![Adil Mahdout](/content/kpmedicare/agents/Default/Adil_Mahdout.jpeg)
Hello Frank,
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,
Adil Mahdout
Contact Adil
-
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 comprehensive dental, hearing, vision, and fitness benefits for as little as $21¹ a month. See below.
Description
- Email, phone, and video visits with a Permanente Medical Group provider
- Up to 100 days per benefit period
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 comprehensive dental, hearing, vision, and fitness benefits for as little as $21¹ a month. See below.
You Pay
None$0 Primary/$0 Specialist$0$135$0No charge$0 per stay$0$0 per day for days 1 through 20
$100 per day for days 21 through 100$0 Lab, $0 X-ray$0-$30$999Extra benefits to help you thrive
Preventive and diagnostic dental included at no costNot includedNot included$90 per quarter to purchase health-and-wellness productsPrescription Drugs5
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
- $5
- $40
- $100
- 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
- $5
- 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 copay for up to a 100-day supply of preferred generic drugs. All other drugs: 2 copays for up to a 100-day supply. Restrictions and limitations may apply. -
Add comprehensive dental, hearing, vision, and fitness benefits for as little as $21¹ a month. See below.
You Pay
None$0 Primary/$0 Specialist$0$135$0No charge$50 per day for days 1 through 5
No charge for the remainder of your stay$0$0 per day for days 1 through 20
$100 per day for days 21 through 100$0 Lab, $0 X-ray$0-$125$1,999Extra benefits to help you thrive
Preventive and diagnostic dental included at no cost$200 allowance every 2 years$1,000 allowance for hearing aids per ear at every 36 months to use through HearUSA.$120 per quarter to purchase health-and-wellness productsPrescription Drugs5
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
- $7
- $40
- $100
- 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
- $7
- 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 copay for up to a 100-day supply of preferred generic drugs. All other drugs: 2 copays for up to a 100-day supply. Restrictions and limitations may apply.
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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 comprehensive dental, hearing, vision, and fitness benefits for as little as $21 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
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
You will need the free Adobe Acrobat Reader to read these files.