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Medicare Advantage health plans

Medicare Advantage health plans

Enroll today and receive lower premiums and new benefits for 2021 ​

We’re pleased to introduce Kaiser Permanente Medicare Advantage (HMO) plans in 2021. Medicare Advantage (also known as Medicare Part C) is a nationally recognized managed care option. It helps millions of Medicare beneficiaries stay healthy with coverage for hospitalization, medical care, and prescription drugs. ​
Download for FREE1

1Free with no obligation.

Plans for Virginia

BENEFIT

2020 Medicare Plus (COST) Plan

2020 Medicare Advantage (HMO) Plan

Physician options

To receive benefits of the Kaiser Permanente Medicare Plus (Cost) plan, you must use Mid-Atlantic Permanente Medical Group physicians and affiliates.

You may go to any other provider who accepts Medicare and receive Original Medicare benefits.

To receive benefits of the Kaiser Permanente Medicare Advantage plan, you must use Mid-Atlantic Permanente Medical Group physicians and affiliates.

No benefits for other providers.

NOTE: If you are already scheduled for treatment after January 1, 2020 with a provider who is not part of the Kaiser Permanente Medicare Advantage network, please download and fill out the Continuity of Care Form​ in Helpful Documents​ and contact Member Services at 1-888-777-5536​ (TTY711), Monday through Friday, 8 a.m. to 8 p.m. so we can determine if you are eligible to temporarily continue care with that provider.

Network hospitals in the District of Columbia, Maryland, and Virginia

​ 13

​ 18

Monthly plan premium ​ ​

$54 for Standard plan with Part D

$142 for High plan with Part D

Value plan with Part D

$0 for residents of Virginia

Standard plan with Part D

$25 for residents of Virginia

High plan with Part D

$142 for residents of Virginia

Maximum out-of-pocket amount ​

Standard plan with Part D

$6,700

High plan with Part D

$5,000

Value plan with Part D

$6,700

Standard plan with Part D

$6,700

High plan with Part D

$5,500

Doctor office visits​ ​

Standard plan with Part D

Primary care visits:

$10 per visit

Specialist visits:

$45 per visit ​ ​

High plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$30 per visit

Value plan with Part D

Primary care visits:

$15 per visit

Specialist visits:

$45 per visit

Standard plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$35 per visit

High plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$30 per visit

Inpatient hospital stays

Standard plan with Part D

$850 per benefit period

High plan with Part D

$350 per benefit period

Value plan with Part D

You pay​ $275 a day for days 1-5; no charge for the remainder of your stay.

Standard plan with Part D

You pay​ $250 a day for days 1-5; no charge for the remainder of your stay.

High plan with Part D

You pay​ $200 a day for days 1-5; no charge for the remainder of your stay.

Silver&Fit3​ gym membership and at-home fitness program

Included

Included for Standard and High plans.

Not available for Value plan.

Advantage Plus enhanced dental, hearing, and vision benefits

Available for a monthly $25​ fee

Available for a monthly $25 fee

Part D prescription drug coverage

Preferred cost-sharing during the initial coverage stage (up to a 30-day supply):

Standard plan with Part D

Drug Tier 1:

$7

Drug Tier 2:

$15

High plan with Part D

Drug Tier 1:

$2

Drug Tier 2:

$15​ ​ ​ ​ ​ ​ ​ ​ ​

Value plan with Part D

Drug Tier 1:

$5

Drug Tier 2:

$15

Standard plan with Part D

Drug Tier 1:

$3

Drug Tier 2:

$12

High plan with Part D

Drug Tier 1:

$5

Drug Tier 2:

$15

Plans for Maryland

BENEFIT

2020 Medicare Plus (COST) Plan

2020 Medicare Advantage (HMO) Plan

Physician options

To receive benefits of the Kaiser Permanente Medicare Plus (Cost) plan, you must use Mid-Atlantic Permanente Medical Group physicians and affiliates.

You may go to any other provider who accepts Medicare and receive Original Medicare benefits.

To receive benefits of the Kaiser Permanente Medicare Advantage plan, you must use Mid-Atlantic Permanente Medical Group physicians and affiliates.

No benefits for other providers.

NOTE: If you are already scheduled for treatment after January 1, 2020 with a provider who is not part of the Kaiser Permanente Medicare Advantage network, please download and fill out the Continuity of Care Form​ in Helpful Documents​ and contact Member Services at 1-888-777-5536​ (TTY711), Monday through Friday, 8 a.m. to 8 p.m. so we can determine if you are eligible to temporarily continue care with that provider.

Network hospitals in the District of Columbia, Maryland, and Virginia

​ 13

​ 18

Monthly plan premium ​ ​

$54 for Standard plan with Part D

$142 for High plan with Part D

Value plan with Part D

$0 for residents of Virginia

Standard plan with Part D

$25 for residents of Virginia

High plan with Part D

$142 for residents of Virginia

Maximum out-of-pocket amount ​

Standard plan with Part D

$6,700

High plan with Part D

$5,000

Value plan with Part D

$6,700

Standard plan with Part D

$6,700

High plan with Part D

$5,500

Doctor office visits​ ​

Standard plan with Part D

Primary care visits:

$10 per visit

Specialist visits:

$45 per visit ​ ​

High plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$30 per visit

Value plan with Part D

Primary care visits:

$15 per visit

Specialist visits:

$45 per visit

Standard plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$35 per visit

High plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$30 per visit

Inpatient hospital stays

Standard plan with Part D

$850 per benefit period

High plan with Part D

$350 per benefit period

Value plan with Part D

You pay​ $275 a day for days 1-5; no charge for the remainder of your stay.

Standard plan with Part D

You pay​ $250 a day for days 1-5; no charge for the remainder of your stay.

High plan with Part D

You pay​ $200 a day for days 1-5; no charge for the remainder of your stay.

Silver&Fit3​ gym membership and at-home fitness program

Included

Included for Standard and High plans.

Not available for Value plan.

Advantage Plus enhanced dental, hearing, and vision benefits

Available for a monthly $25​ fee

Available for a monthly $25 fee

Part D prescription drug coverage

Preferred cost-sharing during the initial coverage stage (up to a 30-day supply):

Standard plan with Part D

Drug Tier 1:

$7

Drug Tier 2:

$15

High plan with Part D

Drug Tier 1:

$2

Drug Tier 2:

$15​ ​ ​ ​ ​ ​ ​ ​ ​

Value plan with Part D

Drug Tier 1:

$5

Drug Tier 2:

$15

Standard plan with Part D

Drug Tier 1:

$3

Drug Tier 2:

$12

High plan with Part D

Drug Tier 1:

$5

Drug Tier 2:

$15

Plans for DC

BENEFIT

2020 Medicare Plus (COST) Plan

2020 Medicare Advantage (HMO) Plan

Physician options

To receive benefits of the Kaiser Permanente Medicare Plus (Cost) plan, you must use Mid-Atlantic Permanente Medical Group physicians and affiliates.

You may go to any other provider who accepts Medicare and receive Original Medicare benefits.

To receive benefits of the Kaiser Permanente Medicare Advantage plan, you must use Mid-Atlantic Permanente Medical Group physicians and affiliates.

No benefits for other providers.

NOTE: If you are already scheduled for treatment after January 1, 2020 with a provider who is not part of the Kaiser Permanente Medicare Advantage network, please download and fill out the Continuity of Care Form​ in Helpful Documents​ and contact Member Services at 1-888-777-5536​ (TTY711), Monday through Friday, 8 a.m. to 8 p.m. so we can determine if you are eligible to temporarily continue care with that provider.

Network hospitals in the District of Columbia, Maryland, and Virginia

​ 13

​ 18

Monthly plan premium ​ ​

$54 for Standard plan with Part D

$142 for High plan with Part D

Value plan with Part D

$0 for residents of Virginia

Standard plan with Part D

$25 for residents of Virginia

High plan with Part D

$142 for residents of Virginia

Maximum out-of-pocket amount ​

Standard plan with Part D

$6,700

High plan with Part D

$5,000

Value plan with Part D

$6,700

Standard plan with Part D

$6,700

High plan with Part D

$5,500

Doctor office visits​ ​

Standard plan with Part D

Primary care visits:

$10 per visit

Specialist visits:

$45 per visit ​ ​

High plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$30 per visit

Value plan with Part D

Primary care visits:

$15 per visit

Specialist visits:

$45 per visit

Standard plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$35 per visit

High plan with Part D

Primary care visits:

$5 per visit

Specialist visits:

$30 per visit

Inpatient hospital stays

Standard plan with Part D

$850 per benefit period

High plan with Part D

$350 per benefit period

Value plan with Part D

You pay​ $275 a day for days 1-5; no charge for the remainder of your stay.

Standard plan with Part D

You pay​ $250 a day for days 1-5; no charge for the remainder of your stay.

High plan with Part D

You pay​ $200 a day for days 1-5; no charge for the remainder of your stay.

Silver&Fit3​ gym membership and at-home fitness program

Included

Included for Standard and High plans.

Not available for Value plan.

Advantage Plus enhanced dental, hearing, and vision benefits

Available for a monthly $25​ fee

Available for a monthly $25 fee

Part D prescription drug coverage

Preferred cost-sharing during the initial coverage stage (up to a 30-day supply):

Standard plan with Part D

Drug Tier 1:

$7

Drug Tier 2:

$15

High plan with Part D

Drug Tier 1:

$2

Drug Tier 2:

$15​ ​ ​ ​ ​ ​ ​ ​ ​

Value plan with Part D

Drug Tier 1:

$5

Drug Tier 2:

$15

Standard plan with Part D

Drug Tier 1:

$3

Drug Tier 2:

$12

High plan with Part D

Drug Tier 1:

$5

Drug Tier 2:

$15

Ready to get started?

Call us at 1-877-218-9489​ (TTY 711) or schedule a Personal Appointment, and we’ll walk you through your options. Our friendly representatives are available, 7 days a week, 8 a.m. to 8 p.m. Hablamos español.

Enroll now

Connect with a Kaiser Permanente Medicare specialist​ in your area.

Call to enroll

Call 1-877-218-9489​ (TTY 711) to speak with a Kaiser Permanente Medicare Specialist.

Attend a seminar

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

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.

Connect now

Call to enroll

Call 1-877-218-9489​ (TTY 711) to speak with a Kaiser Permanente Medicare Specialist, 7AM-7PM M-F. They will walk you through your options and get you signed up right over the phone.

Attend a seminar

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

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.

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. ​ 2101 E. Jefferson St., Rockville, MD 20852

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll.

For accommodations of persons with special needs at meetings, call 1-877-218-9489 (TTY 711).

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© 2020-2021 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.

Page last updated on March 15, 2021