Hello Gloria,
Please take a moment to review your personalized Kaiser Permanente Medicare health plan summary.
If you have any questions, please give me a call. Or you can enroll now.
Sincerely,
Maria Stone
Contact Maria
-
1-866-949-7162
Your Kaiser Permanente Medicare specialist -
Enroll by Phone:
1-866-949-7162 (TTY 711)
7 days a week, 8 a.m. - 8 p.m.
2024
BENEFIT
HIGHLIGHTS
Effective Jan. 1 - Dec. 31, 2024
Add more comprehensive dental, hearing aid, and vision for as little as $18¹ a month
Description
- Email, phone, and video visits with a Permanente Medical Group provider
- Up to 100 days per benefit period
- Benefit for medical appointments7
- Silver&Fit®8
Initial Coverage Stage
For up to a 30-day supply from an in-network pharmacy with preferred cost sharing. When the total drug costs paid by you and any Part D plan reach $5,030, you move into the Coverage Gap Stage.
Coverage Gap Stage
For up to a 30-day supply from an in-network pharmacy with preferred cost sharing. If your annual out-of-pocket cost reaches between $5,031-$8,000, you move into the Catastrophic Coverage Stage.
Catastrophic Coverage Stage
When your annual out-of-pocket costs exceed $8,000, you pay these amounts for the remainder of the calendar year.
-
Add more comprehensive dental, hearing aid, and vision for as little as $18¹ a month
You Pay
None$10 Primary/$0-$40 Specialist$0$100$40No charge$300 per day for days 1 through 5
No charge for the remainder of your stay$300$0 per day for days 1 through 20
$203 per day for days 21 through 100$0 Lab, $20 X-ray$20-$190$7,200Extra benefits to help you thrive
$0 for most comprehensive preventive care that includes: 2 oral exams with cleaning and X-rays per year.$200 every 24 months towards glasses or contact lenses$1,000 allowance per ear, every 36 monthsNot includedNot included$30 credit every 3 months to purchase health-and-wellness productsNot includedNot includedPrescription Drugs9
Initial Coverage Stage
For up to a 30-day supply from an in-network pharmacy with preferred cost sharing. When the total drug costs paid by you and any Part D plan reach $5,030, you move into the Coverage Gap Stage.
- $5
- $15
- $45
- $100
- 33%
- $0
Coverage Gap Stage
For up to a 30-day supply from an in-network pharmacy with preferred cost sharing. If your annual out-of-pocket cost reaches between $5,031-$8,000, you move into the Catastrophic Coverage Stage.
- 25%
- 25%
- 25%
- 25%
- 25%
- $0
Catastrophic Coverage Stage
When your annual out-of-pocket costs exceed $8,000, you pay these amounts for the remainder of the calendar year.
- $0
- $0
- $0
- $0
- $0
- $0
Save time and money with prescriptions mailed right to your home.
$0 for preferred generics (Tier 1 and Tier 2) for a 31-90-day supply. Drugs in other tiers are 2 copays for up to a 90-day supply. Restrictions and limitations may apply. -
Add more comprehensive dental, hearing aid, and vision for as little as $18¹ a month
You Pay
None$5 Primary/$35 Specialist$0$100$35No charge$270 per day for days 1 through 5
No charge for the remainder of your stay$250$0 per day for days 1 through 20
$190 per day for days 21 through 100$0 Lab, $15 X-ray$15-$100$6,900Extra benefits to help you thrive
$0 for most comprehensive preventive care that includes: 2 oral exams with cleaning and X-rays per year.$200 every 24 months towards glasses or contact lenses$1,000 allowance per ear, every 36 months$1,200 annual allowance for out-of-area routine careNot included$50 credit every 3 months to purchase health-and-wellness products24 one-way trips a yearIncludedPrescription Drugs9
Initial Coverage Stage
For up to a 30-day supply from an in-network pharmacy with preferred cost sharing. When the total drug costs paid by you and any Part D plan reach $5,030, you move into the Coverage Gap Stage.
- $0
- $12
- $45
- $100
- 33%
- $0
Coverage Gap Stage
For up to a 30-day supply from an in-network pharmacy with preferred cost sharing. If your annual out-of-pocket cost reaches between $5,031-$8,000, you move into the Catastrophic Coverage Stage.
- 25%
- 25%
- 25%
- 25%
- 25%
- $0
Catastrophic Coverage Stage
When your annual out-of-pocket costs exceed $8,000, you pay these amounts for the remainder of the calendar year.
- $0
- $0
- $0
- $0
- $0
- $0
Save time and money with prescriptions mailed right to your home.
$0 for preferred generics (Tier 1 and Tier 2) for a 31-90-day supply. Drugs in other tiers are 2 copays for up to a 90-day supply. Restrictions and limitations may apply. -
Add more comprehensive dental, hearing aid, and vision for as little as $18¹ a month
You Pay
None$10 Primary/$35 Specialist$0$120$35No charge$250 per day for days 1 through 5
No charge for the remainder of your stay$125$0 per day for days 1 through 20
$160 per day for days 21 through 100$0 Lab, $10 X-ray$10-$100$5,700Extra benefits to help you thrive
$0 for most comprehensive preventive care that includes: 2 oral exams with cleaning and X-rays per year.$225 every 24 months towards glasses or contact lenses$1,000 allowance per ear, every 36 months$1,200 annual allowance for out-of-area routine careNot included$60 credit every 3 months to purchase health-and-wellness products24 one-way trips a yearIncludedPrescription Drugs9
Initial Coverage Stage
For up to a 30-day supply from an in-network pharmacy with preferred cost sharing. When the total drug costs paid by you and any Part D plan reach $5,030, you move into the Coverage Gap Stage.
- $0
- $12
- $42
- $80
- 33%
- $0
Coverage Gap Stage
For up to a 30-day supply from an in-network pharmacy with preferred cost sharing. If your annual out-of-pocket cost reaches between $5,031-$8,000, you move into the Catastrophic Coverage Stage.
- $0
- $12
- 25%
- 25%
- 25%
- $0
Catastrophic Coverage Stage
When your annual out-of-pocket costs exceed $8,000, you pay these amounts for the remainder of the calendar year.
- $0
- $0
- $0
- $0
- $0
- $0
Save time and money with prescriptions mailed right to your home.
$0 for preferred generics (Tier 1 and Tier 2) for a 31-90-day supply. Drugs in other tiers are 2 copays for up to a 90-day supply. Restrictions and limitations may apply.
Enhance your overall health and well-being by adding Advantage Plus benefits to your Kaiser Permanente Medicare health plan. It’s the easy way to get more of your needs covered, all in one convenient plan.
- Advantage Plus Option 1: You can add more comprehensive dental, hearing aid, and vision for as little as $18 a month.1
- Advantage Plus Option 2: You can add more comprehensive dental coverage for as little as $23 a month.1
- Or get both Advantage Plus options for $41 a month.1
You can enroll in Advantage Plus at the same time as Kaiser Permanente Medicare Advantage. You can also add it within 30 days of your enrollment start date, or anytime during the annual and open enrollment periods.
Learn more.
The Summary of Benefits is a great resource for plan information, including:
- The monthly premium, annual deductible, and other yearly out-of-pocket costs
- A summary of covered medical and hospital benefits, and prescription drugs
- Optional benefits (you must pay an extra premium for these benefits)
Summary of Benefits – Kaiser Permanente Medicare health plans
Also available in Spanish (en español)
The Evidence of Coverage is a great resource to find out how to get coverage for the health care services and prescription drugs you need. It also explains what services are covered and your out-of-pocket expenses.
Evidence of Coverage – Kaiser Permanente Medicare health plans
Silver&Fit® fitness programThe Silver&Fit® fitness benefit helps you get and stay active. Choose a fitness facility membership or the Silver&Fit® home exercise program.8
You will need the free Adobe Acrobat Reader to read these files.