For Kaiser Permanente & TPMG nurses, physicians, and staff
Your Kaiser Permanente benefits took a career to earn. The biggest decisions about them happen in just a few years.
Your pension, retirement accounts, retiree medical, and Social Security each come with choices—many of which you make only once. We help Kaiser Permanente and TPMG nurses, physicians, and staff within ten years of retirement see how every piece fits together, so you can move confidently ahead.
Rules differ by region, group, and hire date. We always start from your actual plan documents.
How your benefits fit together
More moving parts than most retirement plans—and they all affect each other.
Whether you’re a nurse, a manager, or a physician, Kaiser benefits stack from predictable income at the foundation to flexible savings on top. The right mix of lump sums, start dates, and withdrawals depends on how those layers work together, not on any one of them alone.
Who employs you?
Not sure? Your pay stub or benefits portal shows which organization employs you. Nurses and staff may work for either.
The decade of decisions
Choose an age to see what opens up—and what to decide before it does.
Showing milestones for Kaiser Permanente employees.
Decision to plan for:
Want these ages mapped to your own dates and plan?
Schedule a ConversationWhat's current for 2026
The numbers and changes worth knowing this year.
Contribution limits reset every year, and 2026 brought a new rule for higher earners' catch-up contributions. If you're within a few years of retiring, this is also the income Medicare looks back on.
Two tax rules worth planning around
Still working? Starting in 2026, if your 2025 FICA wages from your employer topped $150,000, any catch-up contributions you make must go in as Roth: taxed now, potentially tax-free later.
Retiring soon? For 2025 through 2028, people 65 and older can take an extra $6,000 deduction each, but it shrinks once income passes $75,000 (single) or $150,000 (joint). Pension income and taxable withdrawals count, so the year you retire and how you draw income can change what you keep.
- 401(k) / 403(b) employee contribution limit$24,500
- Catch-up contribution, age 50+Ages 60–63 may contribute up to $11,250 instead$8,000
- Roth catch-up wage thresholdIf your 2025 FICA wages from your employer exceeded this, catch-ups must be Roth$150,000
- Total plan contributions, all sourcesEmployee, employer, and after-tax combined, before catch-ups$72,000
- Pay counted by qualified plansWhy supplemental plans exist for higher earners$360,000
- Medicare surcharge (IRMAA) begins aboveSingle / joint, based on income from two years earlier$109K / $218K
- New senior deduction, age 65+2025 through 2028, per person; shrinks above $75K single / $150K joint income$6,000
Figures reflect 2026 IRS and Medicare limits and are subject to change.
Sources: IRS Notice 2025-67 and IRS.gov guidance on catch-up contributions and the enhanced deduction for seniors.
Common questions
Questions Kaiser professionals often have.
Should I take my Kaiser pension as a lump sum or as monthly income?
There isn't a universal answer. Monthly income moves longevity and market risk off your plate; a lump sum offers control and flexibility but moves both back onto it. Lump sums are also calculated using interest rates, so the same benefit can be worth noticeably different amounts depending on when you retire. We model both options side by side against the rest of your plan before you decide.
What if I want to retire from Kaiser before 65?
For many Kaiser employees, retiree medical coverage begins at Medicare age, so an earlier retirement usually needs a plan to bridge health coverage. Those same years can also be a window to draw from the right accounts in the right order—and, for some, to convert savings to Roth at lower tax rates.
Does my Kaiser pension keep up with inflation?
Kaiser pensions generally don't include an automatic cost-of-living adjustment, so a fixed check buys less over time. We often pair pension income with our Advanced Time Segmentation™ approach, which sets aside growth-oriented segments designed to help offset rising costs later in retirement.
I earned more than $150,000 last year. What changed with my catch-up contributions?
Starting in 2026, if your FICA wages from your employer (Box 3 of your W-2) topped $150,000 in 2025, any catch-up contributions you make must go in as Roth. That applies to the regular age-50 catch-up and the larger age 60–63 catch-up. You pay tax on that money now rather than in retirement, so whether it helps depends on your tax rate today versus later. That’s something we can model with you before your next enrollment window.
How should I think about survivor options for my spouse?
Choosing a joint-and-survivor payout generally lowers your monthly check in exchange for continued income for your spouse. The election is typically permanent once payments begin, so we look at your spouse's own income, health, life insurance, and Social Security before you choose.
Do you work with Kaiser professionals outside the Bay Area?
Yes. We're based in San Jose and work virtually with clients across the country. Plan rules differ by region and group—Southern California physicians, for example, have different plans than TPMG in Northern California—so every engagement starts with your own documents.
The CLEAR Approach
Most advisors start with your money. We start with what your money is for.
Connect
We begin with the life you want in retirement and the people you're planning for.
Look at everything
Pension estimates, plan statements, retiree medical, and Social Security, side by side.
Engineer your plan
Income, tax, and timing decisions modeled together rather than one at a time.
Act with accountability
Elections, rollovers, and paperwork completed in the right order.
Review and refine
Your plan is revisited as rules, markets, and your life change.
Ready for the next step?
Let’s start with a conversation.
You've spent years taking care of others. Book a 30-minute initial conversation to share where you are, talk through the decisions ahead, and see whether we're the right fit. By phone, video, or in person—whichever works best for you.
Helpful to have, but not required:
- Your latest pension estimate or benefit statement
- Recent 401(k) and savings statements
- Your Social Security statement from ssa.gov
- A rough idea of when you'd like to retire
Prefer to write instead? Send us a note
Crescent Capital Planning is not affiliated with, endorsed by, or sponsored by Kaiser Permanente, Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals, The Permanente Medical Group, Inc. (TPMG), or any Permanente Medical Group. Kaiser Permanente® is a registered trademark of Kaiser Foundation Health Plan, Inc. All employer and plan names are used for identification purposes only.
Plan features described on this page are general summaries drawn from publicly available sources and may vary by region, bargaining unit, hire date, and employment status. Your official plan documents govern. Figures reflect 2026 IRS and Medicare limits and are subject to change.
This material is for educational purposes only and is not intended as tax or legal advice. Please consult legal or tax professionals for specific information regarding your individual situation.