CalPERS 2026 Health Plan Rates

CalPERS’ health care Open Enrollment starts September 15–October 10, 2025. To help you choose a medical plan for next year, this table compares the monthly premiums for each in-state medical program in 2025 and 2026 and your out-of-pocket costs after the State pays its share. More Open Enrollment information is available through your myCalPERS account. Changes made during Open Enrollment take effect on January 1, 2026.

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Notes about Health Plan Changes:
Blue Shield Trio exits Monterey County, and Blue Shield Access+ expands into Monterey County
For many of the plans, CVS Caremark will replace OptumRx as the new pharmacy benefits manager. You can read more about CVS Caremark and watch a recorded webinar here: https://www.calpers.ca.gov/members/health-benefits/plans-and-rates/cvs-caremark-pharmacy-benefits

Download a PDF of the CalPERS 2026 Premiums chart. 

Anthem Blue Cross Select HMO
 SingleTwo-Party Family
2026$1,091$2,182$2,837
2025$1,022$2,043$2,656
Out of Pocket Cost
2026$224$450$588
2025$213$428$559
    
Anthem Blue Cross Traditional HMO
 SingleTwo-Party Family
2026$1,373$2,746$3,570
2025$1,309$2,618$3,404
Out of Pocket Cost
2026$506$1,014$1,321
2025$500$1,003$1,307
    
Blue Shield Access + HMO
 SingleTwo-Party Family
2026$1,089$2,177$2,830
2025$966$1,932$2,511
Out of Pocket Cost
2026$222$445$581
2025$157$317$414
    
Blue Shield Trio HMO
 SingleTwo-Party Family
2026$937$1,873$2,435
2025$909$1,818$2,364
Out of Pocket Cost
2026$70$141$186
2025$100$203$267
    
Blue Shield of California (EPO)
 SingleTwo-Party Family
2026$1,089$2,177$2,830
2025$966$1,932$2,511
Out of Pocket Cost
2026$222$445$581
2025$157$317$414
    
Salud y Mas HMO
 SingleTwo-Party Family
2026$789$1,578$2,052
2025$753$1,507$1,960
Out of Pocket Cost
2026$0$0$0
2025$0$0$0
    
Kaiser Permanente Basic Plan
 SingleTwo-Party Family
2026$1,098$2,196$2,855
2025$1,045$2,090$2,718
Out of Pocket Cost
2026$231$464$606
2025$236$475$621
    
PERS Platinum Basic Plan
 SingleTwo-Party Family
2026$1,512$3,024$3,932
2025$1,335$2,671$3,472
Out of Pocket Cost
2026$645$1,292$1,683
2025$526$1,056$1,375
    
PERS Gold Basic Plan
 SingleTwo-Party Family
2026$1,043$2,087$2,713
2025$944$1,887$2,454
Out of Pocket Cost
2026$176$355$464
2025$135$272$357
    
Sharp Performance Plus
 SingleTwo-Party Family
2026$916$1,832$2,382
2025$868$1,737$2,258
Out of Pocket Cost
2026$49$100$133
2025$59$122$161
    
United Healthcare Signature Value Alliance
 SingleTwo-Party Family
2026$1,048$2,096$2,725
2025$961$1,923$2,500
Out of Pocket Cost
2026$181$364$476
2025$152$308$403
    
United Healthcare Signature Value Harmony
 SingleTwo-Party Family
2026$921$1,842$2,394
2025$820$1,640$2,132
Out of Pocket Cost
2026$54$110$145
2025$11$25$35
    
Western Health Advantage (HMO)
 SingleTwo-Party Family
2026$970$1,939$2,521
2025$914$1,829$2,377
Out of Pocket Cost
2026$103$207$272
2025$105$214$280
Employer Contributions
2025  
Single (1)Two-Party (2) Family (3+) 
$809$1,615$2,097
   
2026  
Single (1)Two-Party (2) Family (3+) 
$867$1,732$2,249
   
CoBen Contribution for Excluded Employees (Supervisors & Managers)
2026  
Single (1)Two-Party (2) Family (3+) 
$968$1,870$2,417
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