Medical Benefits
Fulltime employees that opt for single coverage will have no premium expense dependent upon coverage elected, please see your CTA/CSEA contracts for details. They have the option to enroll eligible dependents (dependent verification is required). Payroll deductions vary for employee only coverage, dependent coverage; depending upon the plans elected, number of dependents enrolled, and their relationship to employee. Part-time employees have the option for coverage for themselves and eligible dependents. They will have a prorated district contribution towards their elected plans. Costs vary by plan, number and type of dependent(s).
All elections or changes must be completed in the Benefit Bridge Enrollment system. Changes may occur at open enrollment or if there is a life event. Life events include but are not limited to marriage, adoption and birth. Changes must be made within 30 days of the life event and dependent verification is required.
Disclaimer
While every attempt is made to ensure that the information below is accurate and up-to-date, information is subject to change. The District will not be held liable for information that is subject to change and reserves the right to alter the content of the website at any time.
We currently have a number of plans to choose from:
- Three (3) HMO Options (Anthem HMO20, Anthem HMO30, and Anthem DHMO500 formerly Anthem HMO40 Select): Co-payments and monthly premiums vary.
- Two (2) Anthem Blue Cross PPO Options (Anthem PPO500 and Anthem PPO750): Co-insurance, monthly premiums and annual deductibles vary.
- One (1) Anthem PPO Essentials Option (Anthem PPO1250 Essentials): Co-insurance and monthly premiums vary.
- One (1) Anthem Blue Cross High Deductible PPO Plan with Health Savings Account (Anthem HSA1): Co-insurance, monthly premiums and annual deductibles vary.
- One (1) Anthem Elements Choice PPO, Minimum Value Plan (Anthem Minimum Value Plan): Co-insurance and monthly premiums vary.
- Two (2) Kaiser Permanente HMO Options (Kaiser HMO20 formerly Kaiser High Opt 1 and Kaiser DHMO500 formerly Kaiser Low Opt 2): Co-payments and monthly premiums vary.
- One (1) Kaiser Permanente HMO Plan with Health Savings Account (Kaiser HSA HMO).
- One (1) Kaiser Permanente HMO, Minimum Value Plan (Kaiser Minimum Value Plan): Co-payments, co-insurance, annual deductibles and monthly premiums vary.
NOTE: ALL traditional HMO medical plans have a $100 Emergency Room co-payment (which is waived if you are admitted to the hospital). However, the PPO plans vary (refer to Benefit Bridge or plan summaries for details).
Everside Health, your new health center located in Murrieta, gives you access to comprehensive primary care.
With this new benefit, you and your family receive:
- Easy access to care when you need it, with in-person and virtual care services
- Care for everything from routine checkups and urgent needs to chronic condition management for the entire family
- Ability to address multiple healthcare concerns in one visit, with the same provider
- Same and next-day appointments
- 24/7 phone access to your care team for urgent needs
25395 Hancock Ave. Ste. 200
Murrieta, CA 92562
951-229-0708
Visit eversidehealth.com
Learn more about Everside HealthNOTE: Anthem members have prescription drug coverage through Express Scripts and
copays vary depending on the medical plan.
Kaiser members have prescription drug coverage through Kaiser Pharmacy and copays
vary depending on the medical plan.
Anthem LiveHealth Online (LHO) is available to REEP HMO and PPO plan members at no-cost. This program provides around the clock, 24/7 board certified physicians benefits and referrals. For more information please refer to the Anthem Live Health Flyer for information on how to access services.