Reimbursement of Premiums
Reimbursement of Premiums
State & CSU
If you're a state or California State University (CSU) retiree (some exceptions apply),
you may be eligible for a reimbursement of all or part of your Medicare Part B premium.
If you're eligible for a Part B reimbursement, the amount is limited to the difference
between your employer contribution and the cost of your plan's premium, up to the
amount of the standard Part B premium. Your reimbursement will be automatically calculated
and will appear on your retirement warrant as a credit.
Each year when the federal government announces the standard Part B premium, CalPERS
will reset the standard Part B premium for the new year based on the standard amount
established by the federal government. Each year your Part B reimbursement will be
adjusted based on the new year's standard Part B premium. If you disagree with the
Part B reimbursement, you will need to provide to CalPERS supporting documentation
from the SSA that confirms the amount that you pay for the standard Part B premium
(not including any late enrollment penalties, fees, or interest). CalPERS will review
the SSA documentation to make a determination of the correct Part B reimbursement.
If you're terminated from Medicare Part B and no longer paying Part B premiums to
the SSA, you must contact CalPERS immediately regarding your termination. If you receive reimbursement for Part B premiums
on your retirement warrant for months that you did not pay Part B premiums to the
SSA, CalPERS will invoice you for the overpayment of Medicare Part B reimbursements.
Public Agency
California law does not provide for reimbursement of Medicare Part B premiums for
retirees of contracting public agencies. If you're retired from a contracting public
agency, you may contact your former employer to ask if this benefit is provided to
you.
Income Related Monthly Adjustment Amount (IRMAA)
If you're paying an increased Medicare Part B premium (IRMAA) due to your income level,
send a copy of the entire Social Security notice showing your increased Medicare Part
B premium. If there are funds available, you'll see an increased reimbursement credit
on your retirement warrant. Send the copy of your notice to:
CalPERS Health Account Management Division
Attention: Medicare Administration
P.O. Box 942715
Sacramento, CA 94229-2715
If you pay an IRMAA for Part B, you may also pay an IRMAA for Part D. California law
does not provide for reimbursement of Medicare Part D premiums.
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