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Preventive Dental Services through Delta Dental
Our individual Medicare health plans cover certain preventive dental care through Delta Dental of California and its DeltaCare(R) USA Dental HMO program. Some basic preventive, diagnostic, and periodontal services are covered such as two oral exams and cleanings per year. Refer to your Evidence of Coverage for full benefit details. To learn more about your assigned dentist or select a new dentist online, visit deltadentalins.com, under “Find a dentist” enter your home ZIP code and select “DeltaCare USA Medicare” as your network. You can also call Delta Dental Customer Service at 1-877-644-1774 (TTY 711), Monday through Friday, 8 a.m. to 8 p.m. EST; 7 days a week, October 1 - March 31, 8 a.m. to 8 p.m. EST.
Our Medicare Medi-Cal health plans cover comprehensive dental care through Delta Dental of California and its DeltaCare® USA Dental HMO program at no cost to dual-eligible beneficiaries. Refer to your Evidence of Coverage for full benefit details. To learn more about your assigned dentist or select a new dentist online, visit deltadentalins.com, under "Find a dentist" enter your home ZIP code and select "DeltaCare USA Medicare" as your network. You can also call Delta Dental Customer Service at 1-877-644-1774 (TTY 711), Monday through Friday, 8 a.m. to 8 p.m. EST; 7 days a week, October 1 - March 31, 8 a.m. to 8 p.m. EST. In addition, certain dental services, including but not limited to cleanings, fillings, and dentures, may also be available through the Medi-Cal Dental Program or FFS Medi-Cal. For information on Medi-Cal dental coverage, call 1-800-322-6384 (TTY 1-800-735-2922). You may also visit the website at smilecalifornia.org.
Silver&Fit® Healthy Aging and Exercise Program [See footnote 1]
The Silver&Fit program is available to Medicare Individual Plan members as part of our optional Advantage Plus package. Enroll here. To learn more, download the Advantage Plus brochure or visit www.SilverandFit.com or call Silver&Fit toll-free at 1-877-750-2746 (TDD/TYY 711), Monday through Friday, 5 a.m. to 6 p.m. Pacific time.
The Silver&Fit program is also available to Senior Advantage Medicare Medi-Cal (HMO D-SNP) plan members.
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 lenses.
Individual Medicare plan members can add Advantage Plus to get an eyewear allowance to use toward the purchase of prescription eyeglasses and contact lenses once every 24 months 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 when a network provider puts lenses into a frame.
- Eyeglass frames when a network provider puts two lenses (at least one of which must have refractive value) into the frame.
- Contact lenses, fitting, and dispensing.
To learn more about the eyeglasses and contact lenses that we offer, visit our Vision Essentials website at kp2020.org. 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.
Dual-eligible members in Medicare Medi-Cal plans get a $350 eyewear allowance to use toward the purchase of prescription eyeglasses and contact lenses once every 12 months from a plan optical facility, such as Vision Essentials by Kaiser Permanente. A prescription is required. See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.
Get OTC health and wellness products delivered to your home. You can use your quarterly benefit to order:
- Vitamins and minerals
- Allergy, cough, and cold remedies
- Antacids, laxatives, and stomach aids
- Pain relievers and fever reducers
- First aid kits, joint supports, and incontinence products
- Blood pressure monitors and thermometers
- Diabetic supplies such as compression stockings and sharps containers
To learn more, visit kp.org/otc/ca, download our OTC product catalog (PDF), also available in Chinese [中文本] (PDF) or call us at 1-833-569-2360 (TTY 711) Monday through Friday, 7 a.m. to 5 p.m.
Refer to your Evidence of Coverage for full benefit details and information on the allowance applicable to your Medicare health plan.
Hearing aid coverage is available to Medicare Individual Plan members as part of our optional Advantage Plus package. Enroll here. To learn more, download the Advantage Plus brochure. Visit kphearingcenters.com for more information about Northern California network audiology providers.
See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.
The ChooseHealthy® [See footnote 2] program gives you reduced rates on a variety of fitness, health, and wellness products and services, including:
Active&Fit Direct membership
With Active&Fit Direct, you can access more than 11,000 gyms and fitness centers nationwide — including Gold’s Gym, Curves, Anytime Fitness, and more — with one simple membership.
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 3] Visit us online to learn more.
You’re just a call or a click away from having most prescriptions delivered to you. [See footnote 4]
- Get a 100-day supply of medication for the price of 2 months [See footnote 5]
- 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.
For details about your Advantage Plus benefits, visit the website or download the Advantage Plus brochure (PDF).
Enhance your Kaiser Permanente Medicare health plan by adding Advantage Plus. You’ll get additional benefits including comprehensive dental, vision, hearing, and fitness – all in one convenient package – so you save time and money. Learn more or enroll now.
Footnotes:
1The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a trademark of ASH and used with permission herein. Continue at [1] Silver&Fit® Exercise and Healthy Aging Program
2The 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 [2] Special discounts with ChooseHealthy®
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)
4Some prescriptions are not available through the mail-order pharmacy. Continue at [4] most prescriptions delivered to you
5May vary by plan type. Check your plan benefits for more information. 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 us at 1-951-268-3900 or TTY 711, Monday through Friday, 8:30 a.m. to 5 p.m. PT. Continue at [5] for the price of 2 months
Kaiser Permanente is an HMO plan with a Medicare contract. 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