Retiree Plans & Benefits
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).
California Plan Information
| 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
2024 KPSA Medicare Benefits & Coverage
- 2024 KPSA Benefit Summary (PDF)
- 2024 KPSA Evidence of Coverage – Primary Medicare (PDF)
- 2024 KPSA Evidence of Coverage – Medicare Secondary Coverage (PDF)
2024 KPSA Summit Medicare Benefits & Coverage
2023 KPSA Medicare Benefits & Coverage
- 2023 KPSA Benefit Summary (PDF)
- 2023 KPSA Evidence of Coverage – Primary Medicare (PDF)
- 2023 KPSA Evidence of Coverage – Medicare Secondary Coverage (PDF)
2023 KPSA Summit Medicare Benefits & Coverage
- Medicare Plan Comparison (PDF)
- Over-the-Counter Benefit (PDF)
- Transportation Benefit (PDF)
- Meal Benefit (PDF)
- Chiropractic and Acupuncture Benefit (PDF)
- KPSA Supplemental attachment (PDF)
- Delta Dental Option for Public Agency Medicare Retirees (PDF)
- Medicare Enrollment Form (PDF)
- Medicare Dis-enrollment Form (PDF)
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.
Colorado
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Georgia
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Hawaii
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Washington
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Northwest
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
Mid-Atlantic
2024 Benefits & Coverage
2023 Benefits & Coverage
2022 Benefits & Coverage
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.
Considering joining Kaiser Permanente as a Medicare Retiree?
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
Open Enrollment Webinars
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.