^*Plan performance summary Star Ratings are assessed each year and may change from one year to the next. Centers for Medicare & Medicaid Services Health Plan Management System, Plan Rating 2012. Kaiser Permanente contract #H0524, H0630, H1170, H1230, H2150, H6360, H9003.

^†Free with no obligation.

Anyone who has Medicare Parts A and B (or Part B only for Mid-Atlantic and Ohio regions), including some people under the age of 65 with disabilities, may apply. Individuals must have both Part A and Part B (or Part B only for Mid-Atlantic and Ohio regions) to enroll. You must reside in the Kaiser Permanente Senior Advantage (HMO) or Medicare Plus (Cost) service area in which you enroll. Eligible Medicare beneficiaries may enroll in a Medicare Health Plan with Medicare Prescription Drug Coverage only during specific times of the year.  Eligible beneficiaries with access to a Medicare Cost Plan may enroll at any time but may only elect the Part D optional supplemental benefit during specific times of year. For more information, please contact Kaiser Permanente. If you join a Kaiser Permanente Senior Advantage plan, then you must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers neither Medicare nor Kaiser Permanente will be responsible for the costs. If you live in the Mid-Atlantic or Ohio regions, please see the Summary of Benefits or Evidence of Coverage for more information about benefits cost-sharing for our plan and any optional supplemental benefit package. Premiums, cost-sharing, and optional supplemental benefits may change each year. For the Kaiser Permanente Senior Advantage plan with a point-of-service option: With the exception of emergencies or urgent care, it may cost more to get care from out-of-network providers.

Kaiser Permanente is a health plan with a Medicare contract.

Y0043_N007437 approved
SKU 60089246

This page was last updated: July 31, 2012 at 12 a.m. PT