Healthy extras

When you join a Kaiser Permanente Medicare Advantage plan, you not only get your medical and prescription drug coverage all in one plan—you also receive additional features to care for the whole you, at no extra cost. Click on any of the benefits below to learn more.

Comprehensive dental plan

Our Medicare health plans include a comprehensive dental plan1 with $0 copays for preventive care office visits.

The comprehensive dental plan also includes an annual allowance2 up to $1,000 for more extensive care such as fillings, crowns, dentures, root canals, and more.

Plan
Annual Allowance2
Kaiser Permanente Medicare Advantage Value, Standard and Care Plus plans $1,000
Kaiser Permanente Medicare Advantage High and Liberty plans $500

This includes:

  • Oral exams, up to two per year
  • Cleanings, up to two per year
  • Bitewing X-rays, up to one set per year
  • Topical fluoride, one per year
  • Full mouth series X-rays, one every three years

For a list of participating dentists or information about a dentist, visit LibertyDentalPlan.com/kaiserdentists or call LIBERTY Dental Plan at 1-888-650-1859 (TTY 711), Monday through Friday, 8 a.m. to 8 p.m.

Medicare Explorer by Kaiser Permanente

Travel with peace of mind knowing that Kaiser Permanente Medicare Advantage (HMO) plans include a $1,200 annual allowance3 for out-of-area routine and continuing care, such as office visits, labs, X-rays, physical therapy, and outpatient mental health care. With low and predictable costs, you’ll have easy access to care while traveling. For the best experience, see any provider that accepts Medicare. You do not need a referral or preauthorization for covered services. To find a provider that accepts Medicare, visit medicare.gov.

The Medicare Explorer allowance can only be used within the United States and its territories and outside of Kaiser Permanente service areas, which includes all or parts of Maryland, Virginia, Washington, DC, California, Colorado, Georgia, Hawaii, Oregon, and Washington. To confirm that the area where you are traveling is covered by this benefit, call Member Services at 1-888-777-5536​ (TTY 711), 8 a.m. to 8 p.m., 7 days a week.

Covered Service Copay
Preventive care $0 per visit
Primary care office visits $25 per visit
Specialty care office visits $50 per visit
Labs $10
X-rays $25
Physical therapy $50
Mental health care
  • Individual visits
  • Group visits

$25 per individual visit
$15 per group visit
Part B clinically administered drugs*

*Only covered in the course of an office visit.

20% of provider charges
See the Evidence of Coverage for additional details and excluded services at kp.org/eocmasma.

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage​ for more information, including the cost-sharing that applies to out-of-network services.

Hearing aid allowance

Enhance your total health with hearing aids from Kaiser Permanente. Our health plans include a $1,000 hearing aid allowance per ear, every 36 months,4​ as well as coverage for hearing exams, to use at Kaiser Permanente audiology centers. You’ll also receive the added value of follow-up care, a warranty for repairs, and a low replacement fee for lost hearing aids. You’ll also be receiving care from highly skilled audiologists, all with doctorates in audiology.

Hearing aids purchased from Kaiser Permanente include:

  • 3-year warranty for repair
  • 3-year warranty for loss and damage with a one-time $250 replacement fee per hearing aid
  • Follow-up appointments for programming adjustments for 3 years

To learn more and find a Kaiser Permanente audiology center, visit kp.org/hearingcare or call 1-703-359-7878​ to schedule a hearing aid consultation.

Over-the-counter (OTC) wellness credit

Our Kaiser Permanente Medicare Advantage (HMO) plans include a quarterly allowance5​ between $30 and $606 that can be used to purchase items such as:

    Vitamins and minerals
    Allergy, cough, and cold remedies
    Antacids, laxatives, and stomach aids
    Pain relievers and fever reducers
    First aid kits, joint supports, and incontinence products
    Blood pressure monitors and thermometers
    Diabetic supplies such as compression stockings and sharps containers

The OTC wellness credit quarterly amount is based on your plan type.

To order, visit kp.org/otc/mas or call 1-833-881-1422, Monday through Friday, 8 a.m. to 7 p.m.

Vision

Your plan includes routine eye exams, glaucoma screenings, and cataract screenings at Vision Essentials locations in our medical centers. You also receive an allowance on glasses or contact lenses. Your copay amounts and eyewear allowance are based on your plan type.

PLAN TYPE ROUTINE EYE EXAMS EYEWEAR ALLOWANCE
MARYLAND
Kaiser Permanente Medicare Advantage Value Balt and MD (HMO) plans $10 per visit with an optometrist
$40 per visit with an ophthalmologist
$200 every 24 months
Kaiser Permanente Medicare Advantage Standard (HMO-POS) plan $5 per visit with an optometrist
$35 per visit with an ophthalmologist
$200 every 24 months
Kaiser Permanente Medicare Advantage High (HMO-POS) plan $10 per visit with an optometrist
$35 per visit with an ophthalmologist
$225 every 24 months
VIRGINIA
Kaiser Permanente Medicare Advantage Value (HMO-POS) plan $5 per visit with an optometrist
$40 per visit with an ophthalmologist
$200 every 24 months
Kaiser Permanente Medicare Advantage Standard (HMO-POS) plan $0 per visit with an optometrist
$35 per visit with an ophthalmologist
$250 every 24 months
Kaiser Permanente Medicare Advantage High (HMO-POS) plan $10 per visit with an optometrist
$35 per visit with an ophthalmologist
$250 every 24 months
Kaiser Permanente Medicare Advantage Care Plus (HMO-POS) plan $5 per visit with an optometrist
$40 per visit with an ophthalmologist
$250 every 24 months
DISTRICT OF COLUMBIA
Kaiser Permanente Medicare Advantage Value (HMO-POS) plan $5 per visit with an optometrist
$40 per visit with an ophthalmologist
$200 every 24 months
Kaiser Permanente Medicare Advantage Standard (HMO-POS) plan $5 per visit with an optometrist
$40 per visit with an ophthalmologist
$250 every 24 months
Kaiser Permanente Medicare Advantage High (HMO-POS) plan $5 per visit with an optometrist
$30 per visit with an ophthalmologist
$250 every 24 months
MARYLAND, VIRGINIA, AND WASHINGTON, DC
Kaiser Permanente Medicare Advantage Liberty plan without Part D (HMO) plan $15 per visit with an optometrist
$40 per visit with an ophthalmologist
$200 every 24 months

Silver&Fit Healthy Aging and Exercise Program

The Silver&Fit Healthy Aging and Exercise Program,7​​ which is included in your Kaiser Permanente Medicare Advantage (HMO) plan, helps you get and stay active—at no additional cost.

Your plan includes:

  • Fitness center membership—reshape your life with membership at a local participating Silver&Fit fitness center.  Visit SilverandFit.com to find a fitness center near you.
  • Each calendar year, you can choose one Home Fitness Kit from Fitbit® or Garmin® Wearable Fitness Tracker, Yoga, Strength, Pilates, Walking/Trekking, or Swim Kit options.8
  • You also have access to on-demand workout videos and Signature Series classes at SilverandFit.com and personalized Workout Plans. Plus, you can join a live exercise class on the Silver&Fit Facebook and YouTube pages.
Kaiser Permanente Silver&Fit

Transportation for nonemergency medical appointments

Transportation benefits are not available with the following plans: Kaiser Permanente Medicare Advantage Value Balt (HMO), Kaiser Permanente Medicare Advantage Value MD (HMO), and Kaiser Permanente Medicare Advantage Value DC (HMO-POS).

Now it’s even easier to access care. Kaiser Permanente Medicare Advantage includes 24 rides9​ for nonemergency medical appointments at Kaiser Permanente medical centers and contracted facilities. Never miss an important medical appointment—one of the many ways we help you thrive.

BrainHQ—brain training that works

brainHQ_logo

Your brain defines who you are.

It’s the center of everything you think, do, and feel. That’s why Kaiser Permanente is offering BrainHQ: online exercises you can do on a computer or mobile device that improve cognitive function (including memory, attention, and processing speed) as well as daily life (including safer driving, improved balance, and better mood)—and people who use it notice the difference.

What’s more, BrainHQ supports you every step of the way, with great features such as:

  • Weekly challenges to inspire you to improve
  • A personalized trainer that tailors your training to your needs
  • Progress reports that provide insight into how you’re doing
  • Flexible training that fits your schedule
  • A monthly newsletter with brain health news, tips, and recipes
If you have questions, please contact the BrainHQ help line via email at support@brainhq.com or call 1-877-573-3067, Monday through Friday, 7:30 a.m, to 4:30 p.m., Pacific Time.

Wellness programs

Our Health Education Departments offer health classes and support groups at our facilities, some of which may require a fee. Course catalogs are available in our Health Education Departments. Registration is required.

To register, call 1-800-444-6696​ anytime, day or night.

You can also browse course listings online at kp.org/classes.

Online wellness programs

Our online healthy lifestyle programs create customized action plans tailored to your health needs and areas of interest. Start with a Total Health Assessment and go from there.

Visit kp.org/healthylifestyles.

1Dental benefits provided by LIBERTY Dental Plan.

2With 50% coinsurance. $500 annual allowance with Kaiser Permanente Medicare Advantage High (HMO-POS) and Liberty (HMO) plans.

3Not available with Kaiser Permanente Medicare Advantage Care Plus (HMO-POS), Kaiser Permanente Medicare Advantage Value Balt (HMO), Kaiser Permanente Medicare Advantage Value MD (HMO), and Kaiser Permanente Medicare Advantage Liberty (HMO) plans. Members are responsible for any charged amounts for covered services that exceed the annual allowance maximum of $1,200. Coverage limited to inside the United States and its territories. See your Evidence of Coverage for details.

4Hearing aid allowance can only be used for hearing aids purchased at Kaiser Permanente audiology centers.

5Please refer to your Evidence of Coverage for details. OTC benefits may change each year on January 1. Each order must be at least $20. Any unused portion of the quarterly benefit limit will not carry forward to the next quarter. Your order may not exceed your quarterly benefit limit. Limitations and restrictions may apply. Cash, check, credits cards, or money orders are not accepted.

6OTC allowance based on plan type.

7Silver&Fit is not available with Kaiser Permanente Medicare Advantage (HMO) Value Balt, Kaiser Permanente Medicare Advantage (HMO) Value MD, or Kaiser Permanente Medicare Advantage (HMO-POS) Value DC plans. The Silver&Fit program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a registered trademark of ASH and used with permission herein. All programs and services are not available in all areas. Participating fitness centers and fitness chains may vary by location and are subject to change.

8Kits are subject to change and once selected cannot be exchanged.

9Transportation benefits are not available with the following plans: Kaiser Permanente Medicare Advantage Value Balt (HMO), Kaiser Permanente Medicare Advantage Value MD (HMO), and Kaiser Permanente Medicare Advantage Value DC (HMO-POS). Twenty-four one-way rides per contract year. For nonemergency transportation only.

Concerned about affording coverage? We may be able to help.

Ready to enroll?

Set up a personal appointment

Connect with a licensed Kaiser Permanente Medicare specialist in your area, on your schedule. Simply complete the form (click or tap to open)​ and we’ll contact you to set up an appointment.

Attend a seminar

Find a seminar in your area to learn more about our Kaiser Permanente Medicare health plans.

Call to enroll

Call 1-866-975-7803​ (TTY 711) to speak with a Kaiser Permanente Medicare specialist 7 days a week, 8 a.m. – 8 p.m. They will walk you through your options and get you signed up right over the phone.

Enroll online

Enrolling in our Medicare Advantage Plans online is simple. Click or tap to be taken to our enrollment site,​ answer a few questions, and you’re done.
You are leaving this website and going to the Kaiser Permanente Medicare health plan enrollment site.

After clicking “Let’s go” below, please enter your ZIP code, then click the “Search for plans” button, and then click on the plan you want to enroll in.

You are leaving this website and going to the Kaiser Permanente Medicare health plan enrollment site.

After clicking “Let’s go” below, please enter your ZIP code, then click the “Search for plans” button, and then click on the plan you want to enroll in.