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For details about your Advantage Plus benefits, visit the website or download the Advantage Plus brochure for Denver Boulder (PDF), Advantage Plus brochure for Northern Colorado (PDF), or Advantage Plus brochure for Southern Colorado (PDF).
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
Take a moment to review the information below to learn more about the extras that come with 2024 Medicare health plans.
Delta Dental
All Kaiser Permanente Colorado Senior Advantage plans include preventive and comprehensive dental. Learn more about the dental services provided by Delta Dental of Colorado (PDF).
Fitness
SilverSneakers® Exercise and Healthy Aging Program [See footnote 1]
Get and stay active with a fitness program designed for our members. You can select a local fitness facility membership or access hundreds of virtual workouts from the comfort of home.
To learn more, visit www.SilverSneakers.com or call us toll-free at 1-888-423-4632 (TDD/TTY 711), Monday through Friday, 6 a.m. to 6 p.m. Mountain time.
Fitness industry leader ClassPass makes it easier for you to work out from anywhere. ClassPass partners with 30,000 gyms and studios around the world, offering a range of classes including yoga, dance, cardio, boxing, Pilates, boot camp, and more. To learn more, visit our website.
Vision benefits
CO All plans excluding D-SNP and PPO
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.
CO D-SNP
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.
See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.
CO PPO
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 (Denver Metro and Southern Colorado)
- $75 quarterly benefit limit for PPO Choice plan members
- $80 quarterly benefit limit for Silver (Denver Metro), Enhanced and Core (Northern Colorado) plan members
- $90 quarterly benefit limit for Gold plan members
- $100 quarterly benefit limit for Silver (Northern Colorado) and Medicare Medicaid Special Needs Plan (D-SNP) members
- $120 quarterly benefit limit for Bronze plan members
- $70 quarterly benefit limit for employer groups
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 55 miles, one way. [See footnote 2]
- Senior Advantage Gold (HMO-POS) plan: 30 one-way rides per year
- Senior Advantage Bronze (HMO-POS) plan: 8 one-way rides per year
- Senior Advantage Core (HMO) plan: 12 one-way rides per year
- Senior Advantage Silver (HMO-POS) and Enhanced (HMO-POS) plans: 16 one-way rides per year
- Dual Special Needs plan (D-SNP): unlimited one-way rides per year
- Medicare employer group plans: 20 one-way rides per year
- Advantage Plus plans: 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.
Hearing aid benefits
All plans excluding PPO
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.
PPO
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 supplemenatal 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.
Explore more benefits
The ChooseHealthy® [See footnote 3] program gives you reduced rates on a variety of fitness, health, and wellness products and services, including:
Specialty wellness services
Rebalance your mind and body, relieve pain, and manage chronic conditions with acupuncture, chiropractic care, and massage therapy.
Activity trackers
Take advantage of special savings on activity trackers from Fitbit, Garmin, and more.
Workout apparel
Save on clothing and accessories from Skechers, 2XU, PRO Compression, and more.
Exercise equipment
Enjoy discounts on fitness equipment from TRX, Gaiam, BOSU, and more.
Go online to learn more and explore your discounts.
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 4] 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. 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 5]
- $0 copays for generic drug mail orders [See footnote 6]
- 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 8 hours of non-medical, in-home support services every month to address assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) within the home. [See footnote 7] 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)
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:
1: SilverSneakers, the SilverSneakers shoe logo type and SilverSneakers Flex are registered trademarks of Tivity Health, Inc. © 2023 Tivity Health, Inc. All rights reserved. Continue at [1] SilverSneakers® Exercise and Healthy Aging Program
2: Rides may be provided by taxis, rideshare services, vans, and medical transport as determined by our transportation provider. Continue at [2] limited to 55 miles, one way
3: The ChooseHealthy program is provided by ChooseHealthy, Inc. The Active&Fit Direct program is provided by American Specialty Health Fitness Inc., (ASH Fitness). ChooseHealthy, Inc., and ASH Fitness are subsidiaries of American Specialty Health, Inc. (ASH). Active&Fit Direct and ChooseHealthy are trademarks of ASH and used with permission herein. Please note: The ChooseHealthy program is a discount program; it is not insurance. You can access services from any ChooseHealthy participating provider; referral from a primary care physician is not required. You’re responsible for paying the discounted fee directly to the contracted provider. The ChooseHealthy products and services are provided by entities other than Kaiser Permanente, and Kaiser Permanente disclaims any liability for them. Some Kaiser Permanente members may have coverage through their health plan for some of the same services available through ChooseHealthy. Check your Kaiser Permanente Evidence of Coverage or Membership Agreement for details or call our Member Service Contact Center before accessing the discounted services. If a problem arises with the discounted services, you may take advantage of the Kaiser Permanente grievance process by calling the Member Service Contact Center. 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 Senior Advantage grievance process. Continue at [3] Special discounts with ChooseHealthy®
4: This 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 [4] travel support anytime (closed major holidays)
5: When receiving care at a Kaiser Permanente facility. Some prescriptions are not available through the mail-order pharmacy. Continue at [5] most prescriptions delivered to you
6: For certain drugs, you can get prescription refills mailed to you through our Kaiser Permanente mail-order pharmacy. You should receive them within 3-5 days. If not, please call 1-866-523-6059. Continue at [6] drug mail orders
7: In-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 month. Continue at [7] 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: January 2, 2024 at 12 a.m. PT