Transitioning to a Medicare Health Plan
When you retire, become Medicare eligible, and enroll in Medicare Part A and Part B, you'll have the option to choose a new Medicare health plan. If you do not choose one, CalPERS will enroll you in a CalPERS Medicare health plan.
If... | Then... |
---|---|
Your current health carrier offers a CalPERS-sponsored Medicare health plan | CalPERS will enroll you in your current health carrier's Medicare health plan |
Your current health carrier does not offer a CalPERS-sponsored Medicare health plan | CalPERS will enroll you in the UnitedHealthcare (UHC) Group Medicare Advantage PPO
Plan. |
Combination Plans
CalPERS requires all family members to have the same health carrier. A combination plan means at least one family member is enrolled in a Medicare health plan and at least one family member is enrolled in a Basic (non-Medicare) health plan through the same health carrier.
- If the Medicare member enrolls in the UHC Group Medicare Advantage (PPO) Plan, the other family members must move to the UHC Basic Plan, SignatureValue Alliance (HMO).
- If the Medicare member enrolls in another available Medicare plan, such as Kaiser Permanente Senior Advantage, the other family members will be enrolled in the Kaiser Permanente Basic Plan.
If... | Then... |
---|---|
Your health eligibility ZIP code area is within UHC's service area | Your family will be enrolled in the UHC combination plan:
|
Your health eligibility ZIP code area is outside UHC's service area | Your family members in Medicare and Basic (non-Medicare) health plans will be enrolled in PERS Choice PPO Plan. |
Medicare Resources
Requirements to Continue CalPERS Coverage
Deferred Enrollment in Medicare Part B
Cancellation of CalPERS Health Coverage
Transitioning to a Medicare Health Plan
Enrolling through a Spouse Under 65
Medicare Part D and CalPERS Medicare Health Plans
Medicare Requirements Impacting your CalPERS Health Coverage