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

You can search the plan availabe in your area, using CalPERS health plan by zip code. 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