Retirement is an exciting time, but it can also be a challenge. The last thing you want to worry about is health care. Kaiser Permanente offers coverage for both Medicare-eligible retirees as well as those retiring before they are Medicare-eligible. If you are eligible for Medicare, you can enroll in one of our Kaiser Permanente Medicare Advantage (HMO) health plans for CalPERS retirees: Kaiser Permanente Senior Advantage (KPSA) and Kaiser Permanente Senior Advantage (KPSA) Summit. For those who are not yet Medicare eligible, you can remain on the Kaiser Permanente Basic (HMO) plan. Retirees, if you are ready to enroll in Medicare and Kaiser Permanente, visit calpers.ca.gov or myCalPERS, or call 1-888-CALPERS (1-888-225-7377) .
| Annual Deductible | Out-of-Pocket Maximum | Primary Care Office Visit |
|---|---|---|
| $0 | $1,500 | $10 copay |
| Specialist Visit | $10 copay |
| Lab Test | $0 copay |
| Generic Drug | $5 |
| Preferred Brand Drug | $20 copay |
| Emergency Room Visits | $50 copay |
| Urgent Care Visit | $10 copay |
| Outpatient Surgery | $10 per procedure |
| Inpatient Surgery | $0 per procedure |
| Hospital Facility Fee | $0 copay |
*Assumes in-network services. Before making any decision about your care or coverage, please review the full document(s) for accuracy, definitions, exclusions, and limitations
| Annual Deductible | Out-of-Pocket Maximum | Primary Care Office Visit |
|---|---|---|
| $0 | $1,500 Individual | $0 copay |
| Specialist Visit | $0 copay |
| Lab Test | $0 copay |
| Generic Drugs | $5 copay |
| Preferred Brand Drugs | $20 copay |
| Emergency Room Visits | $50 copay |
| Urgent Care Visits | $0 copay |
| Outpatient Surgery | $0 per procedure |
| Inpatient Surgery | $0 per procedure |
| Hospital Facility Fee | $0 copay |
*Assumes in-network services. Before making any decision about your care or coverage, please review the full document(s) for accuracy, definitions, exclusions, and limitations
Your Evidence of Coverage or Summary Plan Description contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Evidence of Coverage.
If you live outside of California, select your state to learn more about your benefits.
Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll. This information is not a complete description of benefits. Call 1-855-717-9598 toll free (TTY 711) for more information.
Speak with a Kaiser Permanente Medicare specialist if you are interested in one of the Medicare Advantage health plans:
1-855-717-9598
7 a.m. to 6 p.m. local time Monday through Friday
Learn more about Kaiser Permanente's convenient care options, healthy resources, and your CalPERS plan options. You do not need to be a Kaiser Permanente member to attend.
Kaiser Permanente | CalPERS
Most features are available only to members receiving care at Kaiser Permanente medical facilities.
Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 • Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 • Kaiser Foundation Health Plan of Washington, 601 Union St., Suite 3100, Seattle, WA 98101
Colorado state law requires that an access plan be available that describes Kaiser Foundation Health Plan of Colorado’s network of provider services. To get a copy, please call Member Services or visit kp.org.