Pacific’s new health plans offer increased choices, greater flexibility and lower-cost options. We have added Health Savings Accounts (HSAs) as well as high-deductible plans with much lower or no-cost premium options.
2015 Benefits Rates
Click on the image above to download the 2015 benefits rate sheet
Pacific now offers five health plans (up from three)
Three Pacific self-funded plans:
(These plans allow for the use of Anthem networks)
• Pacific Preferred Provider Organization (PPO)
• Pacific Preferred Provider Organization with High Deductible and HSA (PPO-HD)
• Pacific Exclusive Provider Organization (EPO)
- On the Find a Doctor page, select California in the "Select a state" dropdown
- Under the "Select a plan/network" dropdown, select "Blue Cross PPO (Prudent Buyer) - Large Group." This is the ninth option in the dropdown list.
- Push the "Select and Continue" button
- You can now search for doctors and facilities. These results apply to all of three Pacific health plans (PPO, PPO-HD and EPO).
Pacific has dropped the Anthem Blue Cross POS and HMO plans, which were scheduled to go up 19% in 2015. The University was able to keep anticipated increases to a minimum by switching to its own self-funded plans, resulting in an overall increase of 7% to the cost of Pacific's plans. Each plan has a different increase so please compare costs based on your family situation. Current Anthem Blue Cross members can continue to use Anthem networks by switching to one of three new Pacific health plans.
To make changes to your benefits coverage, download the benefits enrollment and change form.
If you cover qualified dependents, you all must enroll in the same Medical Plan. All medical plans offer prescription drug benefits. Refer to the Prescription Drug Benefits page for more specific information.
New Health Savings Accounts
Employees who choose a high-deductible medical plan may now invest premium savings into a Health Savings Account (HSA). The University contributes to the HSA, but you control how the money is spent and keep any interest and investment earnings. Unlike Flexible Spending Account (FSA) contributions, you don’t lose the money in your HSA at the end of the year.
New Pacific EPO
Pacific’s new Exclusive Provider plan expands the provider network from the traditional HMO model of one primary care physician to the entire Anthem Blue Cross network that extends to all 50 states.
The AFLAC hospital plan helps you pay for unexpected hospital stays. It has a guarantee issue (no underwriting approval needed) and you save by paying for the premium pre-tax through payroll deduction. If you or a family member are hospitalized, AFLAC will pay a lump sum plus additional benefits.
Tips for Maximizing Your Health Benefits
Here are some of the ways Pacific employees can maximize the value of the University's health plans.
- For Pacific EPO and PPO plan participants: Utilize the Dameron Ambulatory Care Center for a $0 co-pay.
- For Kaiser participants: E-mail your doctor for information, utilize phone appointments and online face-to face-appointments (where available) for a $0 co-pay.
- Stay in-network for higher cost savings.
- Utilize the 100% preventative care benefits in your medical and dental plans to obtain all your recommended screenings to avoid preventable illnesses and catch illnesses early.
- Have your three dental cleanings at no additional cost and save your $2,000 per year dental benefit for other dental needs by visiting a Delta Dental Preferred Provider.
- Save on taxes by contributing to a Flexible Spending Account if you do not have a high-deductible medical plan. You can defer money tax-free for medical, dental, vision, dependent care and transportation and parking expenses not covered by your insurance plans.
- Save money in an HSA to pay for medical expenses in retirement.