Medicare Part D and CalPERS Medicare Health Plans
Medicare Part D and CalPERS Medicare Health Plans
CalPERS participates in a Medicare Part D prescription drug plan for members enrolled in a CalPERS Medicare health plan.
The standard Part D premium is paid through your CalPERS health insurance premium.
If your income exceeds a federal threshold as determined by the SSA, you may be subject
to an additional Income Related Monthly Adjustment Amount (IRMAA) for Part D prescription
drug premiums. You'll either receive an invoice for the additional amount, or it'll
be deducted from your Social Security benefits. Non-payment of the additional prescription
drug premium will result in cancelation of your CalPERS health coverage.
If you enroll in a CalPERS-sponsored Medicare Advantage Plan that includes Part D
prescription drug coverage in its benefit package and you are subject to an additional
Medicare Part D premium, you must pay the additional Medicare Part D premium, or your
health coverage will be canceled. If you re-enroll at a later date, you may incur
a federal late enrollment penalty.
If you enroll in a CalPERS-sponsored Medicare Supplement Plan and a Medicare Advantage
Plan that does not include Medicare Part D prescription drug coverage in its benefit
package, you'll also be enrolled in a CalPERS-sponsored Medicare Part D prescription
drug plan unless you notify the Medicare Part D prescription drug plan that you wish
to opt-out of prescription drug coverage. If you decline coverage, you'll be responsible
for all of your prescription drug costs. If you re-enroll at a later date, you may
incur a federal late enrollment penalty.
Do not enroll in a non-CalPERS Medicare Part D plan. If you do so, CMS will disenroll you from your CalPERS-sponsored Medicare Advantage
Plan or Medicare Part D prescription drug plan resulting in cancelation of your CalPERS
health coverage and you'll be responsible for your prescription drug costs.
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