Welcome, City of San José!

We are pleased to offer City of San José employees and retirees a suite of health coverage options. Whether you are an active employee, a non-Medicare or Medicare retiree – we’ve got you covered. Please scroll down to find the specific coverage type that applies to you. In each section, you will find all the plan information, helpful flyers and specific member services contact information for your coverage type. If you need help, please contact our Concierge, Tanya Astar, at 408-794-1044 or via email at tanya.astar@anthem.com.

 

2024 Open Enrollment information is listed below:

Pre-Enrollment Information: Active Employees

 

This section includes information Active Employees can use to help choose an Anthem Blue Cross medical plan during Open Enrollment.

 

Contact Us

Below is all the information on your specific plan coverage.

Please contact the below numbers if you have questions about one of the plans:

HMO – (833) 913 -2245
PPO – (844) 963 – 0448
HSA Compatible Plans – (844) 860 – 3535

 

 

Open Enrollment Guide

 

  2024 Open Enrollment Guide

 

 

2024 Plan Documents

 

  2024 Anthem Infertility Rider HMO

 

  2024 Anthem $20 Copay Select HMO

 

  2024 Anthem $20 Copay Traditional HMO

 

  2024 Anthem $100 Deductible Classic PPO

 

  2024 Anthem $100 Deductible Select PPO

 

  2024 Anthem $1500 Deductible Select HMO

 

  2024 Anthem $2500 Deductible Classic PPO w HSA

 

 

2023 Plan Documents

 

  2023 Anthem $20 Copay Select HMO

 

  2023 Anthem $20 Copay Traditional HMO

 

  2023 Anthem $100 Deductible Classic PPO

 

  2023 Anthem $100 Deductible Select PPO

 

  2023 Anthem $1500 Deductible Select HMO

 

  2023 Anthem $2500 Deductible Classic PPO w HSA

 

 

Rates

Please refer to the City of San Jose 2023 Open Enrollment Website, https://www.sanjoseca.gov/your-government/departments-offices/human-resources/benefits/open-enrollment-2024

 

 

Resources and Tools

 

  Making the Most of Your Health Savings Account (HSA)

 

  LiveHealth Online

 

  24/7 NurseLine

 

  Transition Assistance Program FAQ

 

  Sydney Mobile App

 

  FAQ: Anthem Blue Cross Plans & Benefits

 

  Learn to Live

 

  Diabetes Prevention Program

 

  Away from Home Guest Membership

 

  Building Healthy Families flyer

 

 

Find a Doctor

 

  Anthem $20 Copay Select HMO

 

  Anthem $20 Copay Traditional HMO

 

  Anthem $1500 Deductible Select HMO

 

  Anthem $100 Deductible Select PPO

 

  Anthem $100 Deductible Classic PPO

 

  Anthem $2500 Deductible Classic PPO w/H.S.A

 

  Anthem $2500 Deductible Classic PPO w/o H.S.A

 

Pre-Enrollment Information: Non-Medicare Retirees

 

This section includes information Non-Medicare Retirees can use to choose an Anthem Blue Cross medical plan during Open Enrollment.

 

 

Contact Us

 

Below is all the information on your specific plan coverage.

Please contact the below numbers if you have questions about one of the plans:

HMO – (833) 913 -2245
PPO – (844) 963 – 0448
HSA Compatible Plans – (844) 860 – 3535

 

 

Open Enrollment Guide

 

  2024 Open Enrollment Guide

 

 

2024 Plan Documents

 

  2024 Anthem $20 Copay Select HMO

 

  2024 Anthem $20 Copay Traditional HMO

 

  2024 Anthem $100 Deductible Classic PPO

 

  2024 Anthem $100 Deductible Select PPO

 

  2024 Anthem $1500 Deductible Select HMO

 

  2024 Anthem $2500 Deductible Classic PPO HSA Compatible

 

 

2023 Plan Documents

 

  2023 Anthem $20 Copay Select HMO

 

  2023 Anthem $20 Copay Traditional HMO

 

  2023 Anthem $100 Deductible Classic PPO

 

  2023 Anthem $100 Deductible Select PPO

 

  2023 Anthem $1500 Deductible Select HMO

 

  2023 Anthem $2500 Deductible Classic PPO HSA Compatible

 

 

Rates

 

For information on rates, visit the City of San José Retirement Services website

 

 

Resources and Tools

 

  Making the Most of Your Health Savings Account (HSA)

 

  LiveHealth Online

 

  24/7 NurseLine

 

  Transition Assistance Program FAQ

 

  Sydney Mobile App

 

  FAQ: Anthem Blue Cross Plans & Benefits

 

  Learn to Live

 

  Diabetes Prevention Program

 

  Away from Home Guest Membership

 

  Building Healthy Families flyer

 

 

Find Care

 

  Anthem $20 Copay Select HMO

 

  Anthem $20 Copay Traditional HMO

 

  Anthem $1500 Deductible Select HMO

 

  Anthem $100 Deductible Select PPO

 

  Anthem $100 Deductible Classic PPO

 

  Anthem $2500 Deductible Classic PPO

Pre-Enrollment Information: Medicare Retirees

 

In this section, you will find helpful information on your coverage options to help you choose the best Medicare Advantage plan for your needs. Continue scrolling down to view member plan information. If you have any questions, please call our First Impressions Welcome Team at 1-833-848-8729 Monday – Friday, 8 a.m. to 9 p.m. ET except holidays.

 

 

2024 Plan Information

 

  2024 PPO Enrollment Guide

 

 

2023 Plan Information

 

  2023 HMO Enrollment Guide

 

  2023 PPO Enrollment Guide

 

 

Helpful Information

 

  Anthem Medicare Preferred PPO Plan

 

  Prior Authorization: What You Need to Know

 

  LiveHealth Online

 

  Preventive Care Checklist

 

  Find a PPO Doctor

 

  Find an HMO Doctor

Member Materials:  Medicare Retirees

 

Below is all the information on your specific plan coverage. If you have any questions, please call Member Services at 1-833-848-8730 Monday – Friday 8 a.m. to 9 p.m. ET except holidays.
 

 

Evidence of Coverage

 

  2024 Part A EOC

 

  2024 Part B EOC

 

  2023 Part A & B PPO EOC

 

  2023 Part B PPO EOC

 

  2023 Part A & B HMO EOC

 

  2023 Part B HMO EOC

 

 

Drug Coverage

 

  2024 PPO Formulary (Updated Monthly)

 

   2024 Extra Covered Drugs

 

   2024 PPO Certificate of Coverage

 

  2024 Step Therapy Medications (Updated Monthly)

 

  2024 Step Therapy - Part B (Updated Monthly)

 

  2024 Prior Authorization Medications (Updated Monthly)

 

  2023 PPO Certificate of Coverage

 

  2023 HMO Certificate of Coverage

 

  2023 HMO Formulary

 

  2023 PPO Formulary

 

  2023 Extra Covered Drugs

 

  2023 Step Therapy Medications (Updated Monthly)

 

  2023 Step Therapy – Part B (Updated Monthly)

 

  2023 Prior Authorization Medications (Updated Monthly)

 

 

Helpful Information

 

Receive a $50 gift card for completing a health evaluation from the comfort of your own home. Learn how.

 

  Anthem Medicare Preferred PPO Plan

 

  Prior Authorization: What You Need to Know

 

  LiveHealth Online

 

  24/7 NurseLine

 

  SilverSneakers Program

 

  Preventive Care Checklist

 

  National Access Plus PPO Provider

 

  Urgent Care or Emergency Room? Know Before You Go!

 

  Find a PPO Doctor