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Employee Benefits Medical Benefits
  • Employee Benefits- Medical Benefits

 

Welcome to the Medical Benefits Page.  Employees have a choice among two EPO plans and two High Deductible Health Plans that include a Health Savings Account (HSA).* The County will contribute a portion of the cost of the lowest priced EPO or HDHP Medical plan. Physician Provider lists can be found on the carrier's websites by clicking on the provider links below.

Summary of Benefits and Coverage Notices and additional Notices are listed on this page.

  • For information on how you can qualify for Domestic Partner Coverage click on the Secretary of State's website.
  • Operating Engineers health insurance may be offered based on position.

Stanislaus County Partners in Health (SCPH)

SCPH HDHP w/HSA Enrollment Packet

SCPH EPO Enrollment Packet

SCPH Summary Plan Document (SPD)

SCPH HDHP Summary of Benefits and Coverage Notice (SBC)

SCPH EPO Summary of Benefits and Coverage Notice (SBC)


SCPH- Capitol Administrators Contact Info:

Phone- 877-789-8499 New!
SCPH Website- www.scpartnersinhealth.org

For a list of providers and pharmacies, refer to the SCPH website link above.

Prescription Pharmacy Network

CVS Caremark's Website- www.caremark.com
Phone- 877-217-1868

SCPH Flu Clinic Information

SCPH Flu Shot Voucher/Coupon

Children under the age of 9 will need to see their pediatrician/physician to obtain their flu vaccine. You may or may not have to pay for an office visit. Contact your physician to confirm their office procedure.

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Anthem BlueCross

Anthem BlueCross EPO Enrollment Packet

Anthem BlueCross EPO Summary Plan Document (SPD)

Anthem Lumenos HDHP Summary of Benefits and Coverage Notice (SBC)

Anthem EPO Summary of Benefits and Coverage Notice (SBC)

Anthem Contact Info:
EPO Plan Customer Service- 800-888-8288
EPO Pharmacy Benefit- 800-700-2541

Anthem BlueCross HDHP w/HSA Enrollment Packet

Anthem BlueCross HDHP w/HSA Summary Plan Document (SPD)

Anthem Contact Info:
HDHP Customer Service- 866-207-9878
HDHP Pharmacy Benefit- 800-281-4880

How to Estimate your Out of Pocket Cost on the HDHP

For a list of providers, refer to the Anthem BlueCross website below.

How to Find a Doctor

Anthem Website- www.anthem.com/ca
Express Scripts Pharmacy website- www.express-scripts.com

Chiropractic Network

American Specialty Health Website- www.ashcompanies.com/ProviderSearch/
Phone- 800-972-4226

Anthem Flu Clinic Information

Anthem Flu Clinic Flyer

Children under the age of 9 will need to see their pediatrician/physician to obtain their flu vaccine. You may or may not have to pay for an office visit. Contact your physician to confirm their office procedure.

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Kaiser Permanente

Kaiser HDEPO w/HSA Enrollment Packet

Kaiser EPO Enrollment Packet

Kaiser Permanente HDEPO Summary Plan Document (SPD)

Kaiser Permanente EPO Summary Plan Document (SPD)

Kaiser HDHP Summary of Benefits and Coverage Notice (SBC)

Kaiser EPO Summary of Benefits and Coverage Notice (SBC)

Kaiser Contact Info:

Phone (New!)- 800-663-1771
Kaiser Website- www.kp.org

For a full list of providers, refer to the Kaiser website link above.

Kaiser Contracted Physician List

Chiropractic Network

American Specialty Health - 800-972-4226

Kaiser Flu Clinic Information

Kaiser Flu Clinic Flyer

Children under the age of 18 years will need to be seen by the pediatrics department at Kaiser in order to obtain a flu vaccination.

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Children's Health Insurance Program Notice

Women's Health and Cancer Rights Act Notice

Medicare Part D Creditable Coverage Notice

HIPAA Notice of Privacy Practices

Summary of Benefits and Coverage (SBC) Uniform Glossary

 
  • All benefit forms are now located on the FORMS web page!

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