If you're Medicare eligible and you lose your Part A and/or Part B, you'll be disenrolled
from the CalPERS Medicare health plan. Your disenrollment from Part A and/or Part
B may result in cancelation of your CalPERS health coverage.
CMS requires members to live in the approved plan service area and list a residential
address. Post Offices Boxes are not permitted. If CalPERS is unable to verify your
permanent residential address, your enrollment may be subject to cancelation, or you
may be administratively enrolled in a Medicare Supplement plan to continue your CalPERS
CMS must approve your enrollment in a Medicare Advantage plan and Medicare Part D
plan. CalPERS and/or your CalPERS Medicare health plan may contact you to obtain additional
information required by CMS to complete your enrollment. If you're contacted for additional
information, respond immediately to protect your health coverage.
You may be enrolled in only one Medicare Advantage plan at one time, as well as one
Medicare Part D plan at one time. If you're enrolled in a CalPERS Medicare health
plan and later enroll in another Medicare health plan, you'll be disenrolled from
the previous Medicare health plan.