Benefit enhancements for CalPERS PPO members

Providers should be aware of upcoming health insurance benefit enhancements for certain members. Starting January 1, 2024, the CalPERS PERS Platinum and PERS Gold PPO Basic plans will offer enhanced lab benefits and feature designated primary care physicians on member ID cards.

Enhanced lab benefits

PERS Platinum and Gold plans will include 100% coverage for all lab services provided at a Quest Diagnostics or Labcorp facility. This means there will be no member cost share or $0 copayment for laboratory services provided at Quest Diagnostics and Labcorp facilities.

Primary care physician and ID card updates

PERS Platinum and Gold members will select a PPO primary care physician (PCP) at the time of enrollment. Beginning January 1, 2024, the name of the member’s designated PCP will be listed on their ID card, and their plan design will remain unchanged.

With this enhancement, members will not be required to use their designated PCP. They will still be able to:

• Receive services from any provider in or outside of their plan’s network.
• Self-refer to specialists.
• Change their PPO PCP at any time.

For more information regarding the PERS PPO plans, visit our website or call our dedicated CalPERS Customer Service Department at 877-737-7776.

About Anthem Blue Cross (Anthem) and CalPERS

Anthem has been serving CalPERS members since 1999 with a large, ever-growing network of quality doctors and hospitals throughout California. With Anthem, members can count on
industry-leading benefit plans with personalized digital tools and wellness programs that make accessing quality, lower-cost care easier and more intuitive. We take pride in helping CalPERS members and their families meet their health goals with personalized care and support.