CalPERS addresses member concerns over Blue Shield contract and communication challenges

Concerns over healthcare provider changes and communication issues dominated the recent Retiree Town Hall meeting with CalPERS Board Member Yvonne Walker on June 20, 2025. Attendees voiced frustrations regarding the transition to Blue Shield of California as the new administrator for the PERS Platinum Medicare Supplement plan, particularly highlighting issues with care coordination and out-of-pocket costs.

One retiree, Lindell, expressed dissatisfaction with the new billing process under Blue Shield, stating that he now faces unexpected charges and has to handle billing himself, a stark contrast to his previous experience with Blue Cross. Walker acknowledged the oversight in communication regarding these changes and promised to follow up on Lindell's concerns after her upcoming two-week absence.

Another participant, Sari, raised alarms about the impact of contract negotiations between Blue Shield and major healthcare providers, specifically Hogue and UC, on retirees' access to doctors. She emphasized the stress caused by these mid-year changes, especially for those who rely on specific specialists. Walker reassured attendees that while CalPERS is not directly involved in these negotiations, she would advocate for better communication and possibly explore options for adjusting open enrollment periods to alleviate the situation.

Communication challenges were a recurring theme, with retiree Christophe sharing his lengthy struggle to receive timely responses from CalPERS regarding his retirement benefits. He criticized the current system, which relies heavily on call centers and lacks direct case management for complex issues. Walker acknowledged these frustrations and expressed her commitment to improving the communication process, including the potential for assigning caseworkers to assist retirees with intricate matters.

The meeting underscored the need for enhanced transparency and responsiveness from CalPERS, as retirees navigate significant changes to their healthcare plans. Walker's willingness to engage directly with attendees and address their concerns reflects a step towards fostering better relationships between the board and its constituents. As the situation evolves, retirees are hopeful for improvements in both healthcare access and communication from CalPERS.