Enrollment materials
Our Medicare Part D drug formulary is a list of the prescription drugs that are approved for coverage by Kaiser Permanente's Medicare health plan. Learn more about our Part D drug formulary below.
Click on the links below for detailed information about Kaiser Permanente’s Medicare health plans.
Medicare plan rating sheet. Also available in Spanish (en español)
Summary of Benefits (SB)
Maryland
Summary of Benefits for Medicare Advantage High, Standard, and Value Balt and MD (HMO).†
Also available in Spanish† (en español)
Summary of Benefits for Medicare Advantage Without Part D (HMO).†
Also available in Spanish† (en español)
Virginia
Summary of Benefits for Medicare Advantage High, Standard, and Value VA (HMO).†
Also available in Spanish† (en español)
Summary of Benefits for Medicare Advantage Without Part D (HMO).†
Also available in Spanish† (en español)
Washington DC
Summary of Benefits for Medicare Advantage High, Standard, and Value DC (HMO).†
Also available in Spanish† (en español)
Summary of Benefits for Medicare Advantage Without Part D (HMO).†
Also available in Spanish† (en español)
Note: If you have health care coverage through an employer or trust fund, please contact your benefits administrator for information about your group plan.
Evidence of Coverage (EOC)
Maryland, Virginia, and Washington DC
Annual Notice of Changes (ANOC)
Maryland
(Anne Arundel, Calvert, Carroll, Charles, Frederick, Harford, Howard, Montgomery, and Prince George's counties)
Baltimore City/Baltimore County
Virginia
ANOC for 2021 Kaiser Permanente Medicare Advantage High VA (HMO)†
Also available in Spanish† (en español)
ANOC for 2021 Kaiser Permanente Medicare Advantage Standard VA (HMO)†
Also available in Spanish† (en español)
ANOC for 2021 Kaiser Permanente Medicare Advantage Value VA (HMO)†
Also available in Spanish† (en español)
ANOC for 2021 Kaiser Permanente Medicare Advantage Without Part D (HMO)†
Enrollment Form
Notices
Nondiscrimination notice† Also available in Spanish† (en español)
Formularies and Directories
Medicare Part D comprehensive formulary† Also available in Spanish (en español)†
Provider directory English† Provider directory updates.†
Provider directory Spanish† Provider directory updates.†
†You will need the free Adobe Acrobat Reader to read this file. Kaiser Permanente is not responsible for the content or policies of external Internet sites.
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.
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