Reimbursement Processes Have Changed

If you are enrolled in a SISC medical plan (Kaiser, Kaiser Senior Advantage, or Anthem), medical and prescription reimbursements are now being processed by Navia. Please submit claim requests to Navia. If you are enrolled in the District’s Anthem MAPD plan or Traditional Medicare with the United American Supplemental plan, please submit claim requests to the Peralta Benefits Office. You may contact the Benefits Office at (510) 466-7229 to receive information, claim forms, and instructions for submitting claims.

Peralta Reimbursement Programs

Health Reimbursement Arrangements (HRA)

Distinct procedures and addresses are required for submitting reimbursement requests for each program.

Click one of the selections below for more details on your appropriate reimbursement program.

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Navia Medicare A, B, & D Premiums Reimbursements
  • Phone: (866) 897-1996 | (425) 452-3421 | (425) 452-3500
  • Toll Free: +1 (866) 897-1996
  • Email: 105@naviabenefits.com

Navia Benefit Solutions
P. O. Box 5179
Fresno, CA 93755

**Effective 4/1/2024** Navia Health Reimbursement Arrangement (HRA)

Navia HRA accounts are specifically for retirees/survivors and eligible dependents enrolled in a Kaiser or Anthem plan with the Self-Insured Schools of California (SISC).


Navia Benefit Solutions
PO Box 5809
Fresno, CA 93755

Forms and Documents

 

HRA Schedule of Benefits (Retired Before 7/1/04)

HRA Schedule of Benefits (Retired Between 7/1/04 and 6/30/12)

HRA Schedule of Benefits (Retired After 7/1/12)

Peralta In-House Medical & Prescription Reimbursements (for Retiree First members)

Peralta Benefits Office Address:

333 E. 8th Street
Oakland, CA 94606

If you are enrolled in Retiree First’s Anthem Medicare Advantage Prescription Drug Plan or Traditional Medicare w/ United American Supplemental Plan, you must submit reimbursement requests to the Peralta Benefits Office for review and approval. Prior to processing your claim, you must be issued a vendor number and will be required to submit a vendor application and W-9 form to the Benefits Office (if you have not been issued a vendor number as a retiree). Upon receipt of your vendor number, your claim will be processed within 30 days.

Forms & Documents

Important Documents

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Experiencing a Life Event, or Interested in Changing Medical Plans?

Changes to Medical plans can only be made during Open Enrollment, or if you experience a Qualifying Life Event. If you are enrolled in a SISC plan (Kaiser, Kaiser Senior Advantage, or Anthem), please contact the Benefits Office for the applicable forms. Forms may be emailed or mailed upon request.

  • Phone: (510) 466-7229

  • Email: benefits@peralta.edu.

  • Hours of operation: Mon - Fri, 8:30 am - 4:30 pm

Completed forms (with supporting dependent documentation, if applicable) may be submitted to the Benefits Office via:

Fax: (510) 587-7865

Mailing Address:

PCCD Benefits Office
333 E 8th Street
Oakland, CA 94606

Walk-in to the District Benefits Office: 8:30 am - 4:30 pm Mon-Fri

Closed for lunch: 12-1 pm

If you are enrolled or making any changes to your Anthem MAPD Plan or the United American Plan, please reach out to our dedicated Peralta CCD team at Retiree First, Monday-Friday 8:00 am - 5:00 pm EST. Retiree First will process all enrollment forms for Qualifying Life Events and Open Enrollments.

Phone: (855) 460-7312 (Retiree First is on the East Coast; please be mindful of the time difference).

Website: retireefirst.com/PeraltaCCD. Retiree First will process all enrollment forms for qualifying events and open enrollments.

Enrolled in a Retiree First Medical Plan?

Click here if you are enrolled in one of these plans:

  • Anthem Medicare Advantage with Prescription Drugs (MAPD) Plan

  • Traditional Medicare Supplement Plan (United American)

Enrolled in a SISC Medical Plan?

Click here if you are enrolled in one of these plans (All plans are with the Self-Insured Schools of California [SISC]):

  • Kaiser Senior Advantage (KPSA)

  • Kaiser Traditional HMO

  • Anthem PPO