WELCOME CalPERS RETIREE MEMBERS
Here are some resources to help you choose the plan that’s right for you.
Need help selecting a plan?
Want to learn more?
Watch our video presentation to learn more about your 2025 health benefit offerings.
Compare your Blue Shield plan options
Blue Shield Medicare (PPO) plan
2025 out-of-pocket costs (network):
- Deductible (individual): $0
- Deductible (family): $0
- Primary care office visit: $0
- Specialist office visit: $0
- Generic Drugs: $5/30-day supply
Plan highlights:
- Access care from nation-wide Medicare participating providers—in-network and out-of-network
- No deductible: no copayments for most covered services
- $0 copay for virtual care medical care
- Personal Emergency Response System (PERS) from LifeStation®
- Basic gym access through SilverSneakers® Fitness, to help you stay healthy
Blue Shield Medicare (PPO) with Dental and Vision plan
2025 out-of-pocket costs (network):
- Deductible (individual): $0
- Deductible (family): $0
- Primary care office visit: $0
- Specialist office visit: $0
- Generic Drugs: $5/30-day supply
Plan highlights:
- Access care from nation-wide Medicare participating providers—in-network and out-of-network
- No deductible: no copayments for most covered services
- $0 copay for virtual care medical care
- Basic gym access through SilverSneakers® Fitness, to help you stay healthy
- Optional supplemental vision & dental monthly $39.14 plan premium
PERS Gold PPO Supplement to Original Medicare plan
2025 out-of-pocket costs (network):
- Primary care office visit: $0 copay (if Medicare approved)
- Specialist office visit: $0 copay (if Medicare approved)
Plan highlights:
- Access care in-network and out-of-network from Medicare participating providers
- Coverage for medical care nationwide and abroad
- $0 copay for virtual medical care
- Acupuncture and chiropractic benefits included
- Stay healthy with basic gym access through SilverSneakers® Fitness
PERS Platinum PPO Supplement to Original Medicare plan
2025 out-of-pocket costs (network):
- Primary care office visit: $0 copay (if Medicare approved)
- Specialist office visit: $0 copay (if Medicare approved)
Plan highlights:
- Access care in-network and out-of-network from Medicare participating providers
- Coverage for medical care nationwide and abroad
- $0 copay for virtual medical care
- Acupuncture and chiropractic benefits included
- Stay healthy with basic gym access through SilverSneakers® Fitness
Additional benefits included with your plan
Get care at home
Receive health advice from registered nurses at any time.
Speak with doctors and mental health professionals by phone or video.
Access care away from home
Visit urgent care centers when your doctor is not available, saving you time and money compared to an emergency room visit.
Jump start your well-being
Stay up-to-date on your annual exams, screenings, and immunizations.
Basic gym access through SilverSneakers® Fitness, to help you stay healthy.
Manage your condition
Access round-the-clock support from experts for personal, family, and work issues.
Blue Shield of California is a PPO plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal. Blue Shield of California offers individual and employer group retiree plans to Medicare beneficiaries who have Part A and Part B. Individual plans are open to all Medicare beneficiaries who reside within a plan’s specific service area. Employer group retiree plans are open only to Medicare beneficiaries who are eligible group retirees and who reside within a plan’s specific service area. Individual and employer group retiree plans have different service areas, benefits and provider networks.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our Customer Service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
LifeReferrals 24/7 is a service mark of Blue Shield of California.
NurseHelp 24/7 is a service mark of Blue Shield of California.
SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers LIVE, SilverSneakers On-Demand and SilverSneakers GO are trademarks of Tivity Health, Inc. © 2024 Tivity Health, Inc. All rights reserved ©2024 Teladoc, Inc. All rights reserved. Teladoc and the Teladoc logo are trademarks of Teladoc Health, Inc. and may not be used without written permission. Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Teladoc does not prescribe DEA-controlled substances, non-therapeutic drugs, and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services. Your network providers may offer telehealth and in-office services. Contact your primary care provider, treating specialist, facility, or other health professional to learn whether telehealth is an option. Network telehealth and in-person services are subject to the same timely access to care standards. If your plan has out-of-network benefits they are subject to your plan’s cost sharing obligations and balance billing protections.
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Page Last Updated 08/06/2024