1 Every year, Medicare evaluates plans based on a 5-star rating system.
2 $0 copay for all preventive services covered under Original Medicare at zero cost sharing.
3 The physicians who practice at Kaiser Permanente are recognized as Top Doctors in Northern Virginia Magazine (2023), Washingtonian magazine (2022), and Baltimore magazine (2022).
4 If you travel out of state, phone appointments and video visits may not be available due to state laws that may prevent doctors and health care providers from providing care across state lines. Laws differ by state.
5 With 50% coinsurance.
6 Please 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.
7 Hearing aid allowance can only be used for hearing aids purchased at Kaiser Permanente audiology centers.
8 Twenty-four one-way rides per contract year. For nonemergency transportation only.
9 Not available with Kaiser Permanente Medicare Advantage Value Balt, Kaiser Permanente Medicare Advantage Value MD, or Kaiser Permanente Medicare Advantage 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.
10 Free with no obligation.
11 Dental benefits are underwritten by Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., and administered by Dominion National. To find an in-network dentist, call 1-855-733-7524 or visit DominionNational.com/kaiserdentists.
For more information about benefits, please view the 2023 Summary of Benefits