Kaiser Permanente Medicare Medicare plan options

Hello Gordon,

Thank you for being a Kaiser Permanente member. We’re happy to provide your 2027 plan highlights so you can quickly see what’s new and what to expect for the coming year.

  • If you have questions, call us at 1-855-883-5324  (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
2027

Benefit Highlights

Effective Jan. 1–Dec. 31, 2027
Your 2027 Plan

Kaiser Permanente Dual Complete North P17 (HMO D-SNP)

$0 monthly premium

Description
You Pay
Doctor Office Visits
$0 Primary/$0 Specialist
Telehealth1 Email, phone, and video visits with a Permanente Medical Group provider
$0
Lab, X-ray
$0 Lab, $0 X-ray
Inpatient Hospitalization
$0

Prescription Drugs

Preferred Generic (Tier 1)
$0
Generic (Tier 2)
$0

Save time and money with prescriptions mailed right to your home.

With our mail-order pharmacy services, you can skip the trip to the pharmacy. Simply order your prescription refills online, by phone, or with our mobile app, and have them sent to your front door for free.

Our Mail-Order Pharmacy
One copay for up to a 100-day supply for all covered drugs.

Supplemental Benefits

Dental2
Certain dental services are available through Medi-Cal Dental at no cost, including, but not limited to
• Initial examinations, X-rays, cleanings, sealants, and fluoride treatments.
• Restorations and crowns.
• Root canal therapy.
• Partial and complete dentures, adjustments, repairs, and relines.
See Member Handbook for more information.
Vision Benefits3
$350 allowance every 12 months
Fitness Program
No cost for membership to any of the participating facilities, exercise programs, and home fitness programs.
Care Coordinator One main point of contact who will help you manage all your providers and services.
$0
Over-the-Counter Allowance4
$0 copay, $75 quarterly allowance to purchase eligible health and wellness products at participating retail locations. Eligible purchases include items like band aids, eye drops and pain relievers. Any unused portion of the quarterly allowance will not roll over to the next quarter. New
Hearing Aid Benefits
We cover hearing aids at no cost if:
• You are tested for hearing loss.
• The hearing aids are medically necessary.
• You receive a prescription from your doctor.
See Member Handbook for more information.
Community Supports5
Extra services such as Medically Tailored Meals/Medically Supportive Foods after a hospital stay, Personal Homemaker Services to help with daily activities, and Environmental Accessibility Adaptations (Home Modifications).
See Member Handbook for more information, including qualification requirements.
Transportation Non-Medical, Non-Emergency, Emergency
$0 co-pay for transportation to medical appointments and services.
See Member Handbook for more information.

Additional Information

2027 Summary of Benefits

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)
Also available in Chinese (中文本)

2027 Evidence of Coverage

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