What Is It?
The CCPOA Medical Plan provides you and your family a great plan with good rates and extensive care. The CCPOA Medical Plan has affordable rates, Teladoc®, 24/7 Nurseline®, the Wellvolution® program and a large network of providers, and providing members with network Chiropractic benefits.
The CCPOA Medical Plan is available only to CCPOA members and administered through Blue Shield of California.
Sign-up for the Medical Plan occur once a year during Open Enrollment, or upon graduation from the Academy as a new Correctional Officer.
Who Can Apply?Rank and File; Supervisor; Retired
What Does It Cover?
Complete CCPOA Medical Plan documentation is available here, on our website.
- E-Z Plan Summary. A quick, easy to read overview of the Medical Plan
- The Evidence of Coverage (EOC). The complete medical plan document.
- Prescription Drug Plan (PDP) for Medicare
As a CCPOA retired chapter member living in a covered area, you are eligible for the CCPOA Medical Plan .
After age 65, you can participate in the CCPOA Medical Plan’s "Access+" Medicare Supplement .
Enrollment in medical is through CalPERS during either Open Enrollment or at the time of retirement.
If you don’t reside in a covered area or need information on vesting and state contributions, please contact CalPERS.
or the Trust at: 1-800-IN-UNIT-6
If you have any specific questions regarding the medical plan's benefits or coverage areas, please contact Debbie Johnson at (800) 468-6486.
Medical Plan Highlights
For a complete, easy to read summary of plan benefits, refer to the E-Z Plan Summary.
|CCPOA Medical Plan – Summary of Covered Services|
|Category Description||Member Copayment & Limitations|
(includes blood and blood products - collection and storage of autologous blood)
|$100 per admission|
|Outpatient (other than surgery)||No Charge|
|Outpatient surgery (surgery performed in a Hospital or Outpatient Surgical Center)||$50|
|Allergy Testing/Treatment||No Charge|
|Inpatient Hospital Visits||No Charge|
|Preventive Health||No Charge|
|Diagnostic X-ray/Lab||No Charge|
|Durable Medical Equipment
(including orthoses and prostheses)
|Pregnancy & Maternity|
|Prenatal and Postnatal Physician Office Visits
Family Planning Counseling
|Infertility Testing & Treatment||50% of Allowed Charges|
|Ambulance Services||No Charge|
|Emergency Care/Services||$75/visit – does not apply if hospitalized or kept for observation - if admitted, $100 per admission fee will apply|
|Urgent Services||$15/visit, $25 outside service area|
|Home Health Services||$15/visit - up to 100 visits per calendar year|
|Physical/Occupational/Speech Therapy||No Charge|
|Skilled Nursing Care||No Charge - up to 100 days per calendar year.|
|Prescription Drugs||$50 calendar year brand name drug deductible per Member, not to exceed $150 per family|
|Prescription Drugs Obtained at a Pharmacy||$10 generic, $25 brand name, $50 non- Formulary/prescription - not to exceed a 30- day supply for short-term or acute illness.|
|Mail Service Prescription Drugs||$20 generic, $50 brand name, $100 non- Formulary/prescription - not to exceed a 90- day supply for mail order drugs which are taken over long periods of time (maintenance drugs).|
|Specialty Drugs||$50 per prescription|
|Chiropractic Examination||$15/visit - up to 20 visits per calendar year.|
|Diagnostic Services for Chiropractic Care||No Charge|
|Chiropractic Appliances (up to a maximum of $50
is covered during a calendar year)
Find an in-network Doctor
Search Blue Shield of California's extensive provider network.
To find a Chiropractor in the provider network call 1-800-678-9133
Teladoc. Talk to a doctor, prescriptions and more. 24/7/365
Get healthy with Wellvolution
2017 Pharmacy Network update