Information about the Core Medical, Dental and Vision Plans offered to eligible employee and their dependents
Kaiser High Deductible Health Plan (HDHP) and Traditional Health Maintenance Organization (HMO). These plans are available to ACA eligible employees and their qualified dependents at the below semi-monthly cost:
Because of the many advantages to breastfeeding, the American Academy of Pediatrics recommends breastfeeding/breast milk exclusively for the first six months of a baby’s life. There may also be other situations when you will want to pump your breast milk or your doctor recommends it. Coverage by health plan for manual and electric breast pumps Access+ HMO®: Covered with no copayment Shield Spectrum PPOSM:
A Health Maintenance Organization (HMO) in which patients seek medical care from a doctor participating in the plan’s network. If you join Blue Shield HMO, you select a PCP within Blue Shield's network of doctors. Most services and medicines are covered with a small co-payment. Any specialty care you need will be coordinated through your PCP and will require a referral or authorization.
The two most significant benefits of the PPO (preferred provider organization) plan are these:
Blue Shield Trio HMO is being offered in addition to the Blue Shield Access + HMO The local doctors and hospitals in Trio’s select network work closely to keep everyone healthy while keeping costs down. The result is dependable care and a lower premium. Trio HMO plan highlights Same benefits as the Blue Shield Access+ HMO plan Access to a select network of local doctors and hospitals A lower premium than you pay for Access+ HMO With Trio, you also have acces
Cigna Dental PPO Under this plan, dental services are provided through the Cigna Dental PPO network. However, you can choose any dentist in any location inside or outside of the Cigna network. How much you pay for dental services depends on how long you have worked for the County, your represented group, and whether you choose a participating Cigna dentist. If you choose a non-participating dentist, you pay the difference between the amount the dentist receives from Cigna (the “allowable amount”) and the dentist’s charges.
For questions regarding whether specific services are covered or claims, please contact your provider directly. Carrier Benefit Type Contact Account Access Apps
If you enroll in the DeltaCare program, you select a DeltaCare dentist for dental services and you must visit your selected dentist for all of your dental care. There are no claim forms to complete, no deductibles, and no co-pays for most services.
San Mateo County employees may choose from two dental carriers:
2022 Employee Benefits Guides and Rates The Employee Benefits Guide is your single source document for the information you need to make informed decisions about your benefits for yourself and your family. The Employee Benefits Guide is intended to be a summary of some of the benefits offered to you and your family including: health insurance, dental insurance, vision insurance, life insurance, short-term disability insurance, and flexible spending accounts.
|2021 Employee Benefits Guides & Rates|