Hello Sharan,
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,
Robin Ratliff
Contact Robin
-
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 dental, hearing aid, and vision benefits for as little as $44¹ a month. See below.
Description
- Email, phone, and video visits with a Permanente Medical Group provider
- Up to 100 days per benefit period
- Acupuncture, chiropractic, naturopathy
- Silver&Fit®4
Initial Coverage Stage
For up to a 30-day supply. When the annual 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. If your annual out-of-pocket costs 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 dental, hearing aid, and vision benefits for as little as $44¹ a month. See below.
You Pay
None$0 Primary/$35 Specialist$0$110$40No charge$320 per day for days 1 through 6
No charge for the remainder of your stay$210$0 per day for days 1 through 20
$196 per day for days 21 through 100$0 Lab, $10 X-ray$10-$190$5,000Extra benefits to help you thrive
$20 per visit, 18 combined visits every yearIncluded$1,200 annual allowance for out-of-area routine carePrescription Drugs6
Initial Coverage Stage
For up to a 30-day supply. When the annual total drug costs paid by you and any Part D plan reach $5,030, you move into the Coverage Gap Stage.
- $0
- $10
- $45
- $90
- 33%
- $0
Coverage Gap Stage
For up to a 30-day supply. If your annual out-of-pocket costs reaches between $5,031-$8,000, you move into the Catastrophic Coverage Stage.
- $0
- $10
- 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.
Two copays for up to a 90-day supply. Restrictions and limitations may apply. -
Add dental, hearing aid, and vision benefits for as little as $44¹ a month. See below.
You Pay
None$0 Primary/$35 Specialist$0$110$40No charge$320 per day for days 1 through 6
No charge for the remainder of your stay$210$0 per day for days 1 through 20
$196 per day for days 21 through 100$0 Lab, $10 X-ray$10-$190$4,650Extra benefits to help you thrive
$15 per visit, 18 combined visits every yearIncluded$1,200 annual allowance for out-of-area routine carePrescription Drugs6
Initial Coverage Stage
For up to a 30-day supply. When the annual total drug costs paid by you and any Part D plan reach $5,030, you move into the Coverage Gap Stage.
- $0
- $10
- $45
- $90
- 33%
- $0
Coverage Gap Stage
For up to a 30-day supply. If your annual out-of-pocket costs reaches between $5,031-$8,000, you move into the Catastrophic Coverage Stage.
- $0
- $10
- 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.
Two copays for up to a 90-day supply. Restrictions and limitations may apply. -
Add dental, hearing aid, and vision benefits for as little as $44¹ a month. See below.
You Pay
None$0 Primary/$20 Specialist$0$110$35No charge$270 per day for days 1 through 6
No charge for the remainder of your stay$125$0 per day for days 1 through 20
$196 per day for days 21 through 100$0 Lab, $10 X-ray$10-$165$3,000Extra benefits to help you thrive
$10 per visit, 18 combined visits every yearIncluded$1,200 annual allowance for out-of-area routine carePrescription Drugs6
Initial Coverage Stage
For up to a 30-day supply. When the annual total drug costs paid by you and any Part D plan reach $5,030, you move into the Coverage Gap Stage.
- $0
- $10
- $45
- $90
- 33%
- $0
Coverage Gap Stage
For up to a 30-day supply. If your annual out-of-pocket costs reaches between $5,031-$8,000, you move into the Catastrophic Coverage Stage.
- $0
- $10
- 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.
Two 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.
- You can add dental, hearing aid, and vision benefits for only $44 a month1
You can enroll in Advantage Plus at the same time as Kaiser Permanente Senior 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
2024 Evidence of CoverageThe 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.4
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