Medical

Foothill - De Anza Community College District is a participating agency in the CalPERS Medical Care plan, which allows eligible employees to select from several medical plans, such as:

• Anthem Blue Cross PPO and HMO
• Blue Shield of CA HMO
• Health Net HMO
• Kaiser Permanente HMO
• UnitedHealthcare HMO
• Western Health Avantage

Please use the contact information below for more information regarding each plan as well as the plan summary, listing of benefits, find a doctor/hospital/pharmacy, and to check your deductible and status of claims:

Medical Plan Group #'s:

• Anthem Select HMO: HNB050HS
• Anthem Traditional HMO: HTB050HT
• Blue Shield Access + HMO:  W0051411
• Health Net SmartCare HMO: NB050G
• Kaiser:  3-312
• PER Gold: DB250G
• PERS Platinum: BB250G
• PORAC: 1875JD
• UnitedHealthCare:  PCA648424-000
• Western Health Advantage HMO: 107999

2023 CalPERS Health Benefits Information

• CalPERS Health Benefit Summary
• CalPERS Health Program Guide

Monthly Contribution Rates:

• Employees
• Retirees (Pre-97)
• PT Faculty with 50/60/70 subsidy
• Survivors
• COBRA

CalPERS Health Programs Full-Premium Rates:

• CalPERS Health Benefits Rates - Region 1
• CalPERS Health Benefits Rates - Region 2
• CalPERS Health Benefits Rates - Region 3
• CalPERS Health Benefits Rates - Out-of-State

Monthly Imputed Income Rates:

• Actives
• PT Faculty
• Retirees with Medicare
• Retiree without Medicare