How to Sign Up with Exclusive Care

New Hires (County Employees and Outside Employer Groups): If you are a newly hired employee, you have 60 days from your hiring date to complete and submit to your benefits enrollment to your department representative.

Open Enrollment

If this is an open enrollment action, you must complete and submit your paperwork to your department representative during the open enrollment period.

When completing your Benefit Election/Open Enrollment Form, please clearly write the Primary Care Physician (PCP) you select on your enrollment form (ex. Jones, Mark). Once we have processed your application, you and any qualified enrolled dependent(s) will receive an identification card. Present your ID card whenever you access medical services from your PCP, Ancillary Provider, Urgent Care Facility or Emergency Room.

 

To find out more about Exclusive Care click on the below links:

Click here for the EPO Summary of Benefits (pdf)

Click here for the Summary of Benefits and Coverage (pdf)

Click here for the Summary Plan Document

 

 

 

 

County Retirees

If you are a retiree, please complete the information that you receive from Riverside County’s Human Resources Benefits Division and submit during the open enrollment period. For further information go the the Benefits Website.

How to get a Replacement Membership Card

Need a replacement Membership Card? Want to change your Primary Care Physician? Simply call Member Services.

How Exclusive Care Works

How do you determine which EPO or HMO medical plan best meets your needs? Check out our ​​​​​​​​​​​​​​​​​​​​​​​​Plan Comparison Chart (needs new link) to see how our benefit summaries work for you. Please note, the benefit summaries outlined in the comparison chart only highlight offered benefits. For official in-depth information, refer to the Summary Plan Document.

The Summary Plan Document (SPD) will be the primary governing document for all plan coverage decisions and will be the basis for the final determination for the provision of benefits. 

Information on plans such as the Exclusive Care Out-of-Area Dependent Coverage Plan can be found in Section 4 of the EPO Summary Plan Document below.

This Health Plan is intended to comply with all laws and regulations that are applicable whether or not specifically described in the Summary Plan Document. If you have any questions about your benefits under this plan, contact Member Services.

Click here for the ​​​​​​​​​​​​​​EPO Summary of Benefits (pdf) 

Click here for the ​​​​​​​​​Summary of  Benefits and Coverage (pdf)

Click here for the Summary Plan Document