Dual coverage for people with Medicare and Medicaid (Medi-Cal)

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If you have both Medicare and Medicaid (Medi-Cal in California), you could be eligible for extra benefits. Kaiser Permanente Senior Advantage Dual Special Needs Plans (HMO D-SNP) let you keep your Medicaid/Medi-Cal benefits and get more benefits than Original Medicare.

With an HMO D-SNP, you can choose any available Kaiser Permanente doctor and rest easy knowing you’ll get high-quality care. Our plans are rated 5 out of 5 stars for 2023, Medicare’s highest possible rating [see footnote 1].

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.

What benefits are included?

With an HMO D-SNP, you’ll have $0 copays [See footnote 2] for your:

  • Monthly premium
  • Annual medical deductible
  • Primary care
  • Specialty visit
  • Urgent care
  • Telehealth

Other plan benefits include:

  • Part D drug coverage
  • Preventive and comprehensive dental services [See footnote 3]
  • Vision coverage
  • Fitness center membership

Depending on where you live, extra benefits may be available, like over-the-counter health and wellness, nonemergency transportation, and healthy food card assistance [See footnote 4]. You can also call us or explore our plans online for more information.

Am I eligible to enroll?

You can enroll in our HMO D-SNP plan if you have both Medicare and Medicaid/Medi-Cal and live in one of the following areas:

  • Northern California
  • Southern California
  • Denver/Boulder or Pueblo County, Colorado
  • Georgia
  • Hawaii

How do I enroll?

There’s no deadline, so you can enroll year-round.

Give us a call
Speak with a Kaiser Permanente Medicare specialist 7 days a week, 8 a.m. to 8 p.m.
1-855-832-0353 (TTY 711)

Attend a seminar
Learn more by attending a seminar with a Kaiser Permanente Medicare specialist.
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Explore plans online
Enter your zip code to see available plans
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Learn more about Medicare
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Lower your prescription drug costs
Find out if you qualify for Extra Help (Part D Low-Income Subsidy).

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How star quality ratings work
Most Medicare Advantage and Part D plans are rated, so they’re easy to compare.

1. Every year, Medicare evaluates plans based on a 5-star rating system. Continue at [1] Medicare’s highest possible rating
2. If you’re eligible for Medicare cost-sharing assistance under Medicaid/Medi-Cal, you pay $0. Continue at [2] you’ll have $0 copays
3. Dental benefits provided by DeltaCare® USA Dental HMO program in California and Georgia, Delta Dental PPO and Delta Dental Premier networks in Colorado, and Hawaii Dental Services Medicare Advantage Network in Hawaii. Continue at [3] Preventive and comprehensive dental services
4. Allowance helping with food insecurity and overall health for members with at least one chronic condition in Georgia. Continue at [4] healthy food card assistance