Make progress on your health goals with simple activities and earn up to $150 this calendar year with Kaiser Permanente rewards. Plus, get a chance to win even more with monthly trivia.
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How it works
Teaser
Two-factor authentication (2FA) helps keep your account safe by making sure it’s really you. After entering your password, you’ll confirm your identity a second way, like using a code sent to your phone.
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Healthy feels good. So do rewards.
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Make progress on your health goals with simple activities and earn up to $150 this calendar year with Kaiser Permanente rewards. Plus, get a chance to win even more with monthly trivia.
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Healthy feels good. So do rewards.
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Make progress on your health goals with simple activities and earn up to $150 this calendar year with Kaiser Permanente rewards. Plus, get a chance to win even more with monthly trivia.
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Healthy feels good. So do rewards.
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Make progress on your health goals with simple activities and earn up to $150 this calendar year with Kaiser Permanente rewards. Plus, get a chance to win even more with monthly trivia.
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Strength, Balance, and Confidence
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Staying active supports strength, balance, healthy aging, and bladder health. Your Medicare Advantage plan includes access to the Bold app, a digital exercise platform. Through Bold you have access to guided workouts designed to keep you strong, steady, and independent.
Staying active supports strength, balance, healthy aging, and bladder health. Your Medicare Advantage plan includes access to the Bold app, a digital exercise platform. Through Bold you have access to guided workouts designed to keep you strong, steady, and independent.
Staying active supports strength, balance, healthy aging, and bladder health. Your Medicare Advantage plan includes access to the Bold app, a digital exercise platform. Through Bold you have access to guided workouts designed to keep you strong, steady, and independent.
Earn up to $150 this calendar year with Kaiser Permanente rewards. Check out all the simple ways you can level up your healthy habits to earn. Game on.
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Get rewards? Game on.
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You can earn up to $150 this year with Kaiser Permanente rewards when you eat a healthy meal, get a good night's sleep, or relax with a meditation app. Check out all the habits that earn rewards.
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Rewards help you stay on track
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Track your habits and earn up to $150 this calendar year with Kaiser Permanente rewards. Each qualifying habit you complete adds to your rewards. Game on.
Earn up to $150 this year for each healthy action you complete with Kaiser Permanente rewards. Rewards turn good habits into great ones. Start earning.
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Good habits are so rewarding
Teaser
Staying active, unwinding your mind, and taking care of your body are a few ways to earn up to $150 this year through Kaiser Permanente rewards. Track your healthy habits to earn.
Earn up to $150 this calendar year with Kaiser Permanente rewards by getting active, eating well, getting good sleep, and more. Discover which simple habits can earn you rewards.
How do you earn up to $150 this calendar year with Kaiser Permanente rewards? Check out simple habits you may already be doing that qualify for earnings.
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Good habits are so rewarding
Teaser
Staying active, unwinding your mind, and taking care of your body are a few ways to earn up to $150 this year through Kaiser Permanente rewards. Track your healthy habits to earn.
Earn up to $150 this calendar year with Kaiser Permanente rewards by getting active, eating well, getting good sleep, and more. Discover which simple habits can earn you rewards.
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Get rewards? Game on.
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You can earn up to $150 this year with Kaiser Permanente rewards when you eat a healthy meal, get a good night's sleep, or relax with a meditation app. Check out all the habits that earn rewards.
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Good habits score big with rewards
Teaser
How do you earn up to $150 this calendar year with Kaiser Permanente rewards? Check out simple habits you may already be doing that qualify for earnings.
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You deserve a reward. We got you.
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Earn up to $150 this calendar year with Kaiser Permanente rewards. Check out all the simple ways you can level up your healthy habits to earn. Game on.
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Title
Good habits that earn
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Earn up to $150 this year for each healthy action you complete with Kaiser Permanente rewards. Rewards turn good habits into great ones. Start earning.
Track your habits and earn up to $150 this calendar year with Kaiser Permanente rewards. Each qualifying habit you complete adds to your rewards. Game on.
Track your habits and earn up to $150 this calendar year with Kaiser Permanente rewards. Each qualifying habit you complete adds to your rewards. Game on.
Earn up to $150 this year for each healthy action you complete with Kaiser Permanente rewards. Rewards turn good habits into great ones. Start earning.
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Get rewards? Game on.
Teaser
You can earn up to $150 this year with Kaiser Permanente rewards when you eat a healthy meal, get a good night's sleep, or relax with a meditation app. Check out all the habits that earn rewards.
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Good habits are so rewarding
Teaser
Staying active, unwinding your mind, and taking care of your body are a few ways to earn up to $150 this year through Kaiser Permanente rewards. Track your healthy habits to earn.
Earn up to $150 this calendar year with Kaiser Permanente rewards by getting active, eating well, getting good sleep, and more. Discover which simple habits can earn you rewards.
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Good habits score big with rewards
Teaser
How do you earn up to $150 this calendar year with Kaiser Permanente rewards? Check out simple habits you may already be doing that qualify for earnings.
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You deserve a reward. We got you.
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Earn up to $150 this calendar year with Kaiser Permanente rewards. Check out all the simple ways you can level up your healthy habits to earn. Game on.
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Good habits score big with rewards
Teaser
How do you earn up to $150 this calendar year with Kaiser Permanente rewards? Check out simple habits you may already be doing that qualify for earnings.
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Get rewards? Game on.
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You can earn up to $150 this year with Kaiser Permanente rewards when you eat a healthy meal, get a good night's sleep, or relax with a meditation app. Check out all the habits that earn rewards.
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Good habits that earn
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Earn up to $150 this year for each healthy action you complete with Kaiser Permanente rewards. Rewards turn good habits into great ones. Start earning.
Track your habits and earn up to $150 this calendar year with Kaiser Permanente rewards. Each qualifying habit you complete adds to your rewards. Game on.
Earn up to $150 this calendar year with Kaiser Permanente rewards. Check out all the simple ways you can level up your healthy habits to earn. Game on.
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Title
Get a flu shot, earn rewards
Teaser
You are eligible to receive rewards for getting your flu shot. Complete more qualifying healthy activities to earn up to $150 in Kaiser Permanente Rewards.
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You can earn rewards for completing healthy activities, like getting a flu shot. See how else you can earn up to $150 through Kaiser Permanente Rewards.
Mental health and addiction medicine resources in Nevada are available through Renown Health. Learn about behavioral health services available at Renown Health.
Mental health and addiction medicine resources in Nevada are available through Renown Health, including care from Renown’s Stacie Mathewson Behavioral Health & Addiction Institute. Learn about behavioral health services available at Renown Health.
This assessment tool isn’t currently available to Kaiser Permanente of Nevada members. Learn about mental health services, including depression resources, available at Renown Health.
Mental health and addiction medicine resources in Nevada are available through Renown Health, including care from Renown’s Stacie Mathewson Behavioral Health & Addiction Institute. Learn about behavioral health services available at Renown Health.
Mental health and addiction medicine resources in Nevada are available through Renown Health, including care from Renown’s Stacie Mathewson Behavioral Health & Addiction Institute. Learn about therapy, counseling, addiction medicine, and other supportive services.
If you have questions about this transition period before your Kaiser Permanente coverage becomes active, please visit the Optum Rx / Hometown Health web page.
With a Kaiser Permanente Dual Eligible Special Needs plan, you’ll get many extra benefits, including:
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Note: You must meet all Medicare health plan enrollment requirements. In Hawaii, you must also be a current member of the Kaiser Permanente Medicaid/QUEST plan.
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Coverage you may have today
Kaiser Permanente Dual Eligible Special Needs Plans
If you’re eligible for Medicare cost-sharing assistance under Medicaid/Medi-Cal, you pay $0. Continue at [1] you’ll have $0 copays.
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Am I eligible to enroll?
You can enroll in our Kaiser Permanente Dual Eligible Special Needs plan if you have both Medicare and Medicaid (Medi-Cal) and live in one of the following areas:
Northern California
Southern California
Colorado (Denver Metro and Pueblo County only)
Georgia
Hawaii (Oahu and Maui Island only)
Maryland service area
You can enroll during the annual enrollment period from October 15 through December 7, or any other time if you have a qualifying life event such as being new to the area, recently lost coverage, or have had a change in your dual-eligible or LIS (Low Income Subsidy) status.
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Plus, getting started is easy. We’re here to help you understand your options, and whenever you’re ready, you can speak with a Kaiser Permanente Medicare specialist 7 days a week, 8 a.m. to 8 p.m., 1-855-832-0353 (TTY 711) or you can enroll online.
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With our Kaiser Permanente Dual Eligible Special Needs plans, you can choose any available Kaiser Permanente doctor and rest easy knowing you’ll get high-quality care.
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If you have both Medicare and Medicaid (Medi-Cal in California), you may be eligible for extra benefits. Kaiser Permanente Dual Eligible Special Needs (D-SNP) plans let you keep your Medicaid (Medi-Cal) benefits and get more benefits than Original Medicare.
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Dual Medicare and Medicaid (Medi-Cal) coverage can give you extra benefits and better value
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More information coming soon
Teaser
For information on volunteer opportunities go to Volunteering at Kaiser Permanente
Mental health and addiction medicine resources in Nevada are available through Renown Health. Learn about behavioral health services available at Renown Health.
Cancer care services in Nevada are available through Renown Health, including care from Renown’s William N. Pennington Cancer Institute. Learn about diagnosis, chemotherapy, radiation, surgery, and supportive services.
Get help with sleep, stress, focus, and more. With hundreds of self-guided resources along with one-on-one coaching, Headspace can help you create healthy habits that support emotional wellness.
Live text-based emotional support coaching available 24/7
Sleepcasts and focus playlists
Meditation and mindfulness exercises
Guided programs for managing stress and improving sleep
Mental health and addiction medicine resources in Nevada are available through Renown Health, including care from Renown’s Stacie Mathewson Behavioral Health & Addiction Institute. Learn about therapy, counseling, addiction medicine, and other supportive services.
English (PDF): ATTENTION. Timely language assistance is available at no cost to you. You can ask for interpreters, including sign language, or translated materials. You can also ask for materials in alternative formats, such as braille, audio, or large print. You can request auxiliary aids and devices at our facilities. Call our Member Services department for help. Member Services is closed on major holidays.
All others: 1-855-937-5768(TTY 711), Monday through Friday, 7:00 a.m. to 8:00 p.m.
Arabic: تنبيه. المساعدة اللغوية متوفرة من دون أن تتحمل أي تكلفة. يمكنك طلب توفير مترجمين شفهيين، بما يشمل لغة الإشارة أو الحصول على وثائق مترجمة. يمكنك أيضًا طلب وثائق بصيغ بديلة، مثل طريقة برايل للمكفوفين أو ملف صوتي أو الطباعة بأحرف كبيرة. يمكنك طلب وسائل مساعدة وأجهزة مساعدة في منشآتنا. اتصل بقسم خدمات الأعضاء لدينا للحصول على المساعدة. يغلق قسم خدمات الأعضاء (Member Services) أبوابه في أيام العطلات الرئيسية.
يمكن الاتصال ببرنامج Medicare، ويشمل ذلك D-SNP: 1-888-775-7003 أو 775-982-3112(خدمة الهاتف النصي (TTY 711))، من الاثنين إلى الجمعة، من 7:00 صباحًا إلى 8:00 مساء
جميع البرامج الأخرى: 1-855-937-5768(TTY 711)، من الاثنين إلى الجمعة،
من 7:00 صباحًا إلى 8:00 مساء
Armenian: ՈՒՇԱԴՐՈՒԹՅՈՒՆ: Ժամանակին տրամադրվող լեզվական աջակցությունը հասանելի է ձեզ անվճար: Դուք կարող եք խնդրել բանավոր թարգմանության ծառայություններ, այդ թվում՝ ժեստերի լեզվի թարգմանիչներ
կամ թարգմանված նյութեր: Դուք կարող եք նաև խնդրել նյութեր այլընտրանքային ձևաչափեր, ինչպիսիք են՝ բրայլը, ձայնագրությունը կամ խոշոր տառատեսակը:
Դուք կարող եք դիմել օժանդակ աջակցության և սարքերի համար մեր հաստատություններում: Օգնության համար զանգահարեք մեր Անդամների սպասարկման բաժին: Անդամների սպասարկման բաժինը (Member Services) փակ է հիմնական տոն օրերին:
Farsi: توجه. امکان بهرهمندی از مساعدت زبانی بموقع به طور رایگان برای شما وجود دارد. میتوانید خدمات ترجمه شفاهی را درخواست کنید، از جمله مترجمان زبان اشاره، یا مطالب ترجمه شده. همچنین میتوانید مطالب را در قالبهای جایگزین درخواست کنید، از جمله خط بریل، فایل صوتی، یا چاپ با حروف درشت. میتوانید امکانات و دستگاههای کمکی را از مراکز ما درخواست کنید. برای دریافت کمک، با خدمات اعضای (Member Services) ما تماس بگیرید. خدمات اعضاء، در تعطیلات رسمی بسته است.
Medicare، شامل D-SNP: با شماره 1-888-775-7003 یا شماره 775-982-3112 (TTY 711)، روزهای دوشنبه تا جمعه از 7:00 صبح تا 8:00 عصر، تماس بگیرید
همه موارد دیگر: با شماره 1-855-937-5768 (TTY 711)، روزهای دوشنبه تا جمعه از
7:00 صبح تا 8:00 عصر، تماس بگیرید
French: ATTENTION. Une assistance linguistique est disponible pour vous gratuitement. Vous pouvez demander un interprète, notamment spécialiste du langage des signes, ou des documents traduits. Vous pouvez également demander des documents dans d'autres formats, par exemple en braille, en version audio ou en gros caractères. Vous pouvez demander des appareils et des aides auxiliaires dans nos établissements. Pour toute aide, appelez notre Direction des services aux adhérents (Member Services). Les services aux adhérents sont fermés pendant les jours fériés.
Tous les autres services : 1-855-937-5768(TTY 711), du lundi au vendredi, de 7 h à 20 h.
German: HINWEIS! Wir stellen Ihnen kostenlos eine schnelle Sprachunterstützung zur Verfügung. Sie können um einen Dolmetscher bitten, darunter auch in Gebärdensprache, oder um übersetzte Dokumente. Sie können darum bitten, dass Ihnen das Material in alternativen Formaten zur Verfügung gestellt wird, darunter Brailleschrift, Audioformate oder Großdruck. In unseren Einrichtungen können Sie auch um Hilfsmittel und unterstützende Geräte bitten. Wenn Sie Hilfe benötigen, wenden Sie sich an unsere Abteilung für Mitgliederdienste (Member Services). Die Abteilung für Mitgliederdienste ist an Hauptfeiertagen geschlossen.
Alle anderen: 1-855-937-5768(TTY 711), Montag bis Freitag 7:00 bis 20:00 Uhr
Italian: ATTENZIONE. Sono disponibili servizi di assistenza linguistica, forniti gratuitamente e in modo tempestivo. Può richiedere servizi di interpretariato, compreso interpretariato nella lingua dei segni, oppure materiale tradotto. Inoltre, può richiedere materiali in altri formati, come braille, audio o stampa a caratteri ingranditi. Presso le nostre strutture è possibile richiedere ausili e strumenti di supporto alla comunicazione. Per richiedere assistenza, contatti il nostro ufficio Servizi Assistiti (Member Services). L'ufficio Servizi Assistiti è chiuso nei principali giorni festivi.
Medicare, compresi i piani D-SNP: 1-888-775-7003 oppure 775-982-3112(TTY 711), dal lunedì al venerdì, dalle ore 7:00 alle ore 20:00.
Per tutti gli altri piani: 1-855-937-5768(TTY 711), dal lunedì al venerdì, dalle ore 7:00 alle ore 20:00.
Korean: 참조. 시기적절한 언어 지원이 무료로 제공됩니다. 수화를 포함한 통역사, 또는 번역 자료를 요청하실 수 있습니다. 또한, 한국어로 점자, 오디오 또는 큰 글씨와 같은 대체 형식의 자료를 요청할 수 있습니다. 저희 시설에서 보조 기구와 장치를 요청할 수 있습니다. 가입자 서비스 (Member Services) 부서에 도움을 요청하시기 바랍니다. 가입자 서비스부는 주요 공휴일에는 운영하지 않습니다.
Portuguese: ATENÇÃO. Assistência linguística gratuita disponível para você sempre que precisar. Você pode solicitar intérpretes, incluindo de linguagem de sinais, ou materiais traduzidos. Você também pode solicitar materiais em formatos alternativos, como braille, áudio ou impressão ampliada. Você pode solicitar dispositivos e assistências alternativas em nossas instalações. Ligue para o nosso departamento de Atendimento ao Cliente (Member Services) para obter ajuda. O Atendimento ao Cliente estará fechado nos principais feriados.
Todos os outros: 1-855-937-5768(TTY 711), de segunda a sexta-feira, das 7h às 20h.
Russian: Внимание! Вы можете своевременно получить бесплатные услуги перевода. Вы можете попросить предоставить Вам услуги переводчика, в том числе сурдопереводчика, или переведенные материалы. Вы также можете запросить материалы в альтернативных форматах, например шрифтом Брайля, крупным шрифтом или в аудиоформате. Вы также можете запросить дополнительные приспособления и вспомогательные устройства в наших учреждениях. Если Вам нужна помощь, позвоните в отдел обслуживания участников (Member Services). Отдел обслуживания участников закрыт в дни государственных праздников.
Программа Medicare, включая D-SNP: 1-888-775-7003 или 775-982-3112 (TTY 711), с понедельника по пятницу, с 7:00 до 20:00.
Для всех остальных: 1-855-937-5768 (TTY 711), с понедельника по пятницу, с 7:00 до 20:00.
Aviso de no discriminación - Español (PDF): ATENCIÓN. Se ofrece ayuda oportuna en otros idiomas sin ningún costo para usted. Puede solicitar intérpretes, incluyendo intérpretes de lengua de señas, o materiales traducidos. También puede solicitar materiales en formatos alternativos, como braille, audio o letra grande. Puede solicitar ayuda adicional y dispositivos auxiliares en nuestros centros de atención. Llame al Departamento de Servicio a los Miembros (Member Services) para pedir ayuda. Servicio a los Miembros está cerrado los días festivos principales.
Todos los otros: 1-855-937-5768(TTY 711), de lunes a viernes, de 7:00 a. m. a 8:00 p. m.
Tagalog: PAUNAWA May magagamit na napapanahong tulong sa wika na wala kang babayaran. Maaari kang humingi ng mga tagapagsalin, kasama ang sign language,
o isinaling mga babasahin. Maaari ka ring humingi ng mga babasahin sa mga alternatibong format, na tulad ng braille, audio, o malalaking titik. Maaari kang humiling ng mga karagdagang tulong at kagamitan sa aming mga pasilidad. Tawagan ang aming departamento ng Mga Serbisyo sa Miyembro (Member Services) para sa tulong. Sarado ang Mga Serbisyo sa Miyembro sa mga pangunahing holiday.
Medicare, kasama ang D-SNP: 1-888-775-7003 o 775-982-3112 (TTY 711), Lunes hanggang Biyernes, 7:00 a.m. hanggang 8:00 p.m.
Lahat ng iba: 1-855-937-5768 (TTY 711), Lunes hanggang Biyernes, 7:00 a.m. hanggang 8:00 p.m.
Ukrainian: УВАГА! Своєчасні послуги перекладача надаються безкоштовно.
Ви можете зробити запит на послуги усного перекладу, зокрема мовою жестів,
або перекладені матеріали. Ви можете зробити запит на отримання матеріалів
в альтернативних форматах, як-от надрукованим шрифтом Брайля чи великим шрифтом, а також у звуковому форматі. Ви можете зробити запит на отримання допоміжних засобів і пристроїв у закладах нашої мережі компаній. Якщо вам потрібна допомога, зателефонуйте у відділ обслуговування клієнтів (Member Services). Відділ обслуговування клієнтів зачинений у державні свята.
Усі інші надавачі послуг: 1-855-937-5768(TTY 711), з понеділка по п’ятницю, з 07:00 до 20:00.
Vietnamese: CHÚ Ý. Dịch vụ hỗ trợ ngôn ngữ được cung cấp miễn phí, kịp thời cho quý vị Quý vị có thể yêu cầu thông dịch viên, bao gồm cả thông dịch viên ngôn ngữ ký hiệu, hoặc các tài liệu đã được dịch. Quý vị cũng có thể yêu cầu các tài liệu theo định dạng thay thế, chẳng hạn như chữ nổi Braille, băng đĩa thu âm hoặc bản in khổ chữ lớn. Quý vị có thể yêu cầu các phương tiện và công cụ hỗ trợ tại các cơ sở của chúng tôi. Gọi cho ban Dịch Vụ Hội Viên (Member Services)của chúng tôi để được trợ giúp. Ban Dịch Vụ Hội Viên không làm việc vào những ngày lễ lớn.
Medicare, bao gồm cả D-SNP: 1-888-775-7003 hoặc 775-982-3112(TTY 711), Thứ Hai đến Thứ Sáu, 7 giờ sáng đến 8 giờ tối.
Tất cả các chương trình khác: 1-855-937-5768(TTY 711), Thứ Hai đến Thứ Sáu, 7 giờ sáng đến 8 giờ tối.
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In this document, “we”, “us”, or “our” means Kaiser Permanente (Kaiser Foundation Health Plan of Nevada, Kaiser Insurance Company of Nevada, and Kaiser Permanente Medical Group of Nevada). This notice is available on our website at kp.org.
We do not discriminate, exclude people, or treat them differently because of age, race, color, national origin, ancestry, religion, sex, gender, gender identity, gender expression, sexual orientation, marital status, physical or mental disability, or medical condition.
Kaiser Permanente provides the following services in a timely manner:
No-cost aids and services to people with disabilities to help them communicate better with us, such as:
Qualified sign language interpreters
Written information in other formats (braille, large print, audio, accessible electronic formats, and other formats)
No-cost language services to people whose primary language is not English, such as:
Qualified interpreters
Information written in other languages
If you need these services, call our Member Services department at the numbers below. The call is free. Member services is closed on major holidays.
All others: 1-855-937-5768(TTY 711), Monday through Friday, 7:00 a.m. to 8:00 p.m.
Upon request, this document can be made available to you in braille, large print, audio, or electronic formats. To obtain a copy in one of these alternative formats, or another format, call our Member Services department and ask for the format you need.
How to file a grievance with Kaiser Permanente
You can file a discrimination grievance with us if you believe we have failed to provide these services or discriminated against you in another way. You can file a grievance by phone, by mail, or online. You can call Member Services for more information on the options that apply to you, or for help filing a grievance. You may file a discrimination grievance in the following ways:
By phone: Call our Member Services department. Phone numbers are listed above.
Online: Use the online form on our website at kp.org
You may also contact the Kaiser Permanente Civil Rights Coordinator directly at the addresses below:
Attn: Kaiser Permanente Civil Rights Coordinator Member Relations Grievance Operations
10315 Professional Circle
Reno, Nevada 89521
How to file a grievance with the U.S. Department of Health and Human Services Office of Civil Rights
You can file a discrimination complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You can file your complaint in writing, by phone, or online:
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND
HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
In this notice we use the terms "we," "us," and "our" to describe Kaiser Permanente—Nevada Region.
For more details, please refer to section IV of this notice.
I. WHAT IS "PROTECTED HEALTH INFORMATION"?
Your protected health information (PHI) is individually identifiable health information, including demographic information, about your past, present or future physical or mental health or condition, health care services you receive, and past, present or future payment for your health care. Demographic information means information such as your name, social security number, address, and date of birth.
PHI also includes individually identifiable health information concerning race/ethnicity, language, gender identity, sexual orientation, and pronouns, disability status (including function and identity), physical accommodation and auxiliary aids/services data.
PHI may be in oral, written or electronic form. Examples of PHI include your medical record, claims record, enrollment or disenrollment information, and communications between you and your health care provider about your care.
If your PHI is de-identified in accordance with HIPAA standards, it is no longer PHI.
Your individually identifiable health information ceases to be PHI 50 years after your death.
If you are a Kaiser Foundation Health Plan member and also an employee of any Kaiser Permanente company, PHI does not include the health information in your employment records.
II. ABOUT OUR RESPONSIBILITY TO PROTECT YOUR PHI
By law, we must
protect the privacy of your PHI;
tell you about your rights and our legal duties with respect to your PHI;
notify you if there is a breach of your unsecured PHI; and
tell you about our privacy practices and follow our notice currently in effect.
We have put in place administrative safeguards (such as security awareness training and policies and procedures), technical safeguards (such as encryption and passwords), and physical safeguards (such as locked areas and requiring badges) to protect your PHI and, as in the past, we will continue to take reasonable and appropriate steps to safeguard the privacy of your PHI.
We may disclose your PHI to others, as outlined in the subsequent pages, in accordance with the permissions granted by the Health Insurance Portability and Accountability Act (HIPAA) regulations. Any further redisclosure by recipients of your PHI is no longer protected by HIPAA.
III. YOUR RIGHTS REGARDING YOUR PHI
This section tells you about your rights regarding your PHI and describes how you can exercise these rights.
Your right to access and amend copies of your PHI
Subject to certain exceptions, you have the right to view or get a copy of your PHI that we maintain in records relating to your care or decisions about your care or payment for your care. Subject to certain exceptions, requests must be in writing. After we receive your written request, we will let you know when and how you can see or obtain a copy of your record. In certain circumstances, if you agree, we will give you a summary or explanation of your PHI instead of providing copies. We may charge you a reasonable, cost-based fee for the copies, summary or explanation of your PHI. If we do not have the record you asked for but we know who does, we will tell you who to contact to request it. In limited situations, we may deny some or all of your request to see or receive copies of your records, but if we do, we will tell you why in writing and explain your right, if any, to have our denial reviewed.
If you believe there is a mistake in your PHI or that important information is missing, you may request that we correct or add to the record. Requests must be in writing, tell us what corrections or additions you are requesting, and why the corrections or additions should be made. We will respond in writing after receiving your request. If we approve your request, we will make the correction or addition to your PHI. If we deny your request, we will tell you why and explain your right to file a written statement of disagreement.
Submit all written requests for access or amendments to us at Kaiser Foundation Health Plan of Nevada, Release of Information Department, 10315 Professional Circle, Reno, NV 89521.
Your right to choose how we send PHI to you or someone else
You may ask us to send your PHI to you at a different address (for example, your work address) or by different means (for example, fax instead of regular mail).
If your PHI is stored electronically, you may request a copy of the records in an electronic format offered by Kaiser Permanente. You may also make a specific written request to Kaiser Permanente to transmit a copy of your PHI to a designated third party. We may charge a reasonable, cost-based fee.
If the cost of meeting your request involves more than a reasonable additional amount, we are permitted to charge you our costs that exceed that amount.
Your right to an accounting of disclosures of PHI
You may ask us for a list of our disclosures of your PHI. Write to us at Kaiser Foundation Health Plan of Nevada, Release of Information Department, 10315 Professional Circle, Reno, NV 89521. You are entitled to one disclosure accounting in any 12-month period at no charge. If you request any additional accountings less than 12 months later, we may charge a fee.
An accounting does not include certain disclosures, for example, disclosures:
to carry out treatment, payment and health care operations;
for which Kaiser Permanente had a signed authorization;
of your PHI to you;
from a Kaiser Permanente facility directory;
for notifications for disaster relief purposes;
to persons involved in your care and persons acting on your behalf; or
not covered by the right to an accounting.
You have a right to a list of disclosures by an intermediary for records that have been disclosed with a written consent in a substance use disorder (SUD) Program. The list of disclosures is limited to disclosures made within the last 3 years from the date of your request.
Your right to request limits on uses and disclosures of your PHI
You may request that we limit our uses and disclosures of your PHI for treatment, payment, and health care operations purposes. We will review and consider your request, and if we deny your request, we will notify you in writing. You may write to us at Kaiser Foundation Health Plan of Nevada, Release of Information Department, 10315 Professional Circle, Reno, NV 89521, for consideration of your request.
We are not required to agree to your request, except to the extent that you request a restriction on disclosures to a health plan or insurer for payment or health care operations purposes and the items or services have been paid for out of pocket in full. However, we can still disclose the information to a health plan or insurer for the purpose of treating you. If the services are not paid for in full and out of pocket by you or by someone on your behalf, we do not have to agree to your request to restrict uses or disclosures of PHI for health care operations, payment or treatment purposes. For requests to restrict your PHI for payment or health care operations purposes, please request the restriction prior to receiving services at the Kaiser Permanente facility or medical office where you receive your care.
Your right to receive a paper copy of this notice
You also have a right to receive a paper copy of this notice upon request.
IV. KAISER PERMANENTE COMPANIES SUBJECT TO THIS NOTICE
This notice applies to the Kaiser Permanente Nevada Region, which includes:
Kaiser Permanente Medical Group of Nevada
Kaiser Foundation Health Plan of Nevada, including its health plan and provider operations;
Kaiser Insurance Company of Nevada;
Kaiser Foundation Hospitals (KFH); and
Kaiser Foundation Health Plan, Inc. (KFHP, Inc.).
Our health care delivery sites include the Kaiser Permanente medical offices, Kaiser Permanente ambulatory surgery centers, the member call center and our member Web site and mobile applications.
To provide you with the health care you expect, to treat you, to pay for your care, and to conduct our operations, such as quality assurance, accreditation, licensing and compliance, these Kaiser Permanente companies share your PHI with each other.
Our personnel may have access to your PHI either as employees, physicians, volunteers or persons working with us in other capacities. Our region may share your PHI with KFH and KFHP, Inc., in connection with shared services and other national Kaiser Permanente activities for treatment, payment, or health care operations purposes. For example, if you are being considered for a transplant, we will share your PHI with our Kaiser Permanente National Transplant Network.
This Notice of Privacy Practices does not apply to our contracted providers who are not part of Kaiser Permanente's workforce. Please contact those providers directly for information about their privacy practices.
V. HOW WE MAY USE AND DISCLOSE YOUR PHI
Our physicians and employees are required to maintain the privacy of the PHI of our members/patients, and we have policies and procedures and other safeguards to help protect your PHI from improper use and disclosure. Sometimes we are allowed by law to use and disclose certain PHI without your written permission. We briefly describe these uses and disclosures below and give you some examples.
How much PHI is used or disclosed without your written permission will vary depending, for example, on the intended purpose of the use or disclosure. Sometimes we may only need to use or disclose a limited amount of PHI, such as to send you an appointment reminder or to confirm that you are a health plan member. At other times, we may need to use or disclose more PHI such as when we are providing medical treatment.
Treatment: This is the most important use and disclosure of your PHI. For example, our physicians, nurses, and other health care personnel, including trainees, involved in your care use and disclose your PHI to diagnose your condition and evaluate your health care needs. Our personnel will use and disclose your PHI in order to provide and coordinate the care and services you need: for example, prescriptions, X-rays, and lab work. If you need care from health care providers who are not part of Kaiser Permanente, such as community resources to assist with your health care needs at home, we may disclose your PHI to them.
Payment: Your PHI may be needed to determine our responsibility to pay for, or to permit us to bill and collect payment for, treatment and health-related services that you receive. For example, we may have an obligation to pay for health care you receive from an outside provider. When you or the provider sends us the bill for health care services, we use and disclose your PHI to determine how much, if any, of the bill we are responsible for paying.
Health care operations: We may use and disclose your PHI for certain health care operations—for example, quality assessment and improvement, training and evaluation of health care professionals, licensing, accreditation, and determining premiums and other costs of providing health care.
Business associates: We may contract with business associates to perform certain functions or activities on our behalf, such as payment and health care operations. These business associates must agree to safeguard your PHI.
Appointment reminders: We may use your PHI to contact you about appointments for treatment or other health care you may need.
Identity verification: We may photograph you for identification purposes, storing the photo in your medical record. This is for your protection and safety, but you may opt out.
Health Information Exchange: We may share your health information electronically with other organizations through a Health Information Exchange (HIE) network. These other organizations may include hospitals, laboratories, health care providers, public health departments, health plans, and other participants. Kaiser Permanente participates in several HIE networks with other health care providers outside of Kaiser Permanente who also have electronic medical record systems. Sharing information electronically is a faster way to get your health information to the health care providers treating you. For example, if you go to a hospital emergency room that participates in the same HIE network as Kaiser Permanente, the emergency room physicians would be able to access your Kaiser Permanente health information to help make treatment decisions for you. HIE participants like Kaiser Permanente are required to meet rules that protect the privacy and security of your health and personal information.
Participation in HIE is your choice. You can choose to not have your information shared electronically through HIE (“opt out”) at any time, by filling out the “Health Information Exchange Opt-Out” form available here. If you choose to opt out of HIE, this will not affect your access to care at Kaiser Permanente in any way.
If your medical record contains certain information (such as from a substance use disorder program) that requires your consent under state or federal law before information is shared, then Kaiser Permanente will not release that information to your other treating providers through HIE until you provide authorization. To check if your authorization is required before Kaiser Permanente can release your records through HIE and to provide authorization, click here.
Specific types of PHI: There may be stricter requirements for use and disclosure of some types of PHI, for example, information about drug and alcohol abuse, AIDS and HIV, mental health, genetic testing, and artificial insemination. However, there are still circumstances in which these types of information may be used or disclosed without your authorization. If you become a patient in our substance use disorder (SUD) program, we will give you a separate written notice, as required by law, about your privacy rights for your SUD program
SUD Program Records: For the use and disclosure of your substance use disorder (SUD) records generated from a SUD Program, you may provide a single consent for all future uses or disclosures for treatment, payment, and health care operations purposes as described in this notice. When the single consent is provided, we may use and disclose those records for treatment, payment, and health care operations as permitted by the HIPAA regulations, unless you revoke your consent in writing.
Underwriting: We may use and disclose your PHI, to the extent permitted under applicable law, for underwriting purposes, including the determination of benefit eligibility and costs of coverage and to perform other activities related to issuing a benefit policy. However, we exclude from review or disclosure for underwriting purposes, genetic information, race/ethnicity, language, gender identity, sexual orientation, and pronoun data. Your genetic information includes information about your genetic tests, your family members’ genetic tests, and requests for or receipt of genetic services by you or any family members.
Communications with family and others when you are present: Sometimes a family member or other person involved in your care will be present when we are discussing your PHI with you. If you object, please tell us and we won't discuss your PHI or we will ask the person to leave.
Communications with family and others when you are not present: There may be times when it is necessary to disclose your PHI to a family member or other person involved in your care because there is an emergency, you are not present, or you lack the decision making capacity to agree or object. In those instances, we will use our professional judgment to determine if it's in your best interest to disclose your PHI. If so, we will limit the disclosure to the PHI that is directly relevant to the person's involvement with your health care. For example, we may allow someone to pick up a prescription for you.
Disclosure in case of disaster relief: We may disclose your name, city of residence, age, gender, and general condition to a public or private disaster relief organization to assist disaster relief efforts, unless you object at the time.
Disclosures to parents as personal representatives of minors: In most cases, we may disclose your minor child's PHI to you. In some situations, however, we are permitted or even required by law to deny your access to your minor child's PHI - for example, information about drug use or addiction, certain mental health services, and sexually transmitted infection.
Facility Directories: When you are a patient in the Kaiser Ambulatory Surgery Center, we may create a directory that includes your name, room location and your general condition. This information may be disclosed to a person who asks for you by name. In addition, we may provide your religious affiliation, if any, to clergy. You may object to the use and disclosure of some or all of this information. If you do, we will not disclose it to visitors and other members of the public.
Research: Kaiser Permanente engages in extensive and important research. Some of our research may involve medical procedures and some is limited to collection and analysis of health data. Research of all kinds may involve the use or disclosure of your PHI. Your PHI can generally be used or disclosed for research without your permission if an Institutional Review Board (IRB) approves such use or disclosure. An IRB is a committee that is responsible, under federal law, for reviewing and approving human subjects research to protect the safety of the participants and the confidentiality of PHI.
Organ donation: We may use or disclose PHI to organ-procurement organizations to assist with organ, eye, or other tissue donations.
Public health activities: Public health activities cover many functions performed or authorized by government agencies to promote and protect the public's health and may require us to disclose your PHI.
For example, we may disclose your PHI as part of our obligation to report to public health authorities certain diseases, injuries, conditions, and vital events such as births. Sometimes we may disclose your PHI to someone you may have exposed to a communicable disease or who may otherwise be at risk of getting or spreading the disease.
The Food and Drug Administration (FDA) is responsible for tracking and monitoring certain medical products, such as pacemakers and hip replacements, to identify product problems and failures and injuries they may have caused. If you have received one of these products, we may use and disclose your PHI to the FDA or other authorized persons or organizations, such as the maker of the product.
We may use and disclose your PHI as necessary to comply with federal and state laws that govern workplace safety.
Health oversight: As health care providers and health plans, we are subject to oversight conducted by federal and state agencies. These agencies may conduct audits of our operations and activities and in that process, they may review your PHI.
Disclosures to your employer or your employee organization: If you are enrolled in a health plan provided or administered by us through your employer or employee organization, we may share certain PHI with them without your authorization, but only when allowed by law. For example, we may disclose your PHI for a workers' compensation claim or to determine whether you are enrolled in the plan or whether premiums have been paid on your behalf. For other purposes, such as for inquiries by your employer or employee organization on your behalf, we will obtain your authorization when necessary under applicable law.
Workers' compensation: We may use and disclose your PHI in order to comply with workers’ compensation laws. For example, we may communicate your medical information regarding a work-related injury or illness to claims administrators, insurance carriers, and others responsible for evaluating your claim for workers' compensation benefits.
Military activity and national security: We may sometimes use or disclose the PHI of armed forces personnel to the applicable military authorities when they believe it is necessary to properly carry out military missions. We may also disclose your PHI to authorized federal officials as necessary for national security and intelligence activities or for protection of the president and other government officials and dignitaries.
Fundraising: We may use or disclose your demographic information and other limited PHI such as dates and where health care was provided, to certain organizations for the purpose of contacting you to raise funds for our organization. If we contact you for fundraising purposes, we will provide you with a clear opportunity to elect not to receive any further fundraising communications.
Required by law: In some circumstances federal or state law requires that we disclose your PHI to others. For example, the secretary of the Department of Health and Human Services may review our compliance efforts, which may include seeing your PHI.
Lawsuits and other legal disputes: We may use and disclose PHI in responding to a court or administrative order, a subpoena, or a discovery request. We may also use and disclose PHI to the extent permitted by law without your authorization, for example, to defend a lawsuit or arbitration.
Law enforcement: We may disclose PHI to authorized officials for law enforcement purposes, for example, to respond to a search warrant, report a crime on our premises, or help identify or locate someone.
Serious threat to health or safety: We may use and disclose your PHI if we believe it is necessary to avoid a serious threat to your health or safety or to someone else's.
Abuse or neglect: By law, we may disclose PHI to the appropriate authority to report suspected child abuse or neglect or to identify suspected victims of abuse, neglect, or domestic violence.
Coroners and funeral directors: We may disclose PHI to a coroner or medical examiner to permit identification of a body, determine cause of death, or for other official duties. We may also disclose PHI to funeral directors.
Inmates: Under the federal law that requires us to give you this notice, inmates do not have the same rights to control their PHI as other individuals. If you are an inmate of a correctional institution or in the custody of a law enforcement official, we may disclose your PHI to the correctional institution or the law enforcement official for certain purposes, for example, to protect your health or safety or someone else's.
De-Identification: We or a business associate with whom we have contracted may use PHI to de-identify it in accordance with HIPAA standards and may further disclose the de-identified data to third parties in connection with KP’s operations.
VI. ALL OTHER USES AND DISCLOSURES OF YOUR PHI REQUIRE YOUR PRIOR WRITTEN AUTHORIZATION
Except for those uses and disclosures described above, we will not use or disclose your PHI without your written authorization. Some instances in which we may request your authorization for use or disclosure of PHI are:
Marketing: We may ask for your authorization in order to provide information about products and services that you may be interested in purchasing or using. Note that marketing communications do not include our contacting you with information about treatment alternatives, prescription drugs you are taking or health-related products or services that we offer or that are available only to our health plan enrollees. Marketing also does not include any face-to-face discussions you may have with your providers about products or services.
Sale of PHI: We may only sell your PHI if we received your prior written authorization to do so.
Psychotherapy Notes: On rare occasions, we may ask for your authorization to use and disclose “psychotherapy notes”. Federal privacy law defines “psychotherapy notes” very specifically to mean notes made by a mental health professional recording conversations during private or group counseling sessions that are maintained separately from the rest of your medical record. Generally, we do not maintain psychotherapy notes, as defined by federal privacy law.
Substance Use Disorder (SUD) Counseling Notes: On rare occasions, we may ask for your written consent to use and disclose “SUD counseling notes”. Federal privacy law defines “SUD counseling notes” very specifically to mean notes recorded (in any medium) by a SUD program provider who is a SUD or mental health professional documenting or analyzing the contents of conversation during a private SUD counseling session or a group, joint, or family SUD counseling session and that are separated from the rest of the patient's SUD and medical record. Generally, we do not maintain SUD counseling notes, as defined by federal privacy law.
Substance Use Disorder (SUD) Records: o Your SUD records, or testimony relaying the content of your SUD records, will not be used or disclosed in any civil, administrative, criminal, or legislative proceedings against you unless we have your specific written consent or a court order.
Your SUD records will only be used or disclosed based on a court order after notice and an opportunity to be heard is provided to you or the holder of the record.
A court order authorizing use or disclosure must be accompanied by a subpoena or other similar legal mandate compelling disclosure before your SUD record is used or disclosed.
When your authorization is required and you authorize us to use or disclose your PHI for some purpose, you may revoke that authorization by notifying us in writing at any time. Please note that the revocation will not apply to any authorized use or disclosure of your PHI that took place before we received your revocation. Also, if you gave your authorization to secure a policy of insurance, including health care coverage from us, you may not be permitted to revoke it until the insurer can no longer contest the policy issued to you or a claim under the policy.
VII. HOW TO CONTACT US ABOUT THIS NOTICE OR TO COMPLAIN ABOUT OUR PRIVACY PRACTICES
If you have any questions about this notice, want to request a copy of the notice, or want to lodge a complaint about our privacy practices, please let us know by calling Member Services (Customer Service) at 775-982-3232 or 800-336-0123 (800-833-5833 TTY).
You may write to the Member Services Department at:
Kaiser Foundation Health Plan of Nevada
Member Services Department
10315 Professional Circle
Reno, NV 89521
You also may notify the Secretary of the Department of Health and Human Services (HHS) to lodge a complaint about our privacy practices. We will not take retaliatory action against you if you file a complaint about our privacy practices.
VIII. CHANGES TO THIS NOTICE
We may change this notice and our privacy practices at any time, as long as the change is consistent with state and federal law. Any revised notice will apply both to the PHI we already have about you at the time of the change, and any PHI created or received after the change takes effect. If we make an important change to our privacy practices, we will promptly change this notice and make the new notice available on our Web site at www.kp.org/privacy . We will also publish any changes to the notice in our member publication. Except for changes required by law, we will not implement an important change to our privacy practices before we revise this notice.
IX. EFFECTIVE DATE OF THIS NOTICE
This notice is effective on June 1, 2026.
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Kaiser Permanente small business plan documents are coming soon
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Information on evidence of coverage (EOC) plan documents from Kaiser Permanente Nevada is coming soon. Check back early 2027 for the latest updates.
Kaiser Permanente provides a Medication Therapy Management (MTM) program for eligible members who have several chronic medical conditions, take different prescription drugs at the same time, and have high drug costs.
The program connects you to specially trained pharmacists who make sure all the medicines you take are necessary, safe, and effective.
The MTM program isn’t a benefit. It’s a voluntary, extra service offered at no cost to members who qualify.
Am I eligible for the MTM program?
To be eligible, you must be a current Kaiser Permanente member with a Medicare health plan that includes Medicare Part D coverage.
You must also be able to say yes to the following 3 factors.
You have 3 or more of these health conditions:
• Alzheimer’s disease
• Bone disease-arthritis (including osteoporosis, osteoarthritis, and rheumatoid arthritis);
• Chronic congestive heart failure (CHF)
• Diabetes
• Dyslipidemia
• End-stage renal disease (ESRD)
• Human immunodeficiency virus /acquired immunodeficiency syndrome (HIV/AIDS)
• Hypertension
• Mental health (including depression, schizophrenia, bipolar disorder, and chronic/disabling mental health conditions)
• Respiratory disease (including asthma, chronic obstructive pulmonary disease (COPD), and chronic lung disorders)
Use or take 8 or more Medicare Part D covered maintenance drugs.
You spend more than $1340 each year on prescription drugs in the previous 12 months or incurred one-fourth of $1340 in the previous 3 months.
You are also eligible if you are currently enrolled in a drug management program regardless of whether you meet any of the three factors listed above.
How do I enroll in the MTM program?
If you qualify, you’ll be automatically enrolled in the MTM program. A member of the MTM team will either call you or send you a letter asking you to set up an appointment for a comprehensive review of all your medicines.
Most reviews are done by phone and take 15 to 20 minutes. In some cases, you may also need to do a targeted medication review that lasts 10 to 15 minutes.
We’ll talk about your prescription medicines and any over-the-counter, herbal, or dietary supplements you take. We’ll look for ways to reduce side effects, prevent harmful drug interactions, and lower drug costs.
You’ll receive a written summary of the review that includes an action plan based on your needs to help you get the most out of your medicines.
The comprehensive formulary is a list of Part D drugs covered by our plan. The drugs are chosen by a team of Kaiser Permanente doctors and pharmacists. It also includes drugs required by Medicare.
Our plan usually covers all drugs listed in the formulary if:
Your benefit plan includes Part D prescription drug coverage.
The drug is medically necessary.
Your prescription is written by a Kaiser Permanente or affiliated doctor.
Your prescription is filled at a Kaiser Permanente or affiliated pharmacy.
Other plan rules are followed.
We cover both brand-name drugs and generic drugs.
How do I download or print the formulary?
Click on one of the links below to see our formulary. You can save the document on your computer and print the pages you choose.
There are 2 ways to find your drug in the formulary:
By category: Drugs are grouped by medical condition. For instance, drugs used to treat a heart condition are listed under the category “Cardiovascular drugs.”
By alphabetical listing: Drugs are listed in alphabetical order in the “Index of drugs” section of the formulary.
What will I pay for prescriptions?
What you’ll pay for prescriptions depends on:
Your coverage
Whether you go to a Kaiser Permanente or affiliated pharmacy, or a non-affiliated pharmacy (out-of-network)
Your drug’s cost-sharing tier on our formulary. (Note: This may not apply to all plans.)
Please refer to your Evidence of Coverage for details about your Medicare Part D coverage, including your cost-sharing amounts.
If you have an employer-sponsored group plan, your Part D benefits and coverage may be different. Check your group Evidence of Coverage or other plan materials for details.
What if there are changes to the formulary?
While most changes in drug coverage happen at the beginning of the year, there are some changes that may happen during the year. For example, we may:
Require step therapy (updated 10/01/26) (PDF), first trying certain drugs to treat your medical condition before we cover another drug for that same condition
Move a drug to a lower or higher cost-sharing tier (Note: This may not apply to all plans.)
Usually, these types of changes won’t affect you until January 1 of the next year but in some cases, you may be affected by a change before January 1. If that happens, we’ll either tell you 30 days before the change, or give you a 30-day supply when you ask for a refill at a Kaiser Permanente or affiliated pharmacy.
If the FDA decides a drug on our formulary isn’t safe, or if the drug’s manufacturer removes the drug from the market, we’ll immediately remove the drug from our formulary and notify members who take the drug.
For current information about drugs covered by Kaiser Permanente, call Member Services at 1-888-775-7003 (TTY 711), 8 am. to 8 p.m., 7 days a week.
The formularies on this page are updated regularly and will reflect any changes that happen during the year.
We’ll also let you know about these changes in your Explanation of Benefits or Provision of Notice.
What if the drug I want isn’t on the formulary or has restrictions?
If your drug isn’t on the formulary or there are restrictions, you can:
Ask your Kaiser Permanente or affiliated doctor to prescribe a similar drug on our formulary
Ask us to waive restrictions, such as prior authorization
Ask us to make an exception and cover your drug
Ask us to cover certain Part D formulary drugs at a lower cost-sharing level — as long as they aren’t in the specialty tier (Tier 5) (Note: This may not apply to all plans.)
In certain situations, you may be able to get a temporary supply of the drug. This will give you and your doctor time to change to another drug, or file for an exception. Please refer to your Evidence of Coverage for details.
How do I request an exception to the formulary?
If you or your doctor asks for an exception, you may give us a doctor’s statement supporting your request. Generally, we must make our decision within 72 hours of getting your request for a coverage decision if we have your doctor’s statement.
If waiting up to 72 hours could be harmful to your health, either you, your Kaiser Permanente doctor, or affiliated doctor can ask for an expedited (fast) exception. If the fast request is approved, we’ll make a decision within 24 hours of receiving your doctor’s supporting statement.
If you can’t get a supporting statement from your doctor, you may ask for a coverage determination, which is a decision we make about whether we’ll cover a Medicare Part D drug and the amount you’ll need to pay.
Please keep in mind:
Exceptions are only approved when alternative drugs on our formulary, lower-tiered drugs, or adding usage restrictions wouldn’t be effective or would be harmful.
You can only request an exception for drugs considered to be Medicare Part D prescription drugs by the Centers for Medicare & Medicaid Services (CMS).
You can’t get an exception for drugs that are excluded under Medicare Part D.
Please see your Evidence of Coverage for more information about exceptions or coverage determinations, including the appeals process. You can also go to the Grievances, coverage determinations, and appeals section below, which includes information on grievances, coverage determinations, and appeals.
What if I have a hospital stay or live in a long-term care or skilled nursing facility?
If you’re admitted to a hospital or a skilled nursing facility for a stay covered by our plan, we’ll generally cover the cost of your prescription drugs during your stay. Once you leave the hospital or skilled nursing facility, we’ll cover your drugs if they meet all our rules for coverage.
If you live in a long-term care facility, such as a nursing home, you may get your prescription drugs from the facility’s pharmacy if it’s an affiliated pharmacy.
To find out if a pharmacy is affiliated with Kaiser Permanente, check the pharmacy directory located under the Kaiser Permanente and affiliated pharmacies section. You can also call Member Services at 1-888-775-7003 (TTY 711), 8 am. to 8 p.m., 7 days a week.
The Medicare prescription payment plan is a payment option to help you manage your out-of-pocket Part D drug costs. This payment option works with your current drug coverage, and it can help you manage your drug costs by spreading them across monthly payments that vary through the year (January – December). This payment option might help you manage your expenses, but doesn’t save you money or lower your drug costs.
“Extra Help” from Medicare and help from your SPAP and ADAP, for those who qualify, is more advantageous than participation in the Medicare Prescription Payment Plan. All members are eligible to voluntarily participate in this payment option, regardless of income level, and all Medicare drug plans and Medicare health plans with drug coverage must offer this payment option. There is no additional charge to participate.
To learn more about how this program works, whether it may benefit you, how monthly payments may be calculated, and other helpful resources, download the Medicare Prescription Payment Plan Fact Sheet (PDF).
To participate in the Medicare Prescription Payment Plan with an effective start date of January 1, 2027, you can choose one of the following options:
Kaiser Permanente has quality assurance measures that are meant to prevent medication errors, harmful drug interactions, and to improve medication use.
Our pharmacy policies and procedures meet state and federal laws and include:
Drug utilization reviews that are performed before each new prescription is given to check for issues like interactions with other drugs or allergies
Computerized systems that check records to spot drug therapy problems
Systems to spot and reduce medication errors
If you have a complaint about your Kaiser Permanente care:
You can file a grievance with Kaiser Permanente. For more information on how to file please see your Evidence of Coverage. Or call Member Services at 1-888-775-7003 (TTY 711), 8 a.m. to 8 p.m., 7 days a week a week.
You can file a complaint with the Quality Improvement Organization (QIO). The QIO review of a quality-of-care issue is separate from Kaiser Permanente’s Medicare Part D grievance procedures, so you can file with both.
You can file a complaint with the local QIO by writing to:
Commence Health
BFCC-QIO Program
PO Box 2687
Virginia Beach, VA 23450
Kaiser Permanente has requirements, restrictions, or limits on some covered prescription drugs. These are established by a team of doctors and pharmacists to prevent waste, manage member costs, ensure safe and effective drug use, and to comply with FDA and Medicare guidelines. For example, there are limits on opioid prescriptions, such as lower doses and shorter courses, to ensure your prescribed drug is safe, appropriate, and medically necessary.
You may need to get preapproval (prior authorization) from us before you fill certain prescriptions. If you don’t get preapproval, we may not cover the drug.
Drugs needing our approval (updated 10/01/26) (PDF) could be covered under Medicare Part B or Part D, depending on your medical diagnosis. More details from your prescriber might be required to make that decision.
For more information, please see the Kaiser Permanente comprehensive formulary.
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Let us know right away if you have questions, concerns, or problems related to your covered services or care by calling Member Services at 1-888-775-7003 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
A representative will help determine whether your concern should be handled as a grievance, coverage determination, or an appeal. Here’s the difference:
A grievance is a type of complaint you make about us, including a complaint about the quality of your care. It doesn’t involve coverage or payment disagreements.
A coverage determination is a decision about whether a drug prescribed for you will be covered by us and the amount you’ll need to pay for it, or reimbursement if you feel you’ve paid too much.
An appeal can be made if you disagree with our decision to deny a request about your Part D drugs.
A Member Services representative can help you file a grievance, coverage determination, and/or appeal. You can also refer to your Evidence of Coverage for more information about the process.
How do I ask for a coverage determination?
You, your appointed representative, your Kaiser Permanente or affiliated doctor, or another prescriber can request a coverage determination.
If you appoint a representative to act on your behalf, you both must sign and date a Disclosure Authorization form along with your Medicare Authorized Representative statement, which gives that person legal permission to act as your appointed representative.
Call OptumRx Member Services Prior Authorization Dept. at 1-888-543-1518 or (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
You can ask for a coverage determination in the following ways:
Call KP Pharmacy Drug Benefit Help Desk at 1 (888) 775 7003 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
Fax the completed form or information to KP Pharmacy Drug Benefit Help Desk at 1-(775) 982 3112
Mail the completed form or information to Kaiser Foundation Health Plan of Nevada, Inc.
10315 Professional Circle
Reno, NV 89521
How do I appoint a representative?
You can appoint a representative to help you. Your representative can be a family member, friend, advocate, attorney, doctor, or someone else who will act on your behalf. Fill out an Appointment of Representative form (updated 10/01/26) (PDF) and send it in with your appeal.
How long will it take for a decision?
A standard decision will be made within 72 hours. For exception requests, the time frame begins when your doctor or other prescriber provides a supporting statement.
An expedited (fast) decision will be made within 24 hours. For exception requests, the time frame begins when your doctor or other prescriber provides a supporting statement.
What if my request for an expedited decision isn’t approved?
An expedited decision will only be allowed if your doctor confirms that waiting 72 hours could seriously harm your health.
If your request for an expedited decision isn’t approved, we’ll make our decision in the standard 72-hour time frame.
If we deny your expedited review by phone and you disagree with our decision, you can ask for a 24-hour expedited grievance at that time. Otherwise, we’ll send a letter within 3 calendar days explaining how to file the expedited grievance. It’ll also explain that we’ll automatically give you an expedited decision if you get the prescribing Kaiser Permanente or affiliated doctor’s support for an expedited review.
If you believe you were incorrectly charged through our coverage determination process, you may submit a reimbursement request. Once we receive it, we’ll respond within 14 calendar days. If approved, payment will be made within 14 calendar days.
To ask questions or to check on the status of a request, call Member Services at 1-888-775-7003 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
How do I file an appeal to a coverage determination?
If you disagree with our coverage determination, you have the right to file an appeal called a plan redetermination. You must ask for it within 60 days from the date of our denial notice, unless you can show good cause for the delay.
You can file your request for a plan redetermination in writing by mailing it to the address on your denial notice. An expedited request may also be filed in writing, or by contacting us by telephone or fax at the numbers provided in your coverage determination denial letter.
Mail: Kaiser Foundation Health Plan of Nevada, Inc.
10315 Professional Circle
Reno, NV 89521
You also have the right to give us new information supporting your appeal in writing, by telephone, by fax, or by hand-delivering it to your local Member Services department.
How long does a decision on an appeal take?
A standard pre-service appeal (or redetermination) decision will be made within 7 days from the day the appeal request is received, and a post-service appeal (or member reimbursement) decision will be made within 14 days from the day the appeal request is received. If we decide in your favor, payments will be made no later than 30 days from the day the request is received.
If waiting for a standard pre-service appeal decision could seriously harm your health or compromise your ability to regain maximum function, you or your prescribing Kaiser Permanente or affiliated doctor may request an expedited appeal for a decision within 72 hours. This process doesn’t apply to denied claims for payment.
Who do I contact if I have questions?
If you have questions or concerns about services or your care, problems with a particular Medicare Part D drug, or need help getting a representative to handle your coverage determination or appeal, you may submit a complaint online or call Member Services at 1-888-775-7003 or (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
For additional assistance, you can also visit the Member Services department at your local Kaiser Permanente facility.
How do I find out about grievances, appeals, and exceptions filed by other plan members?
You can get a summary of the appeals and grievances other plan members have filed with Kaiser Permanente by calling Member Services.
How do I report suspected fraud or other unlawful acts?
We encourage anyone to let us know if anything happens at Kaiser Permanente that could be unlawful. If we know about it, we can take action.
If you believe you’ve experienced fraud, or you become aware of fraud, waste, or abuse involving Kaiser Permanente members or resources, please contact Member Services at 1-888-775-7003 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
You can also contact Medicare for fraud-related questions and concerns at:
If you leave Kaiser Permanente Medicare Advantage, you have other prescription drug coverage options:
Medicare Prescription Drug Plan (PDP) This plan adds prescription drug benefits to your Original Medicare coverage. To enroll, you must be entitled to Medicare benefits under Part A and/or currently enrolled in Part B and live in the plan’s service area.
Medicare Advantage Prescription Drug Plan (MA-PD) You can join another Medicare Advantage Plan if it’s available in your area, is accepting new members, and you meet the plan’s eligibility requirements.
If you choose to join another Medicare Advantage plan that offers prescription drug coverage, then you must get your Medicare prescription drug coverage through that Medicare Advantage plan.
For more information about disenrolling from our plan, please review chapter 10 in your Evidence of Coverage.
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Click on one of the links below to see your Evidence of Coverage, which you can then save to your computer.
Attention members with TRICARE and Part D drug coverage: Payments for Part D drugs made on your behalf by TRICARE do not count toward your out-of-pocket costs.
We have interpreters for more than a dozen languages, available at no cost. Learn more about our multi-language interpreter services that are just a toll-free phone call away.
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For general information about Kaiser Permanente: Please call Member Services at 1-888-775-7003 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.
Or you can mail a letter to:
Kaiser Foundation Health Plan of the Nevada, Inc.
10315 Professional Circle
Reno, NV 89521
If you have questions about your medicines: Please talk to your Kaiser Permanente or affiliated doctor, or to someone in your Kaiser Permanente or affiliated pharmacy.
For more information about Medicare prescription drug coverage: Call 1-800-MEDICARE (1-800-633-4227) or (TTY 1-877-486-2048), 24 hours a day, 7 days a week. Or visit the Medicare website.
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In most cases, you must get your prescription filled at a Kaiser Permanente pharmacy or at one of the affiliated pharmacies we have a contract with to receive your prescription drug benefit.
How do I find a Kaiser Permanente or affiliated pharmacy near me?
You can find a Kaiser Permanente or affiliated pharmacy in these 3 ways:
If you don’t have your ID card with you, or if you go to a non-affiliated pharmacy (out-of-network), you may have to pay full price for your medicines.
If this happens, ask us to pay you back for our share of the cost by submitting a claim form. Learn how to submit a claim in your Evidence of Coverage.
What if I use a pharmacy that isn’t a Kaiser Permanente or affiliated pharmacy?
This would be considered a non-affiliated or out-of-network pharmacy. Prescriptions filled at an out-of-network pharmacy will only be covered when a Kaiser Permanente or affiliated pharmacy isn’t available or certain situations.
Here are the situations when prescriptions at an out-of-network pharmacy would be covered:
You need the drug right away and there’s no 24-hour Kaiser Permanente or affiliated pharmacy within a reasonable driving distance.
You’re traveling within or outside the United States and need out-of-network emergency or urgent care.
Your drug isn’t regularly stocked at an accessible Kaiser Permanente or affiliated pharmacy or isn’t available through our mail-order service.
You can’t get drugs from a Kaiser Permanente or affiliated pharmacy during a disaster.
In these situations, you’ll have to pay the full cost when you fill the prescription. You’d then file a claim asking us to pay you back for our share.
To learn more about out-of-network pharmacy coverage and find out how to file a paper claim, see your Evidence of Coverage.
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Save time by ordering your prescription refills through one of the following ways:
Order online under the Pharmacy section at kp.org. You’ll need to sign on to your registered account. If you don’t have an account yet, register for a secure account to use the service.
Order through the Kaiser Permanente mobile app. Download the app by searching for Kaiser Permanente on the Apple Store or the Google App Store.
Call the phone number on the label of your medicine.
Call our mail order pharmacy at 1-855-705-3200 (TTY 711), Monday through Friday, 8:00 a.m. to 6:00 p.m.
When you order refills by mail, there’s no charge for shipping and your costs could be lower when you order a 3-month supply. Ask your Kaiser Permanente pharmacy, affiliated pharmacy, or our mail-order pharmacy if your prescription is available by mail.
Contact us at least 5 days before you run out of your medicines to make sure your next mail-order refill is shipped to you in time. Generally, you should receive them within 3-5 days.
If you can’t wait for your prescription to arrive from our mail-order pharmacy, you can get an urgent supply by calling your local Kaiser Permanente or affiliated pharmacy listed in your pharmacy directory located under the Kaiser Permanente and affiliated pharmacies section.
Find more information about our mail-order service* in your Evidence of Coverage.
*For certain drugs, you can get prescription refills mailed to you through our Kaiser Permanente mail-order pharmacy. Usually, you should receive them within 5 days. If not, please call 1-855-705-3200 (TTY 711).
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Kaiser Permanente KP Medicare Liberty, Medicare Value, and Medicare Value CC (HMO), and KP Medicare Duals (HMO D-SNP)
This assessment tool isn’t currently available to Kaiser Permanente of Nevada members. Learn about mental health services, including depression resources, available at Renown Health.
An organization determination is a coverage decision that involves your medical care or asks us to reimburse you or pay a bill. To ask for a coverage decision on health care you want but haven’t received or to pay a bill, you can call, write, or fax Member Services.
If you need a quick answer about care or services because waiting too long could be a health risk, ask for a fast coverage decision. You, your doctor, or your representative can ask for this, and we’ll respond within 72 hours. Otherwise, we’ll respond to requests within 7 calendar days when the medical item or service is subject to our prior authorization rules, 14 calendar days for all other medical items and services, and requests for payment within 30 calendar days.
If we turn down your request, you can make an appeal. (See "Making an appeal" below.) For more details, refer to chapter 9 in your Evidence of Coverage.
Making an appeal
If we turn down your request, you’ll get written notice of our decision. You can ask us to reconsider by making a Level 1 Appeal within 65 days of the date on that notice.
For a standard appeal, write to Member Services. If you need a quick response for health reasons, you must ask for a fast appeal (also called an expedited reconsideration or redetermination) by writing or calling Member Services. You, your doctor, or your representative can do this. If a representative is appealing our decision for you, the appeal must include an Appointment of Representative (updated 10/01/26) (PDF) form authorizing this person to represent you.
In general, we’ll respond to fast appeal requests within 72 hours, standard appeals for care you haven’t received within 30 days, and standard appeals about payment within 60 days. Notification will be provided if additional time is needed.
If we say no to all or part of your appeal, your appeal will automatically go to a Level 2 appeal conducted by an independent review organization not connected to us, who will carefully review it and explain their decision to you in writing.
For more details, refer to chapter 9 in your Evidence of Coverage.
How do I appoint a representative?
You can appoint a representative to help you. Your representative can be a family member, friend, advocate, attorney, doctor, or someone else who will act on your behalf. Fill out an Appointment of Representative form (updated 10/01/26) (PDF) and send it in with your appeal.
Filing a grievance
If you’re unhappy with your care or services or with our processes, you can make a complaint. This is known as filing a grievance. Contact Member Services within 60 days of the incident, by phone or in writing.
We’ll look into your complaint and respond within 30 days. For more details, refer to chapter 9 in your Evidence of Coverage.
You can look at appeals and grievances other plan members have filed with Kaiser Permanente. To get this information, please contact Member Services.
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The Annual Notice of Changes (ANOC) describes any changes to coverage, costs, or service area from the previous year, effective January 1. You can download a copy below.
Our Evidence of Coverage (EOC) documents include detailed benefit information and how to get coverage. You can download a copy below.
We encourage you to read this information and hold onto it because it explains your benefits and rights. If you have questions or would like to request a hard copy, please call Member Services at 1-888-775-7003 (toll free) or TTY 711 from 8 a.m. to 8 p.m., 7 days a week.
Throughout the year, the Centers for Medicare & Medicaid Services sends out updates about additional covered services or changes to existing covered services. These notifications are called National Coverage Determinations (NCDs).
If you would like help understanding these documents, call Member Services at 1-888-775-7003 (toll-free) or TTY 711from 8 a.m. to 8 p.m., 7 days a week.
Kaiser Foundation Health Plan of the Nevada, Inc.
10315 Professional Circle
Reno, NV 89521
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See how our plans are rated by Centers of Medicare & Medicaid Services.
We make it easy to find a doctor or pharmacy to meet your needs. All of our available doctors welcome Kaiser Permanente Medicare health plan members and you can change to another available Kaiser Permanente doctor at any time, for any reason. You can download a provider directory below.
We operate our own pharmacies and contract with affiliated pharmacies that meet or exceed Medicare requirements for pharmacy access. You can download a pharmacy directory below.
Kaiser Permanente Medicare Value (HMO), Kaiser Permanente Medicare Value CC (HMO)
Kaiser Permanente Medicare Liberty (HMO) and Kaiser Permanente Medicare Duals (HMO D-SNP)
Make the most of your coverage by learning more about your plan.
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Information on nutrition services from Kaiser Permanente Nevada is coming soon
There are two ways you can become a caregiver for your child or teen (that is, your dependent under 18 years of age) if you don’t have active health coverage through Kaiser Permanente:
If your dependent already has a caregiver, you can ask that caregiver to add you as a caregiver:
Start by signing in to kp.org, click on the menu option, and select Act For A family Member under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under Add a person to your family list, select Add a person and follow the instructions.
You’ll get instructions on how one of your dependent's adult family members can add you (or renew your permissions) as a caregiver.
To request caregiver access in person
Go to a Kaiser Permanente medical facility, where the staff can help you. Be sure to bring:
Your photo ID
Your child’s Kaiser Permanente Medical Record number
Legal documents to support your relationship with the dependent if you are not the child’s biological parent
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NEV qandaFragment affmBecomeCaregiverNoKpCoverage
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Can I get a new security code for becoming a caregiver of my child or teen?
Sign in to kp.org and click on the menu option, and select Act For A Family Member under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under People I care for, find your child's name and select Request new code.
We'll mail a new code to your child's home address.
To request caregiver access in person
Go to a Kaiser Permanente medical facility, where the Member Services staff can help you. Be sure to bring:
Your photo ID
Your child’s Kaiser Permanente Medical Record number
Legal documents to support your relationship with the dependent if you are not the child’s biological parent
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How do I get permission to use kp.org on behalf of another adult?
The adult member will need to give Kaiser Permanente legal permission to add you as their caregiver.
Sign in to kp.org and click on the menu option, and select Act For A Family Member under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under Add a person to your family list, select Add a person and then select the option An Adult I care for and follow the instructions. When you do so, you'll see a set of instructions for the adult member.
Give the adult member those instructions, along with your full name, date of birth, and kp.org user ID so they can add you to their family list. (Do not give them your kp.org password.)
After the adult member has added you as their caregiver, you can then see their name listed under People I care for.
You now have legal permission to view medical records and use certain kp.org features on behalf of the adult member.
To request caregiver access in person
Go to a Kaiser Permanente medical facility with the adult member you’re caring for, where the Member Services staff can add you as their caregiver. The adult you’re caring for will need to bring their:
Photo ID
Kaiser Permanente ID card (for their Medical Record number)
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How do I get permission to use kp.org on behalf of my child or teen?
To use kp.org on behalf of your child or teen (that is, dependents under 18 years of age)
Start by signing in to kp.org and click on the menu option, and select Act For A Family Member under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
You’ll need your dependent’s full name, date of birth, and Medical Record number.
Under Add a person to your family list, select Add a person and follow the instructions.
If you live separately from your child or teen:
We’ll need to verify your identity.
We’ll mail a security code to your dependent’s home address, along with instructions on what your dependent needs to do next.
When your dependent has given you the security code, go to Act for a Family Member and enter the code, and then you’ll be granted the permission you need.
To set up your caregiver permission in person
Go to a Kaiser Permanente medical facility, where the Member Services staff can help you. Be sure to bring:
Your photo ID
Your child’s Kaiser Permanente Medical Record number
Legal documents to support your relationship with the dependent if you are not the child’s biological parent
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How do I give permission to a caregiver to use kp.org on my behalf?
To give a caregiver permission to use kp.org on your behalf
You’ll need your caregiver’s full name, date of birth, and kp.org user ID. (You do not need their kp.org password or medical record number.)
Sign in to kp.org and click on the menu option, and select Act For A Family Member under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under Add a person to your family list, select Add a person, and then select the option A caregiver for myself and follow the instructions.
NOTE: When you add your caregiver, be sure to review the medical records you’ll be sharing with them so you know what personal health information won’t be private anymore.
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NEV qandaFragment affmGetPermissionCaregiver
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How do I remove myself as someone else’s caregiver?
Sign in to kp.org and click on the menu option, and select Act For A Family Member under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under People who care for me, find the name of the family member you’d like to remove.
Beneath their name, select View details.
On that family member’s profile page, select Remove this caregiver.
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I’m a caregiver for someone and my permission is expiring. How do I renew my permission?
Teaser
NOTE: These instructions assume the caregiver has already registered for their own account on kp.org. Start by signing in to kp.org, click on the menu option, and select “Act For A family Member” under Information Sharing from the Menu list.
To renew your caregiver permissions
Start by signing in to kp.org and then go to Act for a Family Member. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
If you HAVE active health care coverage through Kaiser Permanente:
Find the person in your family list that you’ve been caring for and select View details.
On the family member’s profile page, select Renew authorization.
If you DON’T HAVE active health care coverage through Kaiser Permanente:
Under Add a person to your family list, select Add a person.
Follow the instructions provided.
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Why is someone missing from my family list?
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Someone may be missing from your family list because:
Your family member may not be covered under a Kaiser Permanente plan anymore.
Your state set a time limit on permission to share records, and your permission to view your family member's records has expired.
To renew your caregiver permissions
Sign in to kp.org and then click on the menu option, and select Act For A Family Member under Information Sharing from the Menu list.(You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Find the person in your family list that you’ve been caring for and select View details.
On the family member’s profile page, select Renew authorization.
If you’re already a caregiver for your child on kp.org, you’ll still be their caregiver when the child becomes a teenager. Please note:
When caring for a child with active Kaiser Permanente coverage, you can access most of their health information and services on kp.org.
Teens, however, are legally entitled to additional privacy protections.
Once a child reaches age 12, a caregiver will have access to the teen’s health information and services on kp.org only as permitted under state law.
Again, only as allowed by state law, Kaiser Permanente may be able to provide hard copies of your teen’s records at the facility where they get care.
To review specifically what you can do on behalf of your teen
Sign in to kp.org and click on the menu option, and select “Act For A Family Member” under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under People I care for, find the name of your child. Beneath their name, select View details.
Review the Services and information available to caregivers of teens.
To establish or re-establish your caregiver access on kp.org
Sign in to kp.org and click on the menu option, and select “Act For A Family Member” under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under Add a person to your family list, select Add a person and follow the instructions.
NOTE: These instructions assume the caregiver has already registered for their own account on kp.org. Start by signing in to kp.org, click on the menu option, and select “Act For A family Member” under Information Sharing from the Menu list.
The services and health information a caregiver can access on behalf of a Kaiser Permanente member depends on the age and needs of that individual, as well as privacy laws governing the U.S states in which they live.
If you’re caring for a child or adult Kaiser Permanente member, you can access most of their health information and services on kp.org.
Teens are entitled to additional privacy. Once a child reaches a certain age — usually 12, 13, or 14, depending on the state in which the teen lives — a caregiver will have access to the teen’s health records and services only as permitted under state laws.
To review what’s available to you as a caregiver for a specific family member
Sign in to kp.org and go to Act for a Family Member. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under People I care for, look for the names of the family members you’re authorized to use kp.org on behalf of.
For each family member’s name, select View details to review the services and health information you can use to help manage their care.
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What am I allowed to do as a caregiver using kp.org on behalf of a member?
Teaser
NOTE: These instructions assume the caregiver has already registered for their own account on kp.org. Start by signing in to kp.org, click on the menu option, and select “Act For A family Member” under Information Sharing from the Menu list.
Once you’re authorized as a family member’s caregiver (also known as a “proxy”), you can use kp.org to help manage their care.
To act for a family member:
Sign in to your kp.org account.
Go to the feature you want to use (such as scheduling an appointment, reviewing test results, or refilling a prescription).
Expand the list that has your name and the names of the family members you have permission to act as a caregiver for.
Choose a name. Whichever name you choose, you will see their health information and be able to use kp.org on their behalf (including yourself).
NOTES:
The services and health information a caregiver can access on behalf of a Kaiser Permanente member depends on the age and needs of that individual, as well as privacy laws governing the U.S state in which they live.
You can become a caregiver for any adult, as long as that person is at least 18 years old and has a Kaiser Permanente medical record number.
To be a caregiver, you must:
Be at least 18 years old
Have a kp.org account
Live in the same region as the adult you’re caring for
To use kp.org on behalf of another adult The adult you’re caring for will need to give Kaiser Permanente legal permission to add you as their caregiver.
Sign in to kp.org and go to Act for a Family Member. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under Add a person to your family list, select Add a person and follow the instructions. When you do so, you'll see a set of instructions for the person you’re caring for.
Give the person those instructions, along with your full name, date of birth, and kp.org user ID so they can add you as their caregiver.
After the person has added you as their caregiver, you can then see their name listed under People I care of.
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Who can use Act for a Family Member?
Teaser
Caregivers who are set up in Act for a Family Member as “proxies” can use certain kp.org features on behalf of Kaiser Permanente members they’re caring for. They don’t need to be Kaiser Permanente members with active health coverage or be biologically related to those they’re caring for. Start by signing in to kp.org, click on the menu option, and select “Act For A family Member” under Information Sharing from the Menu list.
However, they must meet the following requirements:
Be at least 18 years old (except in Hawaii, where parents under the age of 18 are allowed to act on their child’s behalf)
Have their own kp.org account
NOT be a staff member of a skilled nursing or other caregiving facility
NOTES:
Caregivers without active health coverage through Kaiser Permanente will still need to register on kp.org for a special “caregiver account” of their own.
Caregivers who aren’t biologically related to the member they care for will need to register for a kp.org account.
In Hawaii, parents under the age of 18 must contact Member Services or talk to their care team to arrange their proxy permissions.
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Care while traveling
Teaser
Hitting the road? Heading to college? We've got you covered.
To add a child or teen (that is, a dependent under 18 years of age) to your family list
You’ll need your dependent’s full name, date of birth, and Medical Record number.
Start by signing in to kp.org, click on the menu option, and select Act For A family Member under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under Add a person to your family list, select Add a person and follow the instructions.
If you live separately from your child or teen:
We’ll need to verify your identity.
We’ll mail a security code to your dependent’s home address, along with instructions on what your dependent needs to do next.
When your dependent has given you the security code, register for a kp.org account if you haven’t already.
Then go to Act for a Family Member and enter the code, and you’ll be able to add your dependent to your family list.
If you prefer to add your dependent to your family list in person:
Go to a Kaiser Permanente medical facility, where the Member Services staff can help you. Be sure to bring:
Your photo ID
Your child’s Kaiser Permanente Medical Record number
Legal documents to support your relationship with the dependent if you are not the child’s biological parent
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Which adult family members can I add to my family list?
Teaser
You can become a caregiver for any adult, as long as that person is at least 18 years old and has a Kaiser Permanente medical record number.
To be a caregiver, you must:
Be at least 18 years old
Have a kp.org account
Live in the same region as the adult you’re caring for
To use kp.org on behalf of another adult
The adult you’re caring for will need to give Kaiser Permanente legal permission to add you as their caregiver.
Sign in to kp.org and click on the menu option, and select “Act For A Family Member” under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under Add a person to your family list, select Add a person and follow the instructions. When you do so, you'll see a set of instructions for the person you’re caring for.
Give the person those instructions, along with your full name, date of birth, and kp.org user ID so they can add you as their caregiver.
After the person has added you as their caregiver, you can then see their name listed under People I care for.
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My teen’s records aren’t available online because they’re over the age limit set by state law. What are my options?
Teaser
NOTE: These instructions assume the caregiver has already registered for their own account on kp.org.
Under state laws, once a child reaches age 12, certain personal health information will be made confidential between the teen and their health care team. This privacy is designed to encourage teens to discuss sensitive health issues with their doctor and get the care they need. It also means that some information can't be automatically shared with their caregivers (including parents and legal guardians).
For this reason, Kaiser Permanente can’t offer a way for teens to allow their caregivers to view all of their online health records on kp.org. However, as a caregiver for your teen, you will still have access to some of their health information on kp.org. Also, as allowed by state law, Kaiser Permanente may be able to provide hard copies of your teen’s records at the facility where they get care.
To review specifically what you can do on behalf of your teen
Sign in to kp.org and click on the menu option, and select Act For A Family Member under Information Sharing from the Menu list. (You can also find it in your Profile & Preferences on kp.org, located under My Account.)
Under People I care for, find the name of your child. Beneath their name, select View details.
Review the Services and information available to caregivers of teens.
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How do I add myself as a caregiver for a teen or adult who has diminished capacity?
As used here, "diminished capacity" means that a person has a physical or intellectual impairment and is unable to consent for you to act on their behalf.
In this circumstance, contact Member Services at your local facility for help setting yourself up as a caregiver. Member Services will process your request and may ask for additional documentation, such as proof of legal guardianship or health care power of attorney.
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What documents can I use to confirm legal guardianship?
Teaser
Please refer below the list of acceptable documents to confirm your legal guardianship. This list of document serves only a reference, please contact member services for exact documentation requirements.
Child
Legal documentation to support their relationship to the child.
Teen
Birth certificate
Court order (custody, guardianship, conservatorship)
Adult with Diminished Capacity
Durable Power of Attorney.
Court order.
Court documents appointing Delegate as conservator or other personal representative.
1. Please refer to your Evidence of Coverage for details. OTC benefits may change each year on January 1. Any unused portion of the benefit limit will not carry forward to the next quarter. Any unused amounts are forfeited upon disenrollment from our plan. Continue at [1]
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.
In California, Hawaii, Washington, and Nevada, Kaiser Permanente is an HMO plan with a Medicare contract. In Colorado, Oregon, Southwest Washington, Georgia, Maryland, Virginia, and the District of Columbia, Kaiser Permanente is an HMO and HMO-POS plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.
2. 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. Mountain time (MT), and it reopens the day after a holiday at 4 a.m. MT. 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 [2]
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Kaiser Permanente Nevada Medicare health plan members are eligible for nonemergency transportation to providers within the Reno, Sparks, and Carson City service areas each year at no cost.
This benefit provides a set number of one-way trips annually. To schedule transportation, please call ahead of your appointment time. For trip reservations and cancellations, contact Customer Service at 775-982-3112. (TTY: 711).
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We cover hearing exams and hearing aid services, including the evaluation and fitting of hearing aids as part of your plan benefits. We partner with NationsHearing, and hearing aid services are provided by network audiologists. A hearing aid allowance or low copays are offered toward the purchase of up to two hearing aids every year.
Hearing benefits include:
Annual hearing test with no out-of-pocket cost
Access to a nationwide network of 8,000+ providers
Hearing aids available from all major brands
Low pricing and a 60-day, 100% money-back guarantee
Concierge-level service by dedicated Member Experience Advisors
Three follow-up visits during the benefit year
3-year repair warranty and 3 years of batteries included*
One-time replacement coverage for lost, stolen or damaged hearing aids**
12 and 18-month financing options available with 0% APR, no money down
*Not applicable to the purchase of rechargeable hearing aid models.
**Deductibles may apply
Hearing aid copays and allowance amounts vary by plan:
Kaiser Permanente Medicare Value Plan - $495-$1,970 copay depending on model
Kaiser Permanente Medicare Liberty Plan - $400 hearing aid allowance
Kaiser Permanente Medicare Duals Plan - $495-$1,970 copay depending on model
Kaiser Permanente Medicare Value CC Plan - $495-$1,970 copay depending on model
Earn rewards by completing health-related activities that promote your health and well-being. Your rewards allowance can be used to purchase items and services using your Healthy Rewards program card.
Healthy activities for which you can earn rewards include:
Annual Wellness Visit
Colorectal Cancer Screening
Breast Cancer Screening
Diabetic Screenings
Your Healthy Rewards card is a prepaid Mastercard that can be used to purchase eligible items at participating retail locations. The card may not be used to buy alcohol, tobacco, firearms, or other restricted items.
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Over-the-counter (OTC) benefit is designed to make it easier, and more affordable, to get the everyday health items you need. In Nevada, Kaiser Permanente partners with NationsOTC to offer hundreds of high-quality OTC products with fast, free shipping.
To learn more, visit KPNevada.Nationsbenefits.com, download our OTC product catalog (PDF) or call 1-833-524-7035 (TTY 711). Hours are 7:00 a.m. to 8:00 p.m., Monday- Friday and 8:00 a.m. to 8:00 p.m. Saturday and Sunday (except Thanksgiving and Christmas) from October 1 through March 31, and 7:00 a.m. to 8:00 p.m. Monday to Friday (except holidays) from April 1 through September 30. This call is free. [See footnote 1]
Benefit amounts vary by plan and do not roll over.
Kaiser Permanente Medicare Value Plan - $20 per month
Kaiser Permanente Medicare Liberty Plan - $25 per quarter
Kaiser Permanente Medicare Dual Plan - $195 per quarter
Kaiser Permanente Medicare Value CC Plan - $15 per month
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Vision benefits for Kaiser Permanente Medicare members are administered by EyeMed Vision Care through the Advantage Network. Vision retailers include:
Vision benefits for all plans include a $0 annual eye exam and an annual eyewear allowance which varies by plan:
Kaiser Permanente Medicare Value Plan - $250 annual eyewear allowance
Kaiser Permanente Medicare Liberty Plan - $170 annual eyewear allowance
Kaiser Permanente Medicare Dual Plan - $400 annual eyewear allowance
Kaiser Permanente Medicare Value CC Plan - $250 annual eyewear allowance
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As a Kaiser Permanente Medicare member, you can enjoy a yearlong gym membership at one of the participating fitness facilities. Show your Kaiser Permanente member ID card during your first visit to enroll in the fitness program. You will be required to sign up at your location of choice. Please note that your fitness benefit grants you access only to the one facility you select.
The information on this page applies to Northern Nevada residents only. Participating fitness facilities include:
City of Reno Parks and Recreation
Unlimited access to the facilities across the City of Reno. Includes access to pools, fitness rooms, and community recreation centers. For more information about City of Reno facilities call (775) 334-2262
Evelyn Mount Northeast Community Center – 1301 Valley Road, Reno, NV 89512.
Neil Road Recreation Center – 3925 Neil Road. Reno, NV 89502.
Teglia’s Paradise Park Activity Center – 2745 Elementary Drive. Reno, NV 89512.
Moana Springs Aquatic and Fitness Center – 240 West Moana Lane. Reno, NV 89509.
Northwest Pool – 2925 Apollo Way. Reno, NV 89503.
Idlewild Pool (seasonal) – 1805 Idlewild Drive. Reno, NV 89509
Note: Not all gym activities and amenities are included with your Kaiser Permanente fitness benefit. Kaiser Permanente gym memberships are only valid at one participating fitness facility.
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Kaiser Permanente Medicare partners with LIBERTY Dental in Nevada to offer preventive or comprehensive dental coverage depending on your plan.
Kaiser Permanente Medicare Value Plan - $500 comprehensive dental benefit
Kaiser Permanente Medicare Liberty Plan - $1,500 comprehensive dental benefit
Kaiser Permanente Medicare Dual Plan - $2,500 comprehensive dental benefit
Kaiser Permanente Medicare Value CC Plan - preventive dental benefit
For questions concerning your dental benefits, assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 888-442-3193, TTY users: 877-855-8039.
To officially choose someone to help with your complaint or appeal, fill out the form for your membership type and send it to the Member Relations Department.
Non-Medicare, including CHP+:
Make sure to read each part carefully. You need to fill out all of Section A and B. Section C and D must be completed, signed, and dated. If you have a legal representative, they must sign and date Section E, and include the needed legal documents.
At Kaiser Permanente, we make it easy to manage your health care costs. Depending on your health plan and the care you receive, your costs may vary. We’re here to help with any questions. Simply contact Member Services.
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.
If you’re eligible, Medicare could pay for some or most of your drug costs, including monthly prescription drug premiums, annual deductibles, and coinsurance.
How do I know if I qualify?
Some people who qualify for Extra Help are automatically enrolled and don’t need to apply. Medicare will mail them a letter to let them know.
To find out if you qualify, you can do one of the following:
Contact your state Medicaid office (Medi-Cal in California).
2027 Extra Help premium
Here’s what your monthly plan premium will be if you get Extra Help. The premiums listed are for both medical services and prescription drug benefits. This does not include a Medicare Part B premium.
You will pay this much in 2027
$0 deductible
$1.65 for generics and brands that are treated as generics
$5.00 for brand-name drugs
$5.80 for generics and brands that are treated as generics
$14.40 for brand-name drugs
Note: If the amount listed in your Evidence of Coverage Rider for People Who Get Extra Help Paying for Their Prescription Drugs is less than the amount listed above, you’ll pay the lower amount. Please refer to that document for more details.
What if I qualify for Extra Help and believe I’m not being charged correctly?
If you’re eligible for Extra Help, or you believe you’re eligible, and you think you aren’t paying the correct premium or drug costs, you may be able to correct your records by giving us information known as Best Available Evidence (BAE).
Examples of BAE include:
Your Extra Help Social Security award letter
Your state Medicaid card
For more information on what qualifies as BAE, or to learn how to submit it to us, please refer to your Evidence of Coverage. You can also call Member Services at 1-888-775-7003 (TTY 711), 8 a.m. to 8 p.m., 7 days a week a week.
If you’re looking for information for a different state, you can log out and change the location at the top of the page.
Select a topic to find related questions and answers.
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Why do I need a security code to add myself as a caregiver for my child?
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We use our health plan and address records to help protect your family’s privacy. If your address doesn’t match the address of the child you’re adding to your family list, one way we can verify your identity is with a security code.
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Kaiser Permanente discounted non-medical products & services is coming soon
Teaser
Information on discounted non-medical products & services from Kaiser Permanente Nevada is coming soon. Check back early 2027 for the latest updates.
Every year your state checks to see if you still qualify for Medicaid benefits. This process is called Medicaid renewal, redetermination, or recertification.
Make sure you understand how Medicaid renewal works so you can avoid having a gap in your coverage.
Every year your state checks to see if you still qualify for Medicaid benefits. This process is called Medicaid renewal, redetermination, or recertification.
Make sure you understand how Medicaid renewal works so you can avoid having a gap in your coverage.
2027 Preventive Tier Drug List (PDF)
This list of preventive drugs applies to any commercial plan that has chosen a benefit to allow preventive drugs to be offered at a reduced cost share to the member. Please refer to your prescription drug benefit plan details to determine if this benefit applies to you.
2026 Preventive Tier Drug List (PDF)
This list of preventive drugs applies to any commercial plan that has chosen a benefit to allow preventive drugs to be offered at a reduced cost share to the member. Please refer to your prescription drug benefit plan details to determine if this benefit applies to you.
2027 Preventive Tier Drug List (PDF)
This list of preventive drugs applies to any commercial plan that has chosen a benefit to allow preventive drugs to be offered at a reduced cost share to the member. Please refer to your prescription drug benefit plan details to determine if this benefit applies to you.
2026 Preventive Tier Drug List (PDF)
This list of preventive drugs applies to any commercial plan that has chosen a benefit to allow preventive drugs to be offered at a reduced cost share to the member. Please refer to your prescription drug benefit plan details to determine if this benefit applies to you.
Call our Member Services line for billing or health plan questions, help setting up your account, or to share comments about your Kaiser Permanente experience.
If you think you or someone you're caring for is having a medical or mental health emergency, call 911 or go to the nearest hospital. Do not attempt to access emergency care through this website.
2026 Colorado Preferred Drug List (Spanish) (PDF)
For those enrolled in a Point of Service, Preferred Provider Organization, Choice Preferred Provider Organization or Choice Out of Area plan.
For more information or to receive a copy of our drug formulary, please contact Member Services, Monday through Friday, from 7 a.m. to 8 p.m. at 1-855-937-5768, TTY: 711.
Please refer to your Evidence of Coverage for more information about your prescription drug coverage.
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Prior Authorization of Outpatient Prescription Drugs
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Prior Authorization of Outpatient Prescription Drugs (for certain drugs, step therapies, age, provider, and quantity limits for the HMO lines of business):
Outpatient prescriptions drugs included on the drug formularies are covered, however certain drugs require authorization prior to being covered. To ensure that a drug is medically necessary and cost effective, members or their providers will need to get prior authorization for certain outpatient prescription drugs that are included on the drug formulary, as well as for all drugs that are not included on the drug formulary. Your provider should request prior authorization by completing and submitting the Kaiser Permanente Nevada Pharmacy Prior Authorization Request Form (PDF) and fax the form to 1-858-357-2684. This form includes the criteria for step therapy exemption.
Find out which drugs are covered, and which ones require prior authorization by viewing the drug formularies. The HMO drug formularies are based on the specific benefit plans, such as a Marketplace plan purchased on the exchange, or a large group employer HMO plan. Each formulary may have different limitations, restrictions, and rules for coverage.
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Getting an Exception to the Formulary
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Drugs that aren’t listed on the formulary, known as nonformulary drugs, aren’t covered by your plan. For nonformulary drugs, you have the following options:
You can pay full retail price for the prescription.
You can ask your doctor to prescribe a similar drug that’s included on our formulary.
You can ask your doctor to request an exception so your non-formulary drug can be covered by your prescription drug benefit.
The most effective way to get an exception to the formulary is to send a secure email to your doctor.
You can also call Member Services, Monday through Friday, 7 a.m. to 8 p.m., at 1-855-937-5768, TTY: 711.
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2026 Small Business Plans offered by Kaiser Permanente Insurance Company
If your plan is not listed above, please access these additional EOCs.
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Medicare Duals Middle 2026 Marketo Form Component: California Paid Search version
Title
Title
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Learn about a Medicare Medi-Cal health plan from Kaiser Permanente
Fill in your information and start receiving helpful emails, including a FREE2 guide, about our plans for people with Medicare and Medi-Cal. We can help you understand your options, learn about plan benefits, and get ready to enroll.
Medicare Duals Middle 2026 Marketo Form Component: CO GA MAS Paid Search version
Title
Title
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Learn about a Medicare Medicaid health plan from Kaiser Permanente
Fill in your information and start receiving helpful emails, including a FREE3 guide, about our plans for people with Medicare and Medicaid. We can help you understand your options, learn about plan benefits, and get ready to enroll.4
All fields required unless marked as optional.
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Medicare Duals Middle 2026 Marketo Form Component: National Direct Mail version
Title
Title
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Learn about a Medicare Medicaid health plan from Kaiser Permanente
Fill in your information and start receiving helpful emails, including a FREE3 guide, about our plans for people with Medicare and Medicaid. We can help you understand your options, learn about plan benefits, and get ready to enroll.4
All fields required unless marked as optional.
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Medicare Duals Middle 2026 Marketo Form Component: ACAL Direct Mail version
Title
Title
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Learn about a Medicare Medi-Cal health plan from Kaiser Permanente
Fill in your information and start receiving helpful emails, including a FREE2 guide, about our plans for people with Medicare and Medi-Cal. We can help you understand your options, learn about plan benefits, and get ready to enroll.3
All fields required unless marked as optional.
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My child and I live together. When I try to add myself as my child’s caregiver, why am I told that our addresses don’t match?
Teaser
Sometimes, small differences count. If your child’s address was entered with a slightly different spelling or abbreviation from yours, our computer system may recognize them as two different addresses.
If your child doesn’t have a kp.org account
Please contact Member Services by phone or chat to update your family’s address.
If your teen has a kp.org account
You and your teen should both update your addresses in your kp.org accounts so that they match.
Sign in to kp.org and go to Profile and Preferences. Go to Personal information and update your Mailing address. Ask your teen to do the same.
When the change has been completed, we’ll notify you in your kp.org account’s Message Center. This typically takes 2 to 3 days.
After the addresses have been updated to match, try setting up Act for a Family Member again.
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Medicare’s Annual Enrollment Period ends on December 7
Don’t miss your chance to enroll in a Kaiser Permanente Medicare health plan by December 7. As a member, you’ll receive:
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Medicare’s Annual Enrollment Period ends on December 7
Whether you’re new to Medicare or considering switching plans, a Kaiser Permanente Medicare health plan offers quality care, support from a connected care team, and 2027 benefits to support your health and well-being.
Don’t miss your chance to enroll in a Kaiser Permanente Medicare health plan by December 7. Become a member to enjoy:
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Discover health care built around you. Enroll before December 7.
What if all the parts of your health care worked together as one? With a Kaiser Permanente Medicare health plan, they do. From preventive, primary, and specialty care to pharmacy, labs, and mental health support, we coordinate your care seamlessly.
You can enroll now during Medicare’s Annual Enrollment Period. But don’t wait! You must enroll by December 7. As a member, you’ll receive:
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Medicare Core 2026 Text Component Description: Direct Mail version
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Medicare’s Annual Enrollment Period ends on December 7
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Medicare Core 2026 Text Component Title: Direct Mail - Nevada version
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Medicare’s Annual Enrollment Period ends on December 7
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Discover health care built around you. Enroll before December 7.
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Great value with a $0 monthly premium,1 a $0 annual deductible, and a fixed annual limit on your out-of-pocket expenses
$0 copays for primary care visits, labs, preventive dental services, vision and hearing exams, and preferred generic drugs
A healthy extras card with a quarterly allowance for over-the-counter (OTC) health and wellness items 2
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location3
Access to 24/7 virtual care options across the U.S. for quality care when needed4
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Medicare Core 2026 Text Component Bullets: GA
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Title
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Great value with a $0 monthly premium,1 a $0 annual deductible, and a fixed annual limit on your out-of-pocket expenses
$0 copays for doctor office visits, labs, preventive dental services, vision exams, and preferred generic drugs
A healthy extras card with a quarterly allowance of up to $85 for over-the-counter (OTC) health and wellness items and up to $120 for groceries2
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location
Access to 24/7 virtual care options across the U.S. for quality care when needed3
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Great value with a $0 annual medical deductible, $0 copays for preventive dental services, and a fixed annual limit on your out-of-pocket expenses
$0 copays for preferred generic drugs for up to a 100-day supply by mail order and a $0 deductible on prescription drugs1
Fitness program included at no cost
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location
Access to 24/7 virtual care options across the U.S. for quality care when needed2
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Great value with a $0 monthly premium,1 a $0 annual medical deductible, and a fixed annual limit on your out-of-pocket expenses
$0 copays for primary care doctor office visits, labs, and preventive dental services, and up to a $2,000 annual allowance for comprehensive dental services2
Extras like up to a $250 vision allowance every year for glasses or contacts3 and a $1,000 allowance for hearing aids per ear every 36 months4
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location5
Access to 24/7 virtual care options across the U.S. for quality care when needed6
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Teaser
Great value with a $0 annual deductible and a fixed annual limit on your out-of-pocket expenses
$0 copays for primary care doctor office visits, labs, preventive and diagnostic dental services, and preferred generic drugs
A $0 deductible on prescription drugs
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location
Access to 24/7 virtual care options across the U.S. for quality care when needed1
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CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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wil:text bullet:dynamic:no cta
Personalization Configuration Values
ln5stextbchgroup4regionncal
Text Bullets NV
Medicare Core 2026 Text Component Bullets: NV
Title
Title
Teaser
Great value with a $0 monthly premium, a $0 annual medical deductible, and $0 copays for preventive care
$0 copays for hearing and vision exams, an eyewear allowance every year for glasses or contacts, and an over-the-counter (OTC) allowance for health and wellness items1
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location2
Access to Renown Health specialists and pharmacies
24/7 virtual care options across the U.S. for quality care when needed3
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
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wil:text bullet:dynamic:no cta
Personalization Configuration Values
ln5stextbchgroup4regionnv
Text Bullets NW
Medicare Core 2026 Text Component Bullets: NW
Title
Title
Teaser
Great value with a $0 monthly premium,1 a $0 annual deductible, and a fixed annual limit on your out-of-pocket expenses
$0 copays for primary care doctor office visits, labs, vision and hearing exams,2 and preferred generic drugs
Up to a $150 vision allowance every 2 years for glasses or contacts3 and a $500 hearing aid allowance per ear every 3 years4
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location5
Access to 24/7 virtual care options across the U.S. for quality care when needed6
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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wil:text bullet:dynamic:no cta
Personalization Configuration Values
ln5stextbchgroup4regionnw
Text Bullets SCAL
Medicare Core 2026 Text Component Bullets: SCAL
Title
Title
Teaser
Great value with a $0 monthly premium,1 a $0 annual deductible, and a fixed annual limit on your out-of-pocket expenses
$0 copays for primary care doctor office visits, labs, preventive and diagnostic dental services, and preferred generic drugs
Extras like a $1,000 allowance for hearing aids per ear every 3 years2 and a $250 vision allowance every 2 years for glasses or contacts3
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location
Access to 24/7 virtual care options across the U.S. for quality care when needed4
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
wil:text bullet:dynamic:no cta
Personalization Configuration Values
ln5stextbchgroup4regionscal
Text Bullets WA
Medicare Core 2026 Text Component Bullets: WA
Title
Title
Teaser
Great value with a $0 monthly premium,1 a $0 annual medical deductible, and a fixed annual limit on your out-of-pocket expenses
$0 copays for primary care doctor office visits,1 labs, and preventive care
A $0 deductible on prescription drugs
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan1
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location2
Access to 24/7 virtual care options across the U.S. for quality care when needed3
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
wil:text bullet:dynamic:no cta
Personalization Configuration Values
ln5stextbchgroup4regionwa
Text Bullets NATL
Medicare Core 2026 Text Component Bullets: NATL
Title
Title
Teaser
Great value with a $0 annual medical deductible and a fixed annual limit on out-of-pocket expenses
Comprehensive health care with hospital care, medical services, and prescription drug coverage, all in one plan1
Under-one-roof convenience to see your doctor, visit a lab, and pick up your prescriptions — often in one location2
Access to 24/7 virtual care options across the U.S. for quality care when needed3
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
wil:text bullet:dynamic:no cta
Personalization Configuration Values
ln5stextbchgroup4regionnatl
Icon Link Text Schedule Appt CTA
Medicare Core 2026 Icon Link Text Component Schedule Appt CTA
Title
Schedule a personal appointment
Teaser
Meet one-on-one with a local Kaiser Permanente Medicare specialist.
Medicare Core 2026 Icon Link Text Component Seminar CTA
Title
Attend a live neighborhood seminar
Teaser
Join us for an in-person or online seminar to learn more about the benefits of a Kaiser Permanente Medicare health plan. Walk-ins are welcome at in-person seminars!
Medicare Core 2026 Icon Link Text Component Seminar CTA: NV and WA version
Title
Attend a live neighborhood seminar
Teaser
Join us for an in-person or online seminar to learn more about the benefits of a Kaiser Permanente Medicare health plan. Walk-ins are welcome at in-person seminars!4
Amount varies by plan. To purchase eligible over-the-counter items from participating stores, in person or online.
When receiving care at a Kaiser Permanente medical office.
When appropriate and available. Laws differ by state.
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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mdcr core:footnote:dynamic:4 footnotes
Personalization Configuration Values
ln5sftntchgroup4regionco
Footnotes GA
Medicare Core 2026 Footnotes: GA
Title
Footnotes:
Teaser
For our Basic Plan.
Amount varies by plan. To purchase eligible over-the-counter items and groceries from participating stores, in person or online. The healthy food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Members must have specific chronic conditions, like diabetes, chronic lung disorders, cardiovascular disorders, chronic heart failure, or cancer, to be eligible. There are other conditions that may qualify you for the benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
When appropriate and available. Laws differ by state.
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CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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mdcr core:footnote:dynamic:3 footnotes
Personalization Configuration Values
ln5sftntchgroup4regionga
Footnotes HI
Medicare Core 2026 Footnotes: HI
Title
Footnotes:
Teaser
Not available under the Kaiser Permanente Medicare Medicaid health plans.
When appropriate and available. Laws differ by state.
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CTA Link
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mdcr core:footnote:dynamic:2 footnotes
Personalization Configuration Values
ln5sftntchgroup4regionhi
Footnotes MAS
Medicare Core 2026 Footnotes: MAS
Title
Footnotes:
Teaser
For our Medicare Advantage Value (HMO and HMO-POS) Plans, except in Baltimore City, Baltimore County, and Anne Arundel County.
With a 50% coinsurance. Annual allowance varies by plan type. Not available under the Kaiser Permanente Medicare Advantage Value 2 MD (HMO) Plan. Check the Evidence of Coverage for details.
Annual allowance varies by plan type. Check the Evidence of Coverage for details.
Allowance for hearing aids per ear every 36 months to use at Kaiser Permanente audiology centers.
When receiving care at a Kaiser Permanente facility.
When appropriate and available. Laws differ by state.
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Image Alt Text
Icon Path
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CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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mdcr core:footnote:dynamic:6 footnotes
Personalization Configuration Values
ln5sftntchgroup4regionmas
Footnotes NCAL
Medicare Core 2026 Footnotes: NCAL
Title
Footnotes:
Teaser
When appropriate and available. Laws differ by state.
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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mdcr core:footnote:dynamic:1 footnote
Personalization Configuration Values
ln5sftntchgroup4regionncal
Footnotes NV
Medicare Core 2026 Footnotes: NV
Title
Footnotes:
Teaser
Amount varies by plan.
When receiving care at a Kaiser Permanente facility.
When appropriate and available. Laws differ by state.
There are no personal appointments, in-person seminars, or online seminars available.
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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mdcr core:footnote:dynamic:4 footnotes
Personalization Configuration Values
ln5sftntchgroup4regionnv
Footnotes NW
Medicare Core 2026 Footnotes: NW
Title
Footnotes:
Teaser
For our Value Plan.
Does not apply to the Value Plans.
Annual allowance varies by plan type. Check the Evidence of Coverage for details.
Check the Evidence of Coverage for details.
When receiving care at a Kaiser Permanente facility.
When appropriate and available. Laws differ by state.
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Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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mdcr core:footnote:dynamic:6 footnotes
Personalization Configuration Values
ln5sftntchgroup4regionnw
Footnotes SCAL
Medicare Core 2026 Footnotes: SCAL
Title
Footnotes:
Teaser
For all plans except Kern Enhanced Plan.
For our Value and Enhanced Plans. Allowance per ear every 3 years to use through HearUSA.
For our Value and Enhanced Plans.
When appropriate and available. Laws differ by state.
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CTA Analytics Name
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Secondary CTA Label
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mdcr core:footnote:dynamic:4 footnotes
Personalization Configuration Values
ln5sftntchgroup4regionscal
Footnotes WA
Medicare Core 2026 Footnotes: WA
Title
Footnotes:
Teaser
Available on select plans. See plan details for more information at kp.org/wa/medicare.
When receiving care at a Kaiser Permanente facility.
When appropriate and available. Laws differ by state.
There are no personal appointments, in-person seminars, or online seminars available.
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
mdcr core:footnote:dynamic:4 footnotes
Personalization Configuration Values
ln5sftntchgroup4regionwa
Footnotes NATL
Medicare Core 2026 Footnotes: NATL
Title
Footnotes:
Teaser
Applies to all regions and plans except in Washington state, where this feature is available on select plans. See plan details for more information at kp.org/wa/medicare.
When receiving care at a Kaiser Permanente medical office or facility.
When appropriate and available. Laws differ by state.
There are no personal appointments, in-person seminars, or online seminars available in Nevada and Washington.
Medicare Duals Middle 2026 Hero Component: ACAL Direct Mail version
Title
Discover a Medicare Medi-Cal health plan designed for you
Teaser
We can help you learn more about Kaiser Permanente Medicare Medi-Cal plan. Call {kp:tfnapi.TFN??'1-866-716-3119'} (TTY 711), 7 days a week, 8 a.m. to 8 p.m., to speak with a Kaiser Permanente Medicare specialist. Se habla español. Para más información
Medicare Duals Middle 2026 Hero Component: National Direct Mail version
Title
Discover a Medicare Medicaid health plan designed for you
Teaser
We can help you learn more about Kaiser Permanente Medicare Medicaid plan. Call {kp:tfnapi.TFN??'1-866-716-3119'} (TTY 711), 7 days a week, 8 a.m. to 8 p.m., to speak with a Kaiser Permanente Medicare specialist. Se habla español. Para más información
Medicare Duals Middle 2026 Hero Component: CO GA MAS Paid Search version
Title
Discover a Medicare Medicaid health plan designed for you
Teaser
We can help you learn more about Kaiser Permanente Medicare Medicaid plan. Call {kp:tfnapi.TFN??'1-866-716-3119'} (TTY 711), 7 days a week, 8 a.m. to 8 p.m., to speak with a Kaiser Permanente Medicare specialist. Se habla español. Para más información
Medicare Duals Middle 2026 Hero Component: California Paid Search version
Title
Discover a Medicare Medi-Cal health plan designed for you
Teaser
We can help you learn more about Kaiser Permanente Medicare Medi-Cal plan. Call {kp:tfnapi.TFN??'1-866-716-3119'} (TTY 711), 7 days a week, 8 a.m. to 8 p.m., to speak with a Kaiser Permanente Medicare specialist. Se habla español. Para más información
Medicare Duals Middle 2026 Text Component Title: ACAL Direct Mail version
Title
Title
Teaser
Get quality care that’s made for you
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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Personalization Configuration Values
msnptextitlechgroup1regionacal
Text Title NATL DM
Medicare Duals Middle 2026 Text Component Title: National Direct Mail version
Title
Get quality care that’s made for you
Teaser
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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Personalization Configuration Values
msnptextitlechdmregionnatl
Text Title CO GA MAS PS
Medicare Duals Middle 2026 Text Component Title: CO GA MAS Paid Search version
Title
Get quality care that’s made for you
Teaser
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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Personalization Configuration Values
msnptextitlechgroup2regioncgm
Text Title CA PS
Medicare Duals Middle 2026 Text Component Title: California Paid Search version
Title
Get quality care that’s made for you
Teaser
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextitlechgroup2regionacal
Text Description ACAL DM
Medicare Duals Middle 2026 Text Component Description: ACAL Direct Mail version
Title
Title
Teaser
If you have Medicare and Medi-Cal, you can enroll now in a Kaiser Permanente Medicare Medicaid health plan (also called a Dual Eligible Special Needs Plan or D-SNP) during the Medicare Annual Enrollment Period. Why wait? Discover the benefits available to you today, including:
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextdchgroup1regionacal
Text Description NATL DM
Medicare Duals Middle 2026 Text Component Description: National Direct Mail version
Title
Title
Teaser
If you have Medicare and Medicaid, you can enroll now in a Kaiser Permanente Medicare Medicaid health plan (also called a Dual Eligible Special Needs Plan or D-SNP) during the Medicare Annual Enrollment Period. Don’t wait! Enroll by December 7 to enjoy:
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextdchgroup1regionnatl
Text Description CO GA MAS PS
Medicare Duals Middle 2026 Text Component Description: CO GA MAS Paid Search version
Title
Title
Teaser
If you have Medicare and Medicaid, you can enroll now in a Kaiser Permanente Medicare Medicaid health plan (also called a Dual Eligible Special Needs Plan or D-SNP) during the Medicare Annual Enrollment Period. Don’t wait! Enroll by December 7 to enjoy:
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextdchgroup2regioncgm
Text Description CA PS
Medicare Duals Middle 2026 Text Component Description: California Paid Search version
Title
Title
Teaser
If you have Medicare and Medi-Cal, you can enroll now in a Kaiser Permanente Medicare Medicaid health plan (also called a Dual Eligible Special Needs Plan or D-SNP) during the Medicare Annual Enrollment Period. Why wait? Discover the benefits available to you today, including:
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextdchgroup2regionacal
Text Bullets CA PS
Medicare Duals Middle 2026 Text Component Bullets: California Paid Search version
Title
Title
Teaser
Convenient access to care with your doctor, labs, and pharmacy in one location near you
Doctors who put you first and work together to care for you
Convenient options like phone and video visits for when it’s easier to stay home1
Extra benefits like an over-the-counter allowance for health and wellness items, plus an eyewear allowance for glasses or contacts
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextbchgroup2regionacal
Text Bullets ACAL DM
Medicare Duals Middle 2026 Text Component Bullets: ACAL Direct Mail version
Title
Title
Teaser
Convenient access to care with your doctor, labs, and pharmacy in one location near you
Doctors who put you first and work together to care for you
Convenient options like phone and video visits for when it’s easier to stay home1
Extra benefits like an over-the-counter allowance for health and wellness items, plus an eyewear allowance for glasses or contacts
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextbchgroup1regionacal
Text Bullets NATL DM
Medicare Duals Middle 2026 Text Component Bullets: National Direct Mail version
Title
Title
Teaser
Convenient access to care with your doctor, labs, and pharmacy in one location near you1
Doctors who put you first and work together to care for you
Convenient options like phone and video visits for when it’s easier to stay home2
Extra benefits like an over-the-counter allowance for health and wellness items, plus an eyewear allowance for glasses or contacts
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextbchgroup1regionnatl
Text Bullets CO GA MAS PS
Medicare Duals Middle 2026 Text Component Bullets: CO GA MAS Paid Search version
Title
Title
Teaser
Convenient access to care with your doctor, labs, and pharmacy in one location near you1
Doctors who put you first and work together to care for you
Convenient options like phone and video visits for when it’s easier to stay home2
Extra benefits like an over-the-counter allowance for health and wellness items, plus an eyewear allowance for glasses or contacts
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnptextbchgroup2regioncgm
Footnote ACAL DM
Medicare Duals Middle 2026 Footnote Component: ACAL Direct Mail version
Title
Footnotes:
Teaser
When appropriate and available.
Free with no obligation to enroll.
Emails and free guide in English only
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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msnpftntchgroup1regionacal
Footnote NATL DM
Medicare Duals Middle 2026 Footnote Component: National Direct Mail version
Title
Footnotes:
Teaser
When receiving care at a Kaiser Permanente medical office or facility.
When appropriate and available.
Free with no obligation to enroll.
Emails and free guide in English only
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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Personalization Configuration Values
msnpftntchgroup1regionnatl
Footnote CO GA MAS PS
Medicare Duals Middle 2026 Footnote Component: CO GA MAS Paid Search version
Title
Footnotes:
Teaser
When receiving care at a Kaiser Permanente medical office or facility.
When appropriate and available.
Free with no obligation to enroll.
Emails and free guide in English only
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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Personalization Configuration Values
msnpftntchgroup2regioncgm
Footnote CA PS
Medicare Duals Middle 2026 Footnote Component: California Paid Search version
Title
Footnotes:
Teaser
When appropriate and available.
Free with no obligation to enroll.
Emails and free guide in English only
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
msnpftntchgroup2regionacal
Text Codes NCAL PS
Medicare Duals Middle 2026 Text Component Codes: SCAL Paid Search version
Title
Title
Teaser
H8794_N00044578_M
NCAL
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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Personalization Configuration Values
msnptextcregionncal
Text Codes SCAL PS
Medicare Duals Middle 2026 Text Component Codes: MAS Paid Search version
Title
Title
Teaser
H8794_N00044578_M
SCAL
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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Personalization Configuration Values
msnptextcregionscal
Text Codes MAS PS
Medicare Duals Middle 2026 Text Component Codes: GA Paid Search version
Title
Title
Teaser
Y0043_N00044578_M
MAS
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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Personalization Configuration Values
msnptextcregionmas
Text Codes GA PS
Medicare Duals Middle 2026 Text Component Codes: CO Paid Search version
Title
Title
Teaser
Y0043_N00044578_M
GA
Image
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Icon alt text
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CTA Link
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CTA Analytics Location
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Secondary CTA Link
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Personalization Configuration Values
msnptextcregionga
Text Codes CO PS
Medicare Duals Middle 2026 Text Component Codes: CO Paid Search version
Title
Title
Teaser
Y0043_N00044578_M
CO
Image
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CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
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Personalization Configuration Values
msnptextcregionco
Text Codes NATL DM
Medicare Duals Middle 2026 Text Component Codes: National Direct Mail version
Title
Title
Teaser
Y0043_N00044578_M
CO/GA/MAS
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
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Personalization Configuration Values
msnptextcregionnatl
Text Codes ACAL DM
Medicare Duals Middle 2026 Text Component Codes: ACAL Direct Mail version
Title
Title
Teaser
H8794_N00044578_M
CA
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
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Personalization Configuration Values
msnptextcregionacal
Text Description ACAL DM
Medicare Duals Lower 2026 Text Component Description: ACAL Direct Mail version
Title
Title
Teaser
If you have Medicare and Medi-Cal, you could be missing out on extra coverage. A Kaiser Permanente Medicare Medi-Cal health plan gives you everything Medi-Cal offers plus extra benefits and support to help you stay healthy — all for a $0monthly premium. Enroll today to get:
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
lsnptextdchdmregionacal
Text Description NATL DM
Medicare Duals Lower 2026 Text Component Description: National Direct Mail version
Title
Title
Teaser
If you have Medicare and Medicaid, you could be missing out on extra coverage. A Kaiser Permanente Medicare Medicaid health plan gives you everything Medicaid offers plus extra benefits and support to help you stay healthy — all for a $0monthly premium. Enroll today to get:
Image
Image Alt Text
Icon Path
Icon alt text
CTA Label
CTA Link
CTA Analytics Name
CTA Analytics Location
Secondary CTA Label
Secondary CTA Link
Video URL
Transcript Path
Impress content
Personalization Configuration Values
lsnptextdchdmregionnatl
Text Description CO GA MAS PS
Medicare Duals Lower 2026 Text Component Description: CO GA MAS Paid Search version
Title
Title
Teaser
With a Kaiser Permanente Medicare Medicaid health plan, you get quality care that’s all about you. Your doctors, specialists, and health plan all work together, your care is coordinated, your needs are covered, and you get extra benefits and support to help you stay healthy.
If you have both Medicare and Medicaid, now is the time to learn more. You can enroll now in our Medicare Medicaid health plan and enjoy:
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Text Description CA PS
Medicare Duals Lower 2026 Text Component Description: California Paid Search version
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Title
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With a Kaiser Permanente Medicare Medi-Cal health plan, you get quality care that’s all about you. Your doctors, specialists, and health plan all work together, your care is coordinated, your needs are covered, and you get extra benefits and support to help you stay healthy.
If you have both Medicare and Medi-Cal, now is the time to learn more. You can enroll now in our Medicare Medi-Cal health plan and enjoy:
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Text Title ACAL DM
Medicare Duals Lower 2026 Text Component Title: ACAL Direct Mail version
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Enroll in a Kaiser Permanente Medicare Medi-Cal health plan
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Text Title NATL DM
Medicare Duals Lower 2026 Text Component Title: National Direct Mail version
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Enroll today before Medicare’s Annual Enrollment Period ends on December 7
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Text Title CO GA MAS PS
Medicare Duals Lower 2026 Text Component Title: CO GA MAS Paid Search version
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Enroll today before Medicare’s Annual Enrollment Period ends on December 7
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Text Title CA PS
Medicare Duals Lower 2026 Text Component Title: California Paid Search version
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Title
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Enroll in a Kaiser Permanente Medicare Medi-Cal health plan
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Text Bullets ACAL DM
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A healthy extras card with a $50–$170 quarterly allowance for over-the-counter (OTC) health and wellness items or groceries1
A $350–$500 eyewear allowance every year for glasses or contacts
An integrated set of Medi-Cal benefits including dental,2 hearing aids, and transportation
The One Pass® fitness program included at no cost3
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Text Bullets NATL DM
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Title
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A healthy extras card with a quarterly allowance for over-the-counter (OTC) health and wellness items or groceries1
Preventive and comprehensive dental services
Allowances for hearing aids and glasses or contacts
Transportation rides to and from medical appointments
A healthy extras card with a $50–$170 quarterly allowance for over-the-counter (OTC) health and wellness items or groceries1
A $350–$500 eyewear allowance every year for glasses or contacts
An integrated set of Medi-Cal benefits including dental,2 hearing aids, and transportation
The One Pass® fitness program included at no cost3
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Footnote ACAL DM
Title
Footnotes
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In Northern California: Amount varies by plan. To purchase eligible over-the-counter items from participating stores, in person or online. In Southern California: Amount varies by plan. To purchase eligible over-the-counter items and groceries from participating stores, in person or online. The healthy food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Members must have specific chronic conditions, like diabetes, obesity, cardiovascular disorders, osteoarthritis, or chronic kidney disease to be eligible. There are other conditions that may qualify you for the benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
For information on Medi-Cal dental coverage, call Smile California at 1-800-322-6384 (TTY 1-800-735-2922) or go to SmileCalifornia.org.
One Pass® is a registered trademark of One Pass Solutions, Inc. in the U.S. and other jurisdictions and is a voluntary program.
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Footnote NATL DM
Title
Footnotes
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In Colorado: Amount varies by plan. To purchase eligible over-the-counter items from participating stores, in person or online. In Georgia: Amount varies by plan. To purchase eligible over-the-counter items and groceries from participating stores, in person or online. The healthy food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Members must have specific chronic conditions, like diabetes, chronic lung disorders, cardiovascular disorders, chronic heart failure, or cancer, to be eligible. There are other conditions that may qualify you for the benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us. In Maryland: Amount varies by plan. To purchase eligible over-the-counter items and groceries from participating stores, in person or online. The healthy food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Members must have specific chronic conditions, like diabetes, chronic kidney disease (CKD), cardiovascular disorders, chronic lung disorders, or chronic heart failure, to be eligible. There are other conditions that may qualify you for the benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
One Pass® is a registered trademark of One Pass Solutions, Inc. in the U.S. and other jurisdictions and is a voluntary program.
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Footnote CO GA MAS PS
Title
Footnotes
Teaser
In Colorado: Amount varies by plan. To purchase eligible over-the-counter items from participating stores, in person or online. In Georgia: Amount varies by plan. To purchase eligible over-the-counter items and groceries from participating stores, in person or online. The healthy food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Members must have specific chronic conditions, like diabetes, chronic lung disorders, cardiovascular disorders, chronic heart failure, or cancer, to be eligible. There are other conditions that may qualify you for the benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us. In Maryland: Amount varies by plan. To purchase eligible over-the-counter items and groceries from participating stores, in person or online. The healthy food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Members must have specific chronic conditions, like diabetes, chronic kidney disease (CKD), cardiovascular disorders, chronic lung disorders, or chronic heart failure, to be eligible. There are other conditions that may qualify you for the benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
One Pass® is a registered trademark of One Pass Solutions, Inc. in the U.S. and other jurisdictions and is a voluntary program.
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Footnote CA PS
Title
Footnotes
Teaser
In Northern California: Amount varies by plan. To purchase eligible over-the-counter items from participating stores, in person or online. In Southern California: Amount varies by plan. To purchase eligible over-the-counter items and groceries from participating stores, in person or online. The healthy food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Members must have specific chronic conditions, like diabetes, obesity, cardiovascular disorders, osteoarthritis, or chronic kidney disease to be eligible. There are other conditions that may qualify you for the benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
For information on Medi-Cal dental coverage, call Smile California at 1-800-322-6384 (TTY 1-800-735-2922) or go to SmileCalifornia.org.
One Pass® is a registered trademark of One Pass Solutions, Inc. in the U.S. and other jurisdictions and is a voluntary program.
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Text Codes ACAL DM
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Title
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H8794_N00044579_M
CA
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Text Codes NATL DM
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Title
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Y0043_N00044579_M
CO/GA/MAS
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Text Codes CO PS
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Title
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Y0043_N00044579_M
CO
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Text Codes GA PS
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Title
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Y0043_N00044579_M
GA
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Text Codes MAS PS
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Title
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Y0043_N00044579_M
MAS
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Text Codes SCAL PS
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Title
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H8794_N00044579_M
SCAL
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Text Codes NCAL PS
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H8794_N00044579_M
NCAL
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qanda-special-discounts-co
Title
Special discounts*
Teaser
Specialty wellness services
Kaiser Permanente members have access to Optum’s affinity musculoskeletal program — no signup required. Enjoy 20% off chiropractic, acupuncture, and therapeutic massage services at participating providers. Select the “Kaiser Permanente CAM Discount Program” option to locate participating providers at the following link Provider Directory - Provider Portal.
*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.
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qanda-medicare-part-d-co
Title
Medicare Part D Formulary
Teaser
Use this formulary if you have a Kaiser Permanente Medicare health plan.
Find resources to help you save money, be well, and thrive.
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Title
Medicare Explorer by Kaiser Permanente
Teaser
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 it). 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.
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Get urgent care at MinuteClinic®
Teaser
If you’re traveling in a state where there isn’t a Kaiser Permanente facility and need urgent (nonemergency) care, you can go to any MinuteClinic. See a complete list of clinics and hours of operation here.
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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 2] Visit us online to learn more.
Whether it’s getting help with staying safe, or maintaining a balanced diet, you have access to partner products and services at substantial discounts.
Get more value from your Kaiser Permanente Medicare health plan by adding Advantage Plus. You’ll get additional benefits such as dental, vision, hearing, transportation, and acupuncture so you save time and money. Learn more or enroll now.
The Advantage Plus optional supplemental benefits package is only available to members enrolled in or have recently applied for coverage in a Kaiser Permanente Medicare health plan. Not available under the Kaiser Permanente Dual Complete or Dual Essential (HMO D-SNP) plans.
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COL textComponent textAdvantageBenefits
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We’ll have more to share with you at a later date
Teaser
This information isn’t available yet for Kaiser Permanente Nevada members. Check back in early 2027 for the latest updates.
Call to speak with a Member Services representative.
1-855-937-5768 (855-WE-R-KPNV)
Hours: Monday through Friday, 7 a.m. to 8 p.m.
For Medicare members Senior Plus Care
1-888-775-7003
Hours:
April 1st to September 30th: Monday through Friday, 7 a.m. to 8 p.m.
October 1st to March 31st: Monday through Friday, 7 a.m. to 8 p.m. Saturday and Sunday: 8 a.m. to 8 p.m.
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Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.
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Kaiser Permanente is an HMO and HMO-POS plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.
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Kaiser Permanente is an HMO D-SNP plan with a Medicare contract and a contract with the Medi-Cal program. Enrollment in Kaiser Permanente depends on contract renewal.
Durable Medical Equipment (DME) includes canes, crutches, walkers, wheelchairs, hospital beds, nebulizers, oxygen, positive airway pressure machines (CPAPs), and other equipment. DME is provided when medically indicated for in-home use and is available to Kaiser Permanente members through third-party suppliers.
You must have a referral from your Kaiser Permanente physician to obtain DME from a supplier on this list. Contact your doctor’s office to request a referral. Once the order has been received, provision of the item will be determined by your Health Plan benefit and clinical criteria. Some health plans may have limited coverage and/or a cost share for DME. Please contact Member Services at 303-338-3800 (TTY 711) for additional information.
Note: Durable Medical Equipment coverage is limited to the standard item or equipment that adequately meets your medical need. Kaiser Permanente will determine whether to rent or purchase the equipment and select the supplier. For questions about your Durable Medical Equipment coverage, please call Member Services at 303-338-3800 (TTY 711).
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Embrace your total health
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Embrace your total health
We're sorry This feature is not available in this region. If you meant to check in another region, please select that area and try again.
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Kaiser Permanente Urgent care is coming soon
Teaser
Information on Urgent care from Kaiser Permanente Nevada is coming soon. Check back early 2027 for the latest updates.
Emergency care is for medical or psychiatric conditions that require immediate medical attention to prevent serious jeopardy to your health. Examples include:
Chest pain or pressure
Severe stomach pain that comes on suddenly
Decrease in or loss of consciousness
Severe shortness of breath
Do not attempt to access emergency care through this website.
If you think you or your family member has a medical or mental health emergency, call 911 or go to the nearest hospital.
Find our urgent care and emergency care locations here
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When you travel to another Kaiser Permanente area, you can usually get the same routine care you’d get at home. That includes in-person care from Kaiser Permanente in all or parts of California, Colorado, Georgia, Hawaii, Maryland, Nevada, Oregon, Virginia, Washington, and Washington, D.C. — plus virtual care anywhere in the U.S.12
Talk to aclinician by phone or video anytime between 5:00 a.m. and 11:00 p.m., day or night.1 Phone and video visits are best for health needs that aren’t life-threatening.
Reviewed by Stacy Sterling, DrPH, MSW, February 2019
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Need help now?
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Need help now?
If you think you may be addicted to alcohol and want to stop drinking now, be sure to reach out for professional help. Sudden withdrawal from heavy drinking can be life-threatening. We can help you plan a safe recovery.
Call to connect to addiction and recovery and other mental health and wellness services. Trained staff will evaluate your situation and help get you the care you need.
Please call 775-982-5419 (TTY 711) from 7:30 a.m. to 5 p.m. PT.
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Addiction and recovery
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Because addiction affects the whole family, Renown Health offers support for family members who may be distressed.
All services are confidential.
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Addiction and recovery services
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Renown Health’s addiction and recovery services help adults and teens quit drinking, stay sober, and feel good again. Their team of specialists — including doctors, nurses, therapists, and counselors — can help you safely and comfortably stop drinking.
For nonurgent health needs, including new and existing symptoms, you can schedule an in-person visit with Kaiser Permanente.
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Title
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To schedule in-person care with Kaiser Permanente while you’re traveling, you’ll need a new medical record number for the area you’re visiting (unless you’re visiting Colorado).
If you need help getting a new medical record number, scheduling an in-person appointment, or finding a Kaiser Permanente location, call our travel line at 951-268-3900 (TTY 711).3
Be sure to save your new medical record number somewhere easy to find. If you need help finding it later, you can call the travel line at 951-268-3900 (TTY 711).3 Or we can look it up when you check in at a Kaiser Permanente facility.
After you get your new medical record number, you’ll be able to use your online account to schedule appointments and track and manage the Kaiser Permanente care you get while traveling. Make sure you’ve selected the right area of care in your account when scheduling appointments and viewing your services.
If you’ve already created your account, you can sign in to get a new medical record number for another Kaiser Permanente area. Then click on the menu bars at the top of your screen to open the menu. Under “ID and Region,” click on “View or Change Region of Care” and select “Add a new region of care.”
If you visit a Cigna Healthcare® PPO network provider, you’ll need your Kaiser Permanente Nevada medical record number.4 To find locations, visit Doctors and Locations. You can also call the travel line at 951-268-3900 (TTY 711).3
Note: You don’t need a new medical record number to access virtual, urgent, or emergency care.5
Need to manage someone else’s care?
If you’re caring for a Kaiser Permanente member who’s traveling, you can help track and manage their care by adding them to your kp.org account. To get started, sign in to kp.org and open the menu bars at the top of your screen. Under “Information Sharing,” select “Act for a Family Member.”
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If you or a family member has an urgent or emergency
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If you or a family member has an urgent or emergency medical concern while traveling, get care right away. You don’t have to get approval from Kaiser Permanente first.
Urgent care is best for illnesses or injuries that need prompt attention but aren’t life-threatening, like stomach pain, eye infections, or the flu. For medical and mental health emergencies, call 911 or go to the nearest hospital.5
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Title
Building a weight management plan
Teaser
To get started, talk to your personal doctor. They’ll review your medical history, learn more about your goals, and discuss where you are in your weight management journey.
Your doctor will work closely with you to find your best evidence-based care options — and help you manage them over time. Your personalized treatment plan may include:
Diet and exercise
Mental health and wellness
Self-care resources
Social health support, such as housing and relationship counseling
Medication or medical treatment, such as bariatric surgery
Weight management is an ongoing process, but we’re here to help you to meet your goals and stay on track. Your care team will monitor your progress and update your treatment plan as needed.
Person meditating surrounded by a circular graphic showing different care options
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Title
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For medical or mental health emergencies, call 911 or go to the nearest hospital.5 Always use the emergency services available where you are.
If you get urgent or emergency care from a provider other than Kaiser Permanente, let us know as soon as you can. Once your condition is stable, you or the doctor treating you should call the number on the back of your ID card to let us know you’ve received urgent or emergency care and discuss next steps. Please review your Evidence of Coverage or other coverage documents for specific timing considerations and exceptions to this policy.
You may need to get Kaiser Permanente approval before receiving:
Care after your condition is stable, or post-stabilization care
Transportation after your visit
Outpatient follow-up care, like removing stitches or a cast
Be sure to confirm with the doctor treating you that Kaiser Permanente has approved your care. Depending on your coverage, we may choose a different provider to handle the services you need.
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If you can’t find a nearby Kaiser Permanente facility
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If you can’t find a nearby Kaiser Permanente facility at kp.org/locations, try selecting “Advanced search” to expand your search.
For urgent care, if there aren’t any nearby Kaiser Permanente facilities, you can go to Cigna Healthcare® PPO provider.4You may be required to pay your normal copay or coinsurance upfront or you may be billed later. 7
When you get care from another Kaiser Permanente area
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When you get care from another Kaiser Permanente area, you can track and manage it online or in the app:
Sign in to your kp.org account.
Open the menu by clicking the menu bars at the top of your screen.
Under “ID and Region,” click on “View or Change Region of Care.”
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To view your Kaiser Permanente medical record number from another Kaiser Permanente area
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To view your Kaiser Permanente medical record number from another Kaiser Permanente area:
Sign in to your kp.org account using a web browser.
Open the menu by clicking the menu bars at the top of your screen.
Under “ID and Region”, click on “View or Change Region of Care” and select the area you want to see.
In the menu, click on “Member ID” to view your medical record number.
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If your plan covers care in other Kaiser Permanente
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If your plan covers care in other Kaiser Permanente areas, you’ll usually pay your normal copay, coinsurance, or deductible for care and prescriptions. If you owe more, you’ll get a bill later. If you get care from other providers, you may be responsible for the full cost.7 For more specific information about your plan, review your Evidence of Coverage or other coverage documents.
If you’re in an area with Kaiser Permanente facilities
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If you’re in an area with Kaiser Permanente facilities, you can get most of the same care you’d get at home. Depending on your plan, you may need a referral or preapproval for some specialty services. And in some areas, we may refer you to one of our affiliated providers.
For a full list of covered services under your plan, please refer to your Evidence of Coverage or other coverage documents.
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You can fill covered prescriptions
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You can fill covered prescriptions at any Kaiser Permanente pharmacy while traveling, depending on your health plan’s prescription drug benefits.6
How to fill prescriptions while traveling
In a Kaiser Permanente area, you can fill your prescriptions at any of our pharmacies. Call the travel line at 951-268-3900 (TTY 711) for help finding one.3 If you run out of medication during your trip, we can also help you transfer your prescription for refills.
When you pick up your medication, be sure to bring your physical or digital ID card. At Kaiser Permanente facilities, you’ll usually pay your normal copay, coinsurance, or deductible. But depending on your plan, you may need to pay the full cost of your medication at the pharmacy and file a claim for reimbursement later.7
Prescription delivery: Mail-order delivery is available for most prescription drugs, except in the following states: Arkansas, Kansas, Louisiana, Nebraska, North Carolina and Oklahoma.
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Footnotes
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When appropriate and available. If you travel out of state, virtual care may be limited due to state laws that may prevent doctors from providing care across state lines. Laws differ by state. Video and phone services are offered at no additional cost for most of our health plans. With some PPO and high deductible plans, a copay, coinsurance, or deductible must be met first before these services are provided at no additional cost. Please refer to your Evidence of Coverage orother coverage documents for more details on your plan or specific limitations and exclusions.
Service areas of health plans other than Hawaii and Washington, D.C., are not statewide.
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.
The Cigna Healthcare® PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration. Cigna Healthcare is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with the Kaiser Permanente health plans. The Cigna Healthcare PPO Network is provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property, Inc.
If you believe you have a medical or psychiatric emergency, call 911 or go to the nearest hospital. For more information, including the definitions related to emergency services, please refer to your Evidence of Coverage orother coverage documents.
Pharmacy access is based on your specific prescription drug benefits. Some self-funded members may be able to fill prescriptions at Kaiser Permanente pharmacies, while others may need to continue using the pharmacies included in their current prescription drug network. Please review your pharmacy benefit information or contact Member Services if you have questions about where prescriptions can be filled.
The amount members are reimbursed will depend on what their copays or coinsurance are, whether they have a deductible, and other plan limitations, consistent with the terms of the member’s Evidence of Coverage or other coverage documents.
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Eligibility Content NV
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Eligibility Content
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To confirm a member's benefits and eligibility, you will be asked to sign on to our secure provider tools. A new page will open in your browser window.
This information isn’t available yet for Kaiser Permanente Nevada members. We’ll have more to share with you at a later date. Check back in early 2027 for the latest updates.
This information isn’t available yet for Kaiser Permanente Nevada members. We’ll have more to share with you at a later date. Check back in early 2027 for the latest updates.
To confirm a member's benefits and eligibility, you will be asked to sign on to our secure provider tools. A new page will open in your browser window.
Sign in to confirm member benefits and eligibility