Colorado · PERA · Retiree health

Colorado PERA retiree health: PERACare and the subsidy

PERA retirees can buy health, dental and vision coverage through PERACare. PERA pays part of the health premium, based on your years of service.

Colorado specificsWith 20 or more years, PERA pays $230 a month toward your PERACare health premium before Medicare and $115 after; each year short of 20 takes 5% off. Medicare starts at 65 (see Social Security). Options 2 and 3 pass coverage to a cobeneficiary (see payment options). Weigh premiums against a calculator estimate.

The subsidy

PERACare Pre-Medicare 2026 pp. 16-17 (maximum $230, Monthly Subsidy Chart); PERACare Medicare 2026 pp. 12-13 (maximum $115, Medicare Benefit Recipient Monthly Subsidy Chart); C.R.S. 24-51-1206(2), (3)

By years of service

Worked out from the rule above. Bold rows are the ones printed in PERA's 2026 subsidy charts; they match.

By years of service (Colorado PERA)
YearsBefore MedicareWith Medicare
1$11.50$5.75
2$23.00$11.50
3$34.50$17.25
4$46.00$23.00
5$57.50$28.75
6$69.00$34.50
7$80.50$40.25
8$92.00$46.00
9$103.50$51.75
10$115.00$57.50
11$126.50$63.25
12$138.00$69.00
13$149.50$74.75
14$161.00$80.50
15$172.50$86.25
16$184.00$92.00
17$195.50$97.75
18$207.00$103.50
19$218.50$109.25
20+$230.00$115.00

PERA's charts: 1 years $11.50 / $5.75; 5 years $57.50 / $28.75; 10 years $115.00 / $57.50; 15 years $172.50 / $86.25; 20 years $230.00 / $115.00. PERACare Pre-Medicare 2026 pp. 16-17 (maximum $230, Monthly Subsidy Chart); PERACare Medicare 2026 pp. 12-13 (maximum $115, Medicare Benefit Recipient Monthly Subsidy Chart); C.R.S. 24-51-1206(2), (3)

Enrolling

Enroll with your retirement paperwork or within 30 days after the first benefit payment; coverage can start on the retirement date or up to six months later; annual open enrollment each fall. Retirement Process p. 11, Enrolling in PERACare at Retirement

For a recipient 65+ not entitled to Medicare Part A, the subsidy is set so the premium matches that of a Part A recipient with the same service and plan; members without an account on Dec. 31, 2009 need 10 years of non-DPS service for this. C.R.S. 24-51-1206(4), (6)

Critical-shortage working retirees get no PERACare subsidy (Working After Retirement (rev. July 2026), p. 2).

From the sources

Questions

What is PERACare?

PERA's health, dental and vision coverage for retirees. Joining is optional, and your spouse can join too.

How much does PERA pay toward PERACare?

A monthly subsidy toward the health premium: up to $230 before Medicare and $115 with Medicare, with 20 or more years of service. It doesn't cover dental or vision.

What if I have less than 20 years?

The subsidy drops 5% for each year under 20. Six months or more counts as a full year.

When do I enroll?

With your retirement paperwork, or within 30 days after your first benefit payment. Coverage can start on your retirement date or up to six months later. There's open enrollment every fall.

See your subsidy in the calculator →

Source: Your PERA Benefits: A Summary of the Colorado PERA Defined Benefit Plan, Revised April 2026, p. 5. Also: PERACare Pre-Medicare 2026 pp. 16, 16-17, 17; PERACare Medicare 2026 pp. 12, 12-13, 13; C.R.S. 24-51-1206; Retirement Process pp. 2, 3, 11; Understanding Your Benefit Estimate. Last reviewed .