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Take advantage of everything your health plan offers
Explore all the low- and no-cost benefits that come with your plan.
Kaiser Permanente Medicare health plans include benefits beyond Original Medicare to help you thrive. Plus, as a Kaiser Permanente member, you have access to discounted services, programs, and resources. Whether you are new to Kaiser Permanente or have been a member for years, check out these incredible benefits available to you to support your health and well-being.
Are you a Medicare beneficiary receiving health benefits from your employer, union, or trust fund? If yes, please sign in to view your coverage and benefits. Group member benefits
- Postal retiree? Visit our Postal Service Health Benefits (PSHB) Program page.
Looking for current year plan extras? 2024 plan extras
Take a moment to review the information below to learn more about the extras that come with 2025 Medicare health plans.
Delta Dental
All Kaiser Permanente Colorado Senior Advantage (HMO, HMO-POS, PPO) plans include preventive and comprehensive dental. Learn more about the dental services provided by Delta Dental of Colorado
(PDF).
Fitness
One Pass® Fitness Program [See footnote 1]
One Pass can help you find a fitness routine that’s right for you, whether you work out at home or at a gym.
Select plans receive an annual (one calendar year) allowance of up to $500 to spend on covered health-related services. Covered items include:
- Personal training fees.
- Fitness class fees that do not come with a basic One Pass membership (e.g., yoga, Pilates).
- Out-of-network fitness location fees (e.g., gyms, fitness studios, climbing gyms).
- Additional class fees within the One Pass network that exceed the basic One Pass membership (e.g., power cycling).
- Raquet club memberships (e.g., tennis, pickleball).
Members will be reimbursed for covered expenses. Any unused amounts do not roll over to the next year. Please see the EOC for more information.
How to get started with the One Pass program
Once you're a Kaiser Permanente Medicare health plan member, follow these steps:
- Visit youronepass.com
- Click "Get Started" to register. Enter in your First Name, Last Name, Date of Birth and Health Plan Member ID.
- Once you're registered, you'll receive a Member Code. Be sure to write down your code and keep it handy. You will need to enter it each time you register for a new fitness location or other One Pass service.
- Start searching for gyms by clicking on the "Find a gym" page.
You may also call One Pass toll-free at 1-877-614-0618 (TDD/TYY 711), Monday through Friday, 6 a.m. to 7 p.m. Pacific time, to receive your Member Code.
The One Pass program is available to Medicare Individual Plan members. Visit www.youronepass.com or call One Pass toll-free at 1-877-614-0618 (TDD/TYY 711), Monday through Friday, 6 a.m. to 7 p.m. Pacific time.
The One Pass program is also available to Dual Complete (HMO D-SNP) plan members.
Vision benefits
We cover routine eye exams (eye refraction exams) to determine your needs for vision correction and to provide a prescription for eyeglass lenses or contact.
All Kaiser Permanente Colorado Senior Advantage plans include eyewear coverage. We cover prescription eyeglasses and contact lenses once every 12 months. Your supplemental benefits include an allowance to use toward the purchase of eyewear from a plan optical facility, such as Vision Essentials by Kaiser Permanente. A prescription is required.
Your allowance can be used to pay for the following items:
- Eyeglass lenses and frames
- Contact lenses, fitting, and dispensing.
This benefit allowance may also be increased if you are enrolled in Advantage Plus. See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.
We cover routine eye exams (eye refraction exams) to determine your needs for vision correction and to provide a prescription for eyeglass lenses or contact.
The Dual Complete (HMO D-SNP) and Dual Essential (HMO D-SNP) plans include eyewear coverage. We cover prescription eyeglasses and contact lenses once every 12 months. Your supplemental benefits include an allowance to use toward the purchase of eyewear from a plan optical facility, such as Vision Essentials by Kaiser Permanente. A prescription is required.
Your allowance can be used to pay for the following items:
- Eyeglass lenses and frames
- Contact lenses, fitting, and dispensing.
See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.
We cover routine eye exams (eye refraction exams) to determine your needs for vision correction and to provide a prescription for eyeglass lenses or contact.
The Senior Advantage Choice PPO includes a eyewear coverage. We cover prescription eyeglasses and contact lenses once every 12 months. Your supplemental benefits include an allowance to use toward the purchase of eyewear. A prescription is required.
Your allowance can be used to pay for the following items:
- Eyeglass lenses and frames
- Contact lenses, fitting, and dispensing.
See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.
Over-the-Counter (OTC) Health and Wellness Products
We cover OTC items listed in our OTC catalog for free home delivery. The catalog lists the price of each item. You can view our catalog and place an order online. You may also place an order over the phone or request a printed catalog be mailed to you by calling 1-833-238-6616 (TTY 711), 6 a.m. to 6 p.m., Monday through Friday.
The quarterly benefit limit varies by plan enrolled:
- $70 quarterly benefit limit for Core plan members (Southern Colorado)
- $75 quarterly benefit limit for PPO Choice plan members (Denver Metro and Southern Colorado)
- $80 quarterly benefit limit for Core (Denver Metro) and Enhanced plan members
- $85 quarterly benefit limit for Core (Northern Colorado) plan members
- $90 quarterly benefit limit for PPO Choice (Northern Colorado) plan members
- $100 quarterly benefit limit for Silver (Denver Metro), Gold, and Dual Complete (HMO D-SNP) plan and Dual Essential (HMO D-SNP) plan members
- $90 quarterly benefit limit for Gold plan members
- $105 quarterly benefit limit for Silver (Northern Colorado)
- $150 quarterly benefit limit for Dual Complete (HMO D-SNP) plan members
- $120 quarterly benefit limit for Bronze plan members
- $70 quarterly benefit limit for employer groups
Hearing aid benefits
We cover routine hearing exams and fittings eye exams as well as fittings and evaluations for hearing aids.
All Kaiser Permanente Colorado Senior Advantage plans include hearing aid coverage. Your supplemental benefits include an allowance to use toward the purchase one hearing aid per ear every two years.
This benefit allowance may also be increased if you are enrolled in Advantage Plus. See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.
We cover routine hearing exams and fittings eye exams as well as fittings and evaluations for hearing aids.
All Kaiser Permanente Colorado Senior Advantage plans include hearing aid coverage. Your supplemental benefits include an annual allowance to use toward the purchase of a hearing aid.
See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.
Non-emergency Transportation
Kaiser Permanente Colorado Medicare members are eligible for non-emergency transportation to providers within the Denver Metropolitan, Northern Colorado, and Southern Colorado service areas each year at no cost.
This benefit provides a set number of one-way trips annually. Trips are within your respective service area and limited to 65 miles, one way. [See footnote 2]
- Senior Advantage Gold (HMO-POS) plan: 40 one-way rides per year
- Senior Advantage Bronze (HMO-POS) and Choice PPO plans: 18 one-way rides per year
- Senior Advantage Core (HMO) (Denver Metro) plan: 12 one-way rides per year
- Senior Advantage Core (HMO) (Southern and Northern Colorado) plan: 22 one-way rides per year
- Senior Advantage Silver (HMO-POS) and Enhanced (HMO-POS) plans: 26 one-way rides per year
- Dual Complete (HMO D-SNP) and Dual Essential (HMO D-SNP) plan: unlimited one-way rides per year
- Medicare employer group (HMO) plans: 20 one-way rides per year
- Advantage Plus: 20 one-way rides per year
For trip reservations and cancellations, call 1-855-932-5413 (TTY 711) 5 a.m. to 7 p.m., Monday through Sunday.
Explore more benefits
Kaiser Permanente members have access to Optum’s affinity musculoskeletal program — no signup required. Enjoy 20% off chiropractor, acupuncture, and therapeutic massage services at participating providers.
Go online to learn more and explore your discounts.
*The services described above are not covered under your health plan benefits and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. These services may be discontinued at any time without notice.
If you need urgent or emergency care while traveling, we’ve got you covered. Call our Away from Home Travel Line at 1-951-268-3900 (TTY 711) for travel support anytime (closed major holidays). [See footnote 3] Visit us online to learn more.
Travel with peace of mind knowing that Kaiser Permanente Senior Advantage Bronze, Silver, Enhanced, and Gold (HMO-POS) plans include Medicare Explorer, a $1,000 annual allowance for out-of-area routine and continuing care. Medicare Advantage employer group plans include a $1,500 Medicare Explorer annual allowance (check your Evidence of Coverage to see if your plan offers). Your allowance could be used for office visits, labs, X-rays, physical therapy, outpatient behavioral health care, and more. See your Evidence of Coverage for more details.
If you’re traveling in a state where there isn’t a Kaiser Permanente facility and need urgent (non-emergency) care, you can go to any MinuteClinic. See a complete list of clinics and hours of operation here.
You’re just a call or a click away from having most prescriptions delivered to you. [See footnote 4]
Save money
- $0 copays for generic drug mail orders
- Enjoy shipping at no extra cost
Save time
- No driving
- No waiting in line
Make the easy choice
- See your prescriptions online or on your mobile app
- View estimated costs for most prescriptions before you order
Go online or use the Kaiser Permanente app to set up a refill and check your order status.
In-home support allows eligible Medicare health plan members to receive assistance with activities of daily living within the home. Kaiser Permanente has partnered with CareLinx, an online system that connects members and families with professional, non-medical caregivers in their area. You can access the portal to manage in-home care, find a caregiver, see information on upcoming services, and assign specific care requests to your caregiver for future visits.
We cover 60 hours of non-medical, in-home support services every year to address assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) within the home. [See footnote 5] See the Evidence of Coverage for details.
For more information, contact CareLinx customer service at 1-844-636-4592 Monday-Friday, 7 a.m.-6 p.m., and on weekends, 9 a.m.-5 p.m. or online.
Find resources to help you save money, be well, and thrive.
Optional Supplemental Benefits (Advantage Plus)
For details about your Advantage Plus benefits, visit the website.
Get more value from your Kaiser Permanente Medicare health plan by adding Advantage Plus. You’ll get additional benefits such as dental, vision, hearing, in-home support, transportation, and acupuncture so you save time and money. Learn more or enroll now.
Footnotes:
1One Pass® is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions and is a voluntary program. Continue at [1]
2Rides may be provided by taxis, rideshare services, vans, and medical transport as determined by our transportation provider. Continue at [2] limited to 65 miles, one way
3This number can be dialed from both inside and outside the United States. Before the phone number, dial "001" for landlines and "+1" for mobile lines if you’re outside the country. Long-distance charges may apply, and we can’t accept collect calls. The phone line is closed on major holidays (New Year’s Day, Easter, Memorial Day, July Fourth, Labor Day, Thanksgiving, and Christmas). It closes early the day before a holiday at 10 p.m. Pacific time (PT), and it reopens the day after a holiday at 4 a.m. PT. 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. Continue at [3] travel support anytime (closed major holidays)
4When receiving care at a Kaiser Permanente facility. Some prescriptions are not available through the mail-order pharmacy. Continue at [4] most prescriptions delivered to you
5In-home support is offered within the base plan for Silver, Enhanced, Gold or D-SNP plan members only. Core, Bronze, Silver, Enhanced, Gold and PPO Choice members may purchase Advantage Plus options that will provide additional hours per year. Continue at [5] Activities of Daily Living (IADLs) within the home
Kaiser Permanente is an HMO, HMO-POS, and PPO plan with Medicare contracts. Enrollment in Kaiser Permanente depends on contract renewal.
The products and services described above are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the grievance process.
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This page was last updated: December 11, 2024 at 12 a.m. PT