Health Benefits » Health Benefits

Health Benefits

Welcome!

 
 
 
Welcome to the Bakersfield City School District Health Benefits Website. This site was created to assist our employees by providing information regarding our insurance benefits.

There are several insurance forms and informational packets available on this site. If you should need further clarification or assistance please contact Sandy Keene or Natalia Haworth at 631-4722 or keenes@bcsd.com. Our direct fax number is 324-3186.

 

Open Enrollment for the 2018-2019 school year will be held August 1-24th! 

Click here for additional information.

 
Important Information regarding Anthem Blue Cross and Dignity Health
Click here for additional information.  The current contract has been extended to August 14, 2018! 
Check back for updates. 
 
 

Understanding your Health Insurance

The District offers Anthem Blue Cross PPO as there sole health insurance provider.  Our administrator of this plan is Self-Insured Schools of California, SISC.  SISC is not an insurance company, they are a public entity.  SISC employees are public school employees just like us. 1 out of every 1,000 Americans are covered by a SISC medical plan.  The District is self-insured with SISC.  This means that we pay our own claims.  The money the District contributes to each employee's health plan goes right back in the account to pay our own health claims. Yearly health insurance rates are based off our previous year's claims experience.  

For explanations of each of your benefits, please click on the tabs to the right.

 

Urgent Care

Ever have those weekend illnesses or can’t get an appointment with your primary physician? Don’t go wait in line at the Emergency Room and save yourself some time and money.  For non-emergency visits stop by one of our contracted Urgent Cares.

Urgent Care visits are covered through our insurance just like a doctor’s visit. Deductibles and out of pockets apply.

Click here for a list of contracted facilities.

MDLive

MDLive is option available to all SISC insured members.  It is a Dr.'s visit right over the phone!  It's great to use if you are traveling or just want to stay in your pj's and call from the privacy of your own couch. 

MDLive now offers the EAP program.  If you or anyone in your household need to speak with a counselor, contact MDLive!  It is suggested that you don't wait to register for this service.  Save time and download the app on your phone now!  

Click here for additional information. 

 

Please visit the links below for additional information.

  • Provider list or visit www.anthem.com/ca/sisc/
  • Plan summary
  • List of vendor contacts

Benefit Updates Effective October 1, 2018

Outpatient Procedures such as Arthroscopy, Cataract Surgery, Colonoscopy and Upper GI Endoscopy will need to be performed in an Ambulatory Surgery Center (ASC).  Notices have been sent to all members and contracted providers.  To insure proper reimbursement please contact Member Services at 1-800-322-5709. 
 
 
Additional Plan Benefits
 
Solera4me Diabetes Prevention Program is available to all qualifying insured members.  To learn more about the program and to see if you qualify click here.    
 
 

Flu Season is right around the corner

Have you had your Flu vaccine?  You are eligible to receive vaccines through your local participating pharmacy with a $ ZERO copay*.

*Please note if the pharmacy charges an administration fee this is 100% reimbursable through Navitus.  Pharmacy must be contracted with Navitus for this fee to be reimbursed*

We highly suggest you contact Navitus PRIOR to visiting a pharmacy to ensure they are participating in the vaccine program.

Vaccines included are Flu, Pneumonia, Herpes Zoster (Shingles), TDAP,Td, Hep A, Hep B, Varicella, HPV, MMR, and Meningococcal.

These vaccines must be administered at the Pharmacy by a licensed Pharmacist.

No prescription necessary.  Each vaccine has required guidelines which must be met.

If you do not meet these requirements, your Physician can request an authorization through Navitus.

Please note:  Not all pharmacies may carry these vaccines or have someone on staff to administer them.

It is recommended you call ahead to see if your pharmacy carries these vaccines and has staff to administer the medication.

You cannot pick up the medication and take it to the Physician’s office.  It will not be covered.

It is also always recommended you consult your Physician prior to receiving any vaccines to avoid any unnecessary or repeated vaccines.

For any further coverage clarification you may contact Navitus directly at 1(866)333-2757.