Medical Rx and Acu/Chiro Plans
| Medical and Prescription Drug Plan Benefit Information | SOBs | SBCs | Additional Information |
| Kaiser Permanente HMO $15 | Medical/Rx | Kaiser SBC | Kaiser Hearing Aids Kaiser for Dependents Away at College |
| SIMNSA HMO (Cross border plan) | Medical/Rx (English) Medical/Rx (Spanish) |
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| VEBA Direct HMO $20 | Medical/Rx | ||
| UnitedHealthcare HMO Alliance $20/$30 | Medical/Rx | ||
| UnitedHealthcare HMO Harmony $10 | Medical/Rx | ||
| Acupuncture and Chiropractic Benefits | Acupuncture and Chiropractic Benefits for UHC and Kaiser Members VEBA's Got Your Back Flyer |
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| Surest PPO (for out-of-state Dependents in UHC) | Medical/RX | Surest PPO SBC | |
UnitedHealthcare HMO Network Comparison
Provider Medical Group for San Diego County
VEBA Member Benefits Guide
2026 VEBA Member Benefits Guide
How To Access Your Carrier ID Cards
How To Access Your Carrier ID Cards
Websites
MyVEBA: www.vebaonline.com/myveba/
Kaiser Permanente: www.kp.org
SIMNSA: www.simnsa.com
UnitedHealthcare: www.myuhc.com
UnitedHealthcare provider search:
https://www.whyuhc.com/csveba
Prescription Drugs (UnitedHealthcare plans only): www.expressscripts.com
Misc. Benefit Information
SIMNSA eligibility
Virtual Office Visit - Kaiser
Virtual Office Visit - UnitedHealthcare
Additional Benefit - Prescription Plans
SaveOnSP - For Express Scripts Participants Only (UHC HMO)
The SaveOnSP program through Express Scripts is designed to reduce or eliminate out-of-pocket
costs on select specialty medications. Enrollment in the program is voluntary; however,
if you choose not to participate, you will be responsible for the full copay on certain
medications which will lead to additional costs . The copay will not count towards
your deductible or out-of-pocket maximum. The specialty drug list is subject to change
and members will be notified if their specialty medication applies to this program.
For further information, please contact SaveOnSP at 800-683-1074.
Step Therapy - For Express Scripts Participants Only (UHC HMO)
Step Therapy simply means making sure you get safe and proven-effective medications
at the lowest possible cost to you and your plan sponsor. A panel of independent licensed
medical experts work with Express Scripts to recommend medications for the step therapy
program. If taking a medication on the step therapy program, you are required to try
a first-line medicine before a second- line medicine is covered.
First-line medications are the first step and are typically generic and lower-cost brand-name medications. In most cases, they provide the same health benefit as more expensive medications, but at a lower cost.
Second-line medications are the second and third steps and are typically brand-name medications. They are best suited for the few patients who don’t respond to first-line medications. They’re also the most expensive options.
District employees enrolled in a district medical plan can access benefits through the VEBA Resource Center (VRC).
The VEBA Resource Center is a caring and safe environment that supports VEBA members
as they define their path to well-being. Everyone’s health care journey is unique,
so we help our members find the resources that work for them. The VRC is centered
around you.
Most health care systems are designed for efficiencies, which does not give people
the space they need to explore their most pressing issues. At the VRC, we look at
chronic disease more often as the symptom of greater underlying challenges, as opposed
to the singular challenge to solve.
The VRC can provide personalized plan services in:
- mental health & education
- stress reduction
- movement
- nutrition and cooking
The VEBA Resource Center offers VEBA Online, Personal Health Coach, Care Navigator
and VEBA Advocacy. Visit their website for more information:
www.vebaresourcecenter.com
VEBA Resources Information Flyer
VEBA Online
The new virtual VRC offers more than 300 free group classes, such as Zumba, yoga and cardio for both kids and adults. Weekend workshops and education classes also available.
Sign up online or go to their contact page: https://vebaresourcecenter.com/contact/
VEBA Advocacy
Navigating the health care system can be a confusing and complicated experience. The
VEBA Advocacy Department is here to support you. VEBA members can reach out to an
Advocate when they are experiencing an issue with their medical insurance carrier
or their medical care provider, want to learn more about their VEBA benefits or need
help selecting a new health care provider.
Call at 888-276-0250 or go to their contact page: https://www.vebaonline.com/contact/
Visit the CalVEBA website to learn more about all of their offerings
https://vebaresourcecenter.com/
Time to see and talk to a doctor from the comfort of your own home. Get details on how you can connect by clicking on the logos below or calling the health care provider:
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Kaiser Members: Schedule a phone or video appointment to connect to a doctor at your convenience. No cost share for Kaiser virtual care. Get started here.
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UHC Members Visit with a doctor 24/7 — whenever, wherever via phone and video appointments. Cost share varies with plan type. Get started here.
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SIMNSA Members Free videoconferencing and telephone conferencing with SIMNSA doctors and specialists are available to you. Members have to call SIMNSA in order to schedule an appointment. Call 800-424-4652.
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