2025 Retired
2025 Member Contribution: Early Retired - Not yet age 65 / Not in Medicare

NorCal: Early Retired
- YOU ONLY - $6.79 Plan – #2561
- YOU + 1 - $100.48 Plan – #2562
- You + 2 or More (Family) - $337.76 Plan – #2563

SoCal: Early Retired
- YOU ONLY - $0.00 Plan – #2661
- YOU + 1 - $0.00 Plan – #2662
- You + 2 or More (Family) - $0.00 Plan – #2663
2025 Member Contribution: Retired - Age 65 with Medicare

NorCal: Age 65 with Medicare
- YOU ONLY - $0.00 Plan – #2561
- YOU + 1 - $0.00 Plan – #2562
- You + 2 or More (Family) - $0.00 Plan – #2563

SoCal: Age 65 with Medicare
- YOU ONLY - $0.00 Plan – #2661
- YOU + 1 - $0.00 Plan – #2662
- You + 2 or More (Family) - $0.00 Plan – #2663
2025 Member Contribution: Combination Plans - Age 65 with Medicare

NorCal: Combo Plan: Age 65 with Medicare
- Employee in M; 1 Dependent in B - $0.00 Plan – #2561
- Employee in M; 2+ Dependents in B - $0.00 Plan – #2562
- Employee in M; 1 Dependent in M; 1+ Dependents in B (Family) - $0.00 Plan – #2563
- Employee in B;+ 1 Dependent in B - $0.00 Plan – #2561
- Employee in B; 2+ Dependents in M - $0.00 Plan – #2562
- Employee in B;1 Dependent in M; 1+ Dependents in B (Family) - $0.00 Plan – #2563

SoCal: Combo Plan: Age 65 with Medicare
- Employee in M; 1 Dependent in B - $0.00 Plan – #2561
- Employee in M; 2+ Dependents in B - $0.00 Plan – #2562
- Employee in M; 1 Dependent in M; 1+ Dependents in B (Family) - $0.00 Plan – #2563
- Employee in B;+ 1 Dependent in B - $0.00 Plan – #2561
- Employee in B; 2+ Dependents in M - $0.00 Plan – #2562
- Employee in B;1 Dependent in M; 1+ Dependents in B (Family) - $48.81 Plan – #2563
2025 State Contribution - Retired Medical Plan
Employee - $1,060 | Employee+1 - $2,039.00 | Family - $2,551.00

Retired Dental coverage is obtained through CalHR

VSP Retired Standard:
Single = $8.84
Two Party = 12.67
Family = 22.61
VSP Retired Exam Plus:
Single = $1.91
Two Party = 2.62
Family = 4.47