Medical and pharmacy benefits

Our plans offer flexibility and peace of mind, connecting you to the right care at the right time.

Evidence of coverage (2024)

The Sharp Performance Plus HMO evidence of coverage (EOC) is your member handbook and covers your plan in detail. EOC content is subject to change, pending DMHC review.

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Summary of benefits (2024)

Review the summary of benefits for an overview of your coverage.

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Summary of benefits and coverage (2024)

The summary of benefits and coverage (SBC) will help you determine what the plan covers and what it costs.

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pharmacy

OptumRx is your resource for pharmacy benefits.

Access your pharmacy benefits by visiting the OptumRx website for CalPERS members. 

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After-hours care

After hours and on weekends, you have access to speak with specially-trained nurses via Sharp Nurse Connection®. Call 1-855-995-5004.

Chiropractic and acupuncture benefits

You have access to acupuncture and chiropractic benefits at a $15 copay for 20 combined visits per calendar year.

HOW TO ACCESS BENEFITS ➜

Travel and out-of-area coverage

Your plan covers urgent and ER care, no matter where you are, but what about non-emergency care? Find out how to get care outside of our coverage area.

LEARN MORE ABOUT TRAVEL COVERAGE ➜

Member Resource Guide

Learn how your health plan works, including how to get the care you need, as soon as you need it.

Additional important plan information can be found here.

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Understanding health care terms

We know health care terminology can be confusing. Take a look at our helpful tips and glossary to help you better understand commonly-used terms.

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Your network of health care providers

This brochure gives you a quick overview of the Performance network of providers for CalPERS members.

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What’s your share of costs for covered benefits?

wellness-incentive

Did you know about our wellness incentive?

You can earn a $150 wellness reward by taking two simple steps toward your Best Health.

LEARN HOW