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 plan videos to learn more about your 2026 health benefit offerings.
Compare your Blue Shield Supplement to Medicare plan options
PERS Gold Supplement to Original Medicare plan
2026 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 to in- and out-of-network care from Medicare participating providers
- Coverage for medical care nationwide and abroad
- Virtual medical and mental health services; $0 copay for virtual medical care
- Routine (non-Medicare covered) chiropractic and acupuncture services
- Access to fitness locations through SilverSneakers® Fitness (available nationwide)
PERS Platinum Supplement to Original Medicare plan
2026 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 to in- and out-of-network care from Medicare participating providers
- Coverage for medical care nationwide and abroad
- Virtual medical and mental health services; $0 copay for virtual medical care
- Routine (non-Medicare covered) chiropractic and acupuncture services
- Access to fitness locations through SilverSneakers® Fitness (available nationwide)
Compare your Blue Shield Medicare (PPO) plan options
Blue Shield Medicare (PPO) plan
2026 out-of-pocket costs (network):
- Deductible: None
- Primary care: $0 copay/visit
- Specialist: $0 copay/ visit
- Emergency room: $50 copay/visit
- Generic Drugs: $5/30-day supply
Plan highlights:
- Access to in- and out-of-network Medicare participating providers
- No deductible: no to low copayments for most covered services
- Annual physical exam, screening, and most immunizations at no added cost
- Routine (non-Medicare covered) chiropractic and acupuncture services
- Access to fitness locations through SilverSneakers® Fitness (available nationwide)
Blue Shield Medicare (PPO) with Dental and Vision plan
2026 out-of-pocket costs (network):
- Deductible : None
- Primary care: $0 copay/visit
- Specialist: $0 copay/ visit
- Emergency room: $50 copay/visit
- Generic Drugs: $5/30-day supply
Plan highlights:
- Access to in- and out-of-network Medicare participating providers
- No deductible: no to low copayments for most covered services
- Annual physical exam, screening and most immunizations at no added cost
- Routine (non-Medicare covered) chiropractic and acupuncture services
- Access to fitness locations through SilverSneakers® Fitness (available nationwide)
- Optional supplemental vision & dental monthly $40.31 plan premium
Additional benefits included with your plan
Access other care options
Visit urgent care centers when your doctor is not available, saving you time and money compared to an emergency room visit.
Round-the-clock support from experts for personal, family, and work issues.
Receive health advice from registered nurses at any time.
Doctors are available by phone or video 24/7.
Jump start your well-being
Stay up to date on your annual exams, screenings, and immunizations.
Access to fitness locations nationwide through SilverSneakers® to help you stay healthy.
Blue Shield of California is a PPO plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal.
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.
Amazon Pharmacy is independent of Blue Shield of California and is contracted by Blue Shield to provide home delivery of prescription medications to Blue Shield members. Members are responsible for their share of cost, as stated in their benefit plan details. Information about specific prescription drug benefits and drug benefit exclusions can be found in the member's plan documents. Members may call the Customer Service number on their Blue Shield member ID card if they have questions about their Blue Shield prescription drug coverage.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved.
NurseHelp 24/7 is a service mark of Blue Shield of California. NurseHelp 24/7 is a healthcare advice line. Nurses do not provide medical services for treatment or diagnosis.
LifeReferrals 24/7 is a service mark of Blue Shield of California.
You do not have to be a Costco member to use Costco pharmacies.
© 2025 Teladoc Health, 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.
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Page Last Updated 09/15/2025