tier One hospitals produced lower 2011 premium rates With identical coverage as PERS Choice available, 2011 PERS Select premiums will be approximately 13% lower than PERS Choice Total 159 hospitals chosen within Tier One Locating a Provider at Click Find a Doctor link on the home page and follow the prompts

8 Website and Wellness Services 360 Health Services - ConditionCare: Asthma, Diabetes, COPD, CAD, HF - Future Moms - 24/7 NurseLine coupled with comprehensive Audio Library SpecialOffers Discount Programs - Complementary and Alternative Care: massage therapy, acupuncture, chiropractic - Club Memberships: Curves, Bally s, Anytime Fitness - Weightloss: Jenny Craig, Weight Watchers - Smoking Cessation Program Website and Wellness Services (continued) On-Line - WebMD - MyAnthem MyHealth Record Claims status Treatment Cost Advisor Anthem Care Comparison - Hospital Comparison Tool - Healthy Living - Kids In Charge of Kalories (KICK)

9 About Medco Provides pharmacy benefit management services for approximately 65 million Americans In 2009, managed 695 million prescriptions (103 million prescriptions through mail service), operating at better than Six Sigma quality levels Partners with approx. 60,000 retail pharmacies nationwide In 2009, 27.5 million prescriptions were processed through medco.com 12,000+ of the new prescriptions each week are eprescription About Medco (continued) In 2010, Medco captured the No. 1 position in the Health Care sector on Fortune s Most Admired Companies List for the third consecutive year. In this sector, Medco ranked No. 1 in five attributes: innovation, use of corporate assets, quality of management, financial soundness, and quality of products/services. Medco pharmacists are specialists, trained to support patients with specific conditions such as diabetes, asthma and cardiovascular disease Prescription Benefit Basics Drug Types Preferred brand medications - Brand preferred by the plan based on an independent clinical review board decision - Original manufacturer still holds patent - No generics available yet - Example: Crestor

10 Prescription Benefit Basics Drug Types (continued) Non-preferred brands - Brand not preferred by the plan based on an independent clinical review board decision - Alternative generics and/or brand medications are available - Example: Prilosec Generic medications - Usually available from many manufacturers - Less costly than brand medications - Example: acyclovir Prescription Benefit Basics Drug Types (continued) OTC (over-the-counter) - Not covered by CalPERS except diabetic test strips, insulin, and lancets - Several key prescription drugs were recently approved for OTC sale, including Claritin, Prilosec, and Zyrtec - New for 2011: Prescription medications with an OTC equivalent are not covered Prescription Benefit Basics Drug Types (continued) Specialty drugs - Many require injection or IV infusion - May require special safety monitoring, patient training and coordination of care - Unique requirements for handling and storage - Often used to treat patients living with severe, chronic conditions, such as multiple sclerosis, pulmonary hypertension, and hemophilia - Examples: Enbrel, Recombinate

11 Prescription Co-pays Retail (30/34 day supply) Maintenance medications after 2 nd refill Mail Order (90 day supply) Generic drugs $5 $10 $10 Preferred brand drugs $15 $25 $25 Non-preferred brand drugs $45 $75 $75 Lifestyle medications* 50% 50% 50% * Medications such as Viagra, Levitra and Cialis Prescription Co-pays (continued) Out-of-pocket (OOP) maximum at mail is $1,000 per calendar year; once a member incurs a $1,000 at mail, the mail service co-pay is $0 for the remainder of the year - New for 2011, non-preferred medications will be excluded from the OOP maximum Prior authorization may be required for some medications. Upon approval, some non-preferred medications are eligible for a partial co-pay waiver - New for 2011, if granted, the non-preferred co-pay at retail is $40 and at mail is $70 Prescription Co-pays (continued) Refer to medco.com for preferred drug status and to identify other preferred medications and savings opportunities

12 Preferred Drug List (Formulary) A formulary is a list of generic and brand-name drugs that are preferred by the plan - The formulary list offers member choice while helping to keep the cost of the prescription drug benefit affordable The list is developed by a clinical committee of national medical experts - The committee meets at least quarterly to make updates. - Medco notifies patients when there will be a change in status of their drug that will result in a higher copay. Preferred Drug List (Formulary) (continued) Members can refer to or call member services to determine if a specific drug is preferred. Getting Started with Mail Prescriptions Ask doctor to prescribe for 90 day supply and refills for up to 1 year, if appropriate Send prescription to Medco - Doctors send via fax or electronic transmission (erx) - Patients send via mail Mail order form and address available by calling or by visiting

13 Getting Started with Mail Prescriptions (continued) Delivery timing - Members should have at least a 14 day supply of medication on hand when ordering - New prescriptions delivered 8 days and refills 3-5 days after order is received Payment - Can be made by credit card, check, money order or e-check - Standard shipping is free Pharmacists are available 24/7 to speak with patients Getting Started with Mail Prescriptions (continued) Refills can be ordered by phone ( ) or or you can join Medco s Worry Free Refill program Packaging - Most orders are sent via U.S. mail in a tamper proof envelope - Some medications that are refrigerated or frozen will arrive in special packaging - Includes a literature pack Getting Information about the Prescription Benefit Before January 1 st What type of information can I get before January 1 st? - Copays and other prescription benefit highlights - Compare prescription medication costs - Use My Rx Choices, Medco s tool to identify savings opportunities - Find a local, participating retail pharmacy - Determine the formulary or preferred drug status of your medications - How to get started with Medco s mail service

14 Getting Information about the Prescription Benefit Before January 1 st (continued) How can I get information? - Call Medco Member Services at Press 1 to speak to an Open Enrollment representative - Visit the open enrollment website at You may then select information about the plan from the right hand side of the web page; you will be taken to the open enrollment website for the benefit you selected. Member Support Member Service New member materials Periodic communications - Letters to remind members to use My Rx Choices, announce new generics, introduce new prior authorization edits and more Medco website Brochures open enrollment, benefit fairs Medco.com Features Medco Health Store - Enhanced online drugstore that offers over 25,000 nonprescription health, wellness and personal care products. For Your Dr. Visit - Members may view and print a personalized prescription history, pharmacy benefit overview, formulary guide and a new prescription fax form to share with their physician.

15 Medco.com Features (continued) My Rx Choices - Provides members with personalized reports that compare medications they are taking on an ongoing basis to any lower cost alternatives available under your plan. Blue Shield s two HMO plans We need your help to eliminate the confusion between our two plans Access+ the premium, fully-loaded HMO that s predictable and cost-effective - Most appropriate for solo subscribers who use their plan, families with older children, and those looking for flexibility NetValue the value HMO that accommodates choice - Most appropriate for families with young children, solo subscribers who do not use their plan often, and those looking for cost savings

16 Access+ network The premium, fully-loaded HMO with no deductible that s predictable and cost-effective available throughout California - Choice of over 11,000 primary care physicians statewide - Over 300 hospitals statewide - Over 21,500 specialists statewide - Self-referral through Access+ Specialist Access+ Benefit Highlights Physician Services - $ 0 charge for preventative care - $15 office visit copay for primary doctor, and specialist care - $ 30 copay for self-referral specialist visits Diagnostic Testing (Lab, X-Ray) - $0 Co-pay Hospitalization - No charge inpatient or outpatient Access+ Benefit Highlights Prescriptions - For short-term or acute illness from a retail pharmacy, for a 30-day supply: $5 generic, $15 brand, $45 non-formulary - For maintenance drugs from a retail pharmacy, for a 30-day supply after the first 3 months: $10 generic, $25 brand name, $75 non-formulary - For maintenance drugs by mail, up to a 90-day supply: $10 generic, $25 brand name, $75 non-formulary

17 NetValue network The value HMO with no deductible that accommodates choice - Available to almost 80% of CalPERS Blue Shield members. In 2011 NetValue will be offered in 23 counties, including Santa Clara, Santa Cruz and the balance of San Mateo - The NetValue network is comprised of the most efficient providers - Because of the more efficient network, members pay a lower monthly premium without sacrificing quality of care - NetValue has created the competition needed to drive some providers to reduce their rates and/or referral patterns in order to participate in this product; in some cases medical groups have re-negotiated rates in order to meet the criteria to be included in the network Blue Shield 65+ Blue Shield 65+ is a GMA-PD health plan that has replaced the Blue Shield Medicare COB plan in all or parts of Fresno, Kern, Los Angeles, Madera, Orange, Riverside, San Bernardino, San Luis Obispo and Ventura counties The plan provides health benefits to anyone eligible for Medicare who enrolls in and receives services from the plan instead of receiving their benefits and care through the traditional fee-for-service Medicare program Blue Shield 65+ (continued) To participate members must be enrolled in both Medicare Parts A and B and receive all Medicare-covered benefits through Blue Shield 65+ Members choose a primary care physician and receive services from Blue Shield s network of providers, similar to a traditional HMO The plan administers and delivers both medical and prescription drug coverage

18 2011 Benefit Changes The only medical benefit change for Blue Shield plans will be the introduction of a $250 hospital co-pay for upper and lower endoscopy, cataract surgery, and spinal injection when an outpatient hospital is used in lieu of an ambulatory surgery center Blue Shield contracts with over 446 ambulatory surgery centers throughout California Exclude the non-formulary brand prescription co-pay from the $1000 maximum out-of-pocket (OOP) mail-order spend for members 2011 Benefit Changes (continued) Change the partial co-pay waiver for non-formulary brand drugs. Non-formulary brand retail co-pays will increase from $30 to $40; mail order co-pays will increase from $45 to $70 Establish a 50 percent coinsurance for drugs used for erectile dysfunction Valuable Services for Members Access+ Specialist Access+ Satisfaction Nurse Help 24/7 Life Referrals 24/7 Ask A Pharmacist Healthy Lifestyle Rewards Travel coverage Away From Home Care Health management programs Ratings & Review Ask & Answer blueshield.ca.com/calpers Hospital Comparison Tool Drug Interaction Checker Symptom Checker

19 Valuable Services for Members (continued) Surgery before and after Hearing and visual resources Patient Ally Health library Members Save Money and Get Healthy Acupuncture, Chiropractic and Massage therapy services 25% or more off the usual and customary fees Online discounts on heath-improvement products including vitamins, herbal supplements, homeopathic remedies, diet and sports nutrition, yoga and fitness equipment, personal body care and health and wellness books, audio and DVD products Members Save Money and Get Healthy (continued) Vision 20% off the published retail prices when an innetwork provider is used including routine eye examinations, frames and lenses, tints and coatings, non-prescription sunglasses LASIK laser vision 15% discount when an in-network provider is used Weight Watchers discounts 24 Hour Fitness discounts Drugstore.com discounts

20 Useful Tools for You and Members Custom newsletter for CalPERS HBOs, In The Know, with articles and information you can use in your own newsletters Custom newsletter for CalPERS members, Shield Connect, with benefit information as well as helpful tips and tools Our dedicated CalPERS Member Services staff is available to help 7 a.m. to 7 p.m., Monday through Friday at Dedicated CalPERS HBO Priority Services staff to expedite your needs Useful Tools for You and Members (continued) A series of informative and educational Webinars for HBOs and members A comprehensive Find a Provider online tool that identifies physicians by location, specialty and IPA, hospital affiliation and ambulatory surgery centers Dedicated Blue Shield Account Management Team How Do Members Find a Doctor? Members have two options to find and choose a Primary Care Physician or a specialist 1. They can call our dedicated CalPERS Member Services team at and have a custom directory mailed or ed to them 2. They can go to our dedicated CalPERS website at and find a physician using our online tool

21 How Do Members Find a Doctor? (continued) A change of their Primary Care Physician must be made through Member Services or online at blueshieldca.com Members can change their primary care physician as often as once a month and do not need to wait for open enrollment Online Find a Provider Feature

22 About Kaiser Permanente Kaiser Permanente provides services directly to our members through an integrated medical care program Health Plan, Plan Hospitals, and the Medical Group work together to provide our members with convenient access to quality care About Kaiser Permanente (continued) Our medical care program gives you access to all of the covered Services you may need: Routine care with your own personal Plan Physician Specialty Care Hospital Care Laboratory and Pharmacy Services Urgent and Emergency Care Healthy Living Programs Who We Are 8.7 million members 13,729 physicians 157,000 employees 32 hospitals 416 medical offices

23 National Model of Health Care Delivery [Kaiser Permanente is] actually one of the models of highquality, cost-efficient care that's out there right now, partly because they maintain such a stable base of patients and they construct a whole team approach that has proven to be very effective If we could actually get our health-care system across the board to hit the efficiency levels of a Kaiser Permanente we actually would have solved our problems. President Barack Obama, in an interview with Time Magazine for a July 30, 2009 cover story 2011 Basic Plan Benefits Service Physician services Hospital services Emergency care X-ray and lab tests Benefit $15 per visit No charge $50 per Emergency Department visit This Copayment does not apply if you are held for observation in a hospital unit outside the Emergency Department or if admitted directly to the hospital as an inpatient No charge 2011 Basic Plan Benefits (continued) Service Online service features (Available through My Health Manager at kp.org/calpers) Benefit your doctor s office: No charge Take a total health assessment: No charge View most lab test results: No charge Schedule routine appointments: No charge View portions of your medical record: No charge Order prescription refills: No extra charge for delivery

24 2011 Basic Plan Benefits (continued) Service Prescription drugs (Includes covered outpatient items in accord with our drug formulary guidelines) Benefit Up to a 30-day supply from a Plan pharmacy: $5 generic/$15 brand Up to a 100-day supply by mail-order service: $10 generic/$30 brand Drugs prescribed for treatment of sexual dysfunction, now covered at 50% coinsurance for up to a 100-day supply from a Plan pharmacy or by mail-order service 2011 Basic Plan Benefits (continued) Service Routine preventive care Benefit Periodic health exam: No charge Scheduled prenatal care and first postpartum visit: No charge Well-child visits (0 23 months): No charge Vaccines (immunizations): No charge Eye refraction exam: No charge (Eyeglasses and contact lenses following cataract surgery, in accord with Medicare guidelines, No charge) 2011 Basic Plan Benefits (continued) Service Mental Health Hearing services Allergy services Benefit Outpatient visits: $15 per individual visit; $7 per group visit Inpatient psychiatric hospitalization: No charge Routine preventive hearing tests: No charge Hearing aid(s): $1,000 allowance every 36 months Allergy injection visits: No charge Allergy testing visits: $15 per visit

25 2011 Senior Advantage Plan Benefits Service Physician services Hospital services Emergency care X-ray and lab tests Chiropractic Care Benefit $10 per visit No charge $50 per Emergency Department visit This Copayment does not apply if you are held for observation in a hospital unit outside the Emergency Department or if admitted directly to the hospital as an inpatient No charge $10 per visit, up to 20 visits per calendar year 2011 Senior Advantage Plan Benefits (continued) Service Online service features (Available through My Health Manager at kp.org/calpers) Benefit your doctor s office: No charge Take a total health assessment: No charge View most lab test results: No charge Schedule routine appointments: No charge View portions of your medical record: No charge Order prescription refills: No extra charge for delivery 2011 Senior Advantage Plan Benefits (continued) Service Prescription drugs (Includes covered outpatient items in accord with our drug formulary guidelines) Benefit Up to a 30-day supply from a Plan pharmacy: $5 generic/$15 brand Up to a 100-day supply by mail-order service: $10 generic/$30 brand Drugs prescribed for treatment of sexual dysfunction, now covered at 50% coinsurance for up to a 100-day supply from a Plan pharmacy or by mail-order service

26 2011 Senior Advantage Plan Benefits (continued) Service Routine Preventive Care Benefit Periodic health exam: $10 per visit Scheduled prenatal care and first postpartum visit: $10 per visit Vaccines (immunizations): No charge Eye refraction exam and glaucoma screening: $10 per visit $175 allowance for eyeglasses/contact lenses every 24 months (Eyeglasses and contact lenses following cataract surgery, in accord with Medicare guidelines, No charge) 2011 Senior Advantage Plan Benefits (continued) Service Mental Health Hearing Services Allergy Services Benefit Outpatient visits $10 per individual visit $5 per group Inpatient psychiatric hospitalization: No charge Routine preventive hearing test: $10 per visit Hearing aid(s): $1,000 allowance every 36 months Allergy injection visits: $3 per visit Allergy testing visits: $10 per visit Medicare Part B Only Plan for CalPERS Members If the member currently has Part B they may enroll into the Kaiser Permanente Senior Advantage (KPSA) plan immediately Member must complete and submit the KPSA Election Form Their KPSA membership will become effective the first of the month following the date of signature on the election form Benefits Richer benefits than Basic plan Possible lower monthly premiums State may pay Part B premium for State retirees Part B has a monthly premium based on income (2010 average $110.50)

27 Dependent Care Coverage Starting January 1, 2011, dependent children will be eligible to remain covered until age 26 If you have any dependents who lost coverage because of their age, you ll be able to re-enroll them during open enrollment, as long as they re younger than 26 New Member Checklist Register for secure access to kp.org Find a facility nearest you Choose a personal physician Learn how to get care Get support for healthy living Transfer your medical records and prescriptions Learn more at kp.org/newmember Choose a Great Doctor Each member of your family is encouraged to have his/her own personal plan physician for routine and preventive care, treatment of illness, and referral to a specialist when needed. To see our physicians profiles, go to kp.org/chooseyourdoctor Review their credentials, including educational background and board certifications, and read their personal statements to ensure just the right fit. You can change your doctor for any reason, at any time

28 My Health Manager Tour Take the My Health Manager Tour and learn how to: your doctor s office for free, saving time, gas, and money Order prescription refills, most of which can be mailed to you at no extra charge Schedule or cancel routine appointments to fit your busy and everchanging schedule View most lab test results and get summaries of your office visits online Help take care of a family member, like a child or parent, using the features above kp.org/experience My Health Manager Tour (continued) You can register for secure access to the members-only features of My Health Manager at kp.org/calpers. Connect to your health information with one click, 24 hours a day. Empowering Our Customers 3.5 Million Customers online 11 million s sent to physicians 6 million prescriptions filled 31 million test results viewed

29 Empowering Our CalPERS Customer Online 197,832 members registered on kp.org 651,915 s sent to physicians 512,471 prescriptions filled 1,604,109 test results viewed Healthy Living Rewards Program Take the total health assessment online and you will be eligible to win a 160GB ipod or a $500 gift certificate to a sporting goods store or spafinder.com It s free for CalPERS members and you can complete it in minutes from the comfort of your home You ll receive a customized health improvement plan to help you get inspired and take charge of your health Attach the results to your personal electronic health record, and your doctor can help monitor your progress That s it! You ll be automatically entered into the quarterly drawing and on your way to a healthier you CalPERS Online Health Management Programs We also offer the following customized online programs to help CalPERS members reach their health goals Lose weight with Balance Eat healthy with Nourish Reduce stress with Relax Quit smoking with Breathe Manage chronic conditions with Care for Your Health Manage diabetes with Care for Diabetes Manage pain with Care for Pain

30 CalPERS Online Health Management Programs (continued) Manage depression with Overcoming Depression Get a good night's sleep with Overcoming Insomnia Manage back pain with Care for Your Back Discount Programs for CalPERS Members Weight Watchers - Lose some extra pounds, at a healthy discount. We've teamed with Weight Watchers to help you save money on regular online membership fees. 10,000 Steps Program - Use a pedometer to count your steps each day, then track your progress online. You'll get the support you need every step of the way. Health and Fitness Programs - Enjoy discounts on massage therapy, acupuncture, chiropractic care, and select fitness club memberships. (Programs vary by region.) Portable Electronic Medical Record CalPERS Members in Northern California can purchase their password-protected portable electronic medical record (PEMR) on a flash drive Copy of patient s medical information Ideal for travel and college students Encrypted and password protected Cost is $5 for flash drive (free updates)

31 We are here for your Health Member Services Call Center Phone hours Monday through Friday, 7 a.m. to 7 p.m. Saturday and Sunday, 7 a.m. to 3 p.m. English: (toll free) Spanish: (toll free) Chinese dialects: (toll free) TTY for the deaf, hard of hearing, or speech impaired: We are here for your Health (continued) Senior Advantage Member Services English: TTY: Open Enrollment

32 Open Enrollment Key Dates August 16th and August 23rd - Mailing waves of Open Enrollment member packages August 30th October 8th - Open Enrollment Health Fairs conducted September 13th October 8th - Open Enrollment period for the 2011 health plan year Summary Health Premium Overall Rate Changes for 2011 Basic Premium Changes by Region National Healthcare Reform Health Plan Partners Overview & Benefit Changes - Anthem Blue Cross Blue Shield of California - Medco Health Solutions Kaiser Permanente Open Enrollment Key Dates Questions and Answers

33 Helpful Websites and Phone Numbers CalPERS CalPERS (or ) Anthem Blue Cross (877) Blue Shield of California (800) Kaiser Permanente (800) Medco (800) Thank you for attending! Please complete the evaluation form