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.