Health Insurance

VCDSA operates an insurance medical plan for all of its members and provides Blue Cross PPO, EPO, and HMO healthcare plans. The Blue Cross network is one of the largest in California, comprising more than 40,000 PPO physicians and over 400 hospitals. For information about your health benefits call VCDSA directly at 805-639-9218 or use the Anthem Blue Cross Website.

Click here to access the new edition of the Anthem Digital Magazine!

Click here to pre-designate your physician for treatment of workplace injuries.

Per the new VCDSA/County of Ventura Contract, each active employee is allowed $248 per bi-week to spend on a health plan of their choice. If an employee can demonstrate other medical coverage and they opt out of the VCDSA coverage, they are given $185.70 (2012 rates) which is the county designed opt-out rate. All medical plans are designed to include the employee plus their spouse and all dependent children.

Below is a list of the costs incurred for members who choose VCDSA coverage and the change in cost from 2011:

2012 Medical, Dental, and Vision Rates for Active VCDSA Members

 

Bi-Weekly Premiums

(Composite Rates*)

Medical- Active Members
2011
2012
Out of Pocket
Anthem Blue Cross HMO   $375.35 $405.08 $157.08     
Anthem Blue Cross Exclusive (EPO) $662.08   $748.91 $500.91        
Prudent Buyer (PPO) $584.03 $660.73 $412.73         
Kaiser $332.03 $372.54 $124.54     
VCHCP $275.26 $288.88 $  40.88
Anthem H.S.A. (New High Deductible Plan)   $381.37 $133.37
Kaiser H.S.A.  (New High Deductible Plan)   $231.68  
Opt Out $185.70 $193.80  
 
Dental Plan      
Anthem Blue Cross  - High Option $42.24     $42.24      
Golden West Dental

$8.76

$ 8.94

 
 

VCDSA Vision/Dental Plans (tiered rates)

Vision Plan      
MES Vision $4.78 $4.78       
 

The Delta Dental and VSP vision plans are handled through a payroll deduction not from your flexible spending dollars. To enroll you must complete the appropriate provider’s enrollment form and a blue payroll deduction card.

VCDSA Golden West Dental – HMO

Employee

$ 7.43

$7.92

 

Employee + 1         

$13.13 $13.79  

Employee + family

$16.61       $17.15      
 

VCDSA Delta Dental

Employee

$23.00     $23.00      

Employee + 1         

$41.67     $41.67      

Employee + family

$69.34     $69.34      
 

VCDSA Vision Service Plan (VSP)

Employee

$3.73 $3.73  

Employee + 1         

$5.14 $5.14  

Employee + family (dependent children covered to age 26)

$8.74 $8.74  
 

*Composite rate = same rate, regardless of number of dependents

Want to pre-designate your doctor as your treating physician for any work-related injuries? Download a pdf application form and then turn it into VCDSA - we handle the rest!

Retiree VCDSA members fall into another category and are charged a per person rate which varies depending on the number of dependents, plan selection, and medicare eligibility. Below is a list of the costs incurred for retiree member health insurance:

2012 Rates for Retiree VCDSA Members

ANTHEM BLUE CROSS HMO - CALIFORNIA RESIDENTS ONLY

Retiree w/out Medicare – 57ABSD  

2011
2012
Employee Only
$333.58  

$359.67

Employee + 1        
$646.61 $697.40
Member + 2 or more deps.  
$959.59 $1035.08

Retiree w/Medicare –  57ABSC

2011
2012
Employee Only
$229.00 $246.84
Employee + 1  (Both on Medicare)       
$455.02   $490.71

Member + 2 or more deps. 

(Member and Spouse on Medicare) 

$768.01

$828.38

              

Retiree w/Medicare and Dependent w/out – 57ABSE

2011
2012
Employee Only
$229.00 $246.84
Employee + 1        
$542.03 $587.23
Member + 2 or more deps.  
$854.99 $921.18

    

ANTHEM BLUE CROSS EPO - CALIFORNIA RESIDENTS ONLY

Retiree w/out Medicare –     1813CJ

2011
2012
Employee Only
$576.68 $651.20
Employee + 1        
$1119.99 $1265.08
Member + 2 or more deps.  
$1663.12 $1878.77

Retiree w/Medicare –  1813CH

2011
2012
Employee Only
$395.17 $446.11
Employee + 1  
(Both on Medicare)       
$787.52 $889.43

Member + 2 or more deps. 

(Member and Spouse on Medicare) 

$1330.68 $1503.15

              

Retiree w/Medicare and Dependent w/out – 1813CK  

2011
2012
Employee Only
$395.17 $446.11
Employee + 1        
$938.52 $1060.04
Member + 2 or more deps.  

$1482.91

$1675.15

           

ANTHEM BLUE CROSS PRUDENT BUYER / BLUE CARD

Retiree w/out Medicare – 1813CD/1813CM  

2011
2012
Employee Only
$451.05

$509.25

Employee + 1        
$875.40   $988.73
Member + 2 or more deps.  
$1299.60 $1468.02              

Retiree w/Medicare – 1813CC/1813CL

2011
2012
Employee Only
$347.60 $392.37
Employee + 1  
(Both on Medicare)       
$692.32   $781.86 

Member + 2 or more deps. 

(Member and Spouse on Medicare) 

$1169.56 $1321.10

              

Retiree w/Medicare and Dependent w/out – 1813CE/1813CN  

2011
2012
Employee Only

$347.60

$392.37

Employee + 1        

$782.32

$883.55

Member + 2 or more deps.  
$1223.36 $1381.88

           

            

ANTHEM BLUE CROSS

ANTHEM HSA (not available to retirees on medicare)

 
2011
2012
Member Only  

$358.91

Member + 1   $753.71
Member + 2 or more deps.     $1076.73
 

KAISER

Retiree w/out Medicare (under age 65)
 
2011
2012
Member Only $340.78

$393.82

Member + 1 $664.52 $766.05
Member + 2 or more deps.   $988.26   $1138.28
 
Retiree w/Medicare
Member Only $126.66     $144.32 
Member + 1 (both on Medicare) $253.32   $286.64
Member + 2  or more deps. (Member and Spouse on Medicare)              $577.06 $658.87
 
Retiree w/Medicare and Dependent w/out
Member Only      $126.66 $144.32
Member  w/ Medicare, Spouse w/out

$450.40

$516.55

Member w/out Medicare & Spouse w/Medicare

$467.44

$536.14

Member w/Medicare + 1 child (no spouse) $450.40 $516.55
Member w/Medicare + Children (no spouse) $774.14 $888.78
Member w/Medicare + Spouse w/out Medicare and child $774.14   $888.78
Member w/out Medicare + Spouse w/Medicare + child

$791.18

$908.37

Member & Spouse w/Medicare + children

$577.06

$658.87

 

KAISER H.S.A. (NEW) California residents only / Not available to retirees on Medicare

Member Only        $238.95
Member+1   $464.05
Member + 2 or more deps   $689.15
     

VCHCP Retirees w/out Medicare under 65 living in Ventura County

Member Only      $307.69  $333.67
Member+1 $614.39   $665.39
Member + 2 or more deps $870.88 $942.79
 

Retiree Medical Opt Out - $40.00

 
2011
2012
DENTAL PLAN    
Golden West Dental - HMO    

Member Only

$16.03

$17.15

Member + 1

$28.38 $29.88

Member + Family

$35.91 $37.15
     
Delta Dental - PPO    

Member Only

$49.83 $49.83

Member + 1

$90.28 $90.28

Member + Family

$150.23  $150.23 
     
VISION PLAN

Vision Service Plan (VSP) – Rate change August 1, 2009

Member Only

$8.10 $8.10

Member + 1

$11.14  $11.14 

Member + Family

$18.94 $18.94

The figures contained on this page are estimates only and do not take the place of annual published figures put forth by VCDSA. For official rates, rules, and regulations for medical programs offered by VCDSA contact VCDSA at 805-639-9218.

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